Taherifard Pegah, Delpisheh Ali, Shirali Ramin, Afkhamzadeh Abdorrahim, Veisani Yousef
Department of Anesthesiology, Gilan University of Medical Sciences, P.O. Box 41938-93345, Rasht, Iran.
Depress Res Treat. 2013;2013:653471. doi: 10.1155/2013/653471. Epub 2013 Jul 24.
Background. Postpartum depression (PPD) is considered as one of the mood disturbances occurring during 2-3 months after delivery. The present study aimed to determine the prevalence of PPD and its associated risk factors in border city of Ilam, western Iran. Methods. Through a descriptive cross-sectional study in 2011, overall, 197 women who attended Obstetrics & Gynecology clinics postpartumly in the border city of Ilam, western Iran, were randomly recruited. A standard questionnaire that was completed by a trained midwife through face to face interviews was used for data gathering. Results. Mean age ± standard deviations was 27.9 ± 5.2 years. Prevalence of PPD was estimated to be 34.8% (95% CI: 27.7-41.7). A significant difference was observed among depression scores before and after delivery (P ≤ 0.001). Type of delivery (P = 0.044), low socioeconomic status (P = 0.011), and women having low educational level (P = 0.009) were the most important significant risk factors associated with PPD. The regression analysis showed that employed mothers compared to housekeepers were more at risk for PPD (adjusted OR = 2.01, 95% CI: 1.22-2.28, P = 0.003). Conclusions. Prevalence of PPD in western Iran was slightly higher than the corresponding rate from either national or international reports.
背景。产后抑郁症（PPD）被认为是分娩后2至3个月内出现的情绪障碍之一。本研究旨在确定伊朗西部伊拉姆边境城市产后抑郁症的患病率及其相关危险因素。方法。通过2011年的一项描述性横断面研究，在伊朗西部伊拉姆边境城市，随机招募了197名产后到妇产科诊所就诊的妇女。数据收集采用由经过培训的助产士通过面对面访谈完成的标准问卷。结果。平均年龄±标准差为27.9±5.2岁。产后抑郁症的患病率估计为34.8%（95%置信区间：27.7 - 41.7）。分娩前后的抑郁评分存在显著差异（P≤0.001）。分娩方式（P = 0.044）、社会经济地位低（P = 0.011）以及教育水平低的女性（P = 0.009）是与产后抑郁症相关的最重要的显著危险因素。回归分析表明，与家庭主妇相比，就业母亲患产后抑郁症的风险更高（调整后的比值比 = 2.01，95%置信区间：1.22 - 2.28，P = 0.003）。结论。伊朗西部产后抑郁症的患病率略高于国内或国际报告中的相应比例。
