Ke Peng1,2, Lin Zhou3, Xiaoying Liu4, Menglu Ouyang5, Jessica Gong5, Yuanyuan Wang6, Yu Shi1, Jiani Chen7, Yichong Li1, Mingfan Sun1, Yueyun Wang8, Wei Lin2, Shixin Yuan2, Bo Wu2, Lei Si5,9. 1. National Clinical Research Center for Cardiovascular Diseases, Shenzhen, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, Shenzhen, China. 2. Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China. 3. Shenzhen Centre for Disease Control and Prevention, Shenzhen, China. 4. School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia. 5. The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia. 6. Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK. 7. University International College, Macau University of Science and Technology, Macau, China. 8. Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China. wangyueyun@126.com. 9. School of Health Policy & Management, Nanjing Medical University, Nanjing, China.
Abstract
BACKGROUND: To examine the relationship between the main caregiver during the "doing-the-month" (a traditional Chinese practice which a mother is confined at home for 1 month after giving birth) and the risk of postpartum depression (PPD) in postnatal women. METHODS: Participants were postnatal women stayed in hospital and women who attended the hospital for postpartum examination, at 14-60 days after delivery from November 1, 2013 to December 30, 2013. Postpartum depression status was assessed using the Edinburgh Postnatal Depression Scale. Univariate and multivariable logistic regressions were used to identify the associations between the main caregiver during "doing-the-month" and the risk of PPD in postnatal women. RESULTS: One thousand three hundred twenty-five postnatal women with a mean (SD) age of 28 (4.58) years were included in the analyses. The median score (IQR) of PPD was 6.0 (2, 10) and the prevalence of PPD was 27%. Of these postnatal women, 44.5% were cared by their mother-in-law in the first month after delivery, 36.3% cared by own mother, 11.1% by "yuesao" or "maternity matron" and 8.1% by other relatives. No association was found between the main caregivers and the risk of PPD after multiple adjustments. CONCLUSIONS: Although no association between the main caregivers and the risk of PPD during doing-the-month was identified, considering the increasing prevalence of PPD in Chinese women, and the contradictions between traditional culture and latest scientific evidence for some of the doing-the-month practices, public health interventions aim to increase the awareness of PPD among caregivers and family members are warranted.
BACKGROUND: To examine the relationship between the main caregiver during the "doing-the-month" (a traditional Chinese practice which a mother is confined at home for 1 month after giving birth) and the risk of postpartum depression (PPD) in postnatal women. METHODS:Participants were postnatal women stayed in hospital and women who attended the hospital for postpartum examination, at 14-60 days after delivery from November 1, 2013 to December 30, 2013. Postpartum depression status was assessed using the Edinburgh Postnatal Depression Scale. Univariate and multivariable logistic regressions were used to identify the associations between the main caregiver during "doing-the-month" and the risk of PPD in postnatal women. RESULTS: One thousand three hundred twenty-five postnatal women with a mean (SD) age of 28 (4.58) years were included in the analyses. The median score (IQR) of PPD was 6.0 (2, 10) and the prevalence of PPD was 27%. Of these postnatal women, 44.5% were cared by their mother-in-law in the first month after delivery, 36.3% cared by own mother, 11.1% by "yuesao" or "maternity matron" and 8.1% by other relatives. No association was found between the main caregivers and the risk of PPD after multiple adjustments. CONCLUSIONS: Although no association between the main caregivers and the risk of PPD during doing-the-month was identified, considering the increasing prevalence of PPD in Chinese women, and the contradictions between traditional culture and latest scientific evidence for some of the doing-the-month practices, public health interventions aim to increase the awareness of PPD among caregivers and family members are warranted.
Authors: Katherine L Wisner; Dorothy K Y Sit; Mary C McShea; David M Rizzo; Rebecca A Zoretich; Carolyn L Hughes; Heather F Eng; James F Luther; Stephen R Wisniewski; Michelle L Costantino; Andrea L Confer; Eydie L Moses-Kolko; Christopher S Famy; Barbara H Hanusa Journal: JAMA Psychiatry Date: 2013-05 Impact factor: 21.596
Authors: Ellen Y Wan; Cheryl A Moyer; Siobán D Harlow; Zitian Fan; Yan Jie; Huixia Yang Journal: Int J Gynaecol Obstet Date: 2008-11-25 Impact factor: 3.561