Van Vo Thang, Hoa Thi Kim Duong, Hoang Tuyen Dinh
Institute for Community Heath Research, Hue University of Medicine and Pharmacy, Hue, Vietnam.
Faculty of Public Heath, Hue University of Medicine and Pharmacy, Hue, Vietnam.
Front Public Health. 2017 Apr 27;5:93. doi: 10.3389/fpubh.2017.00093. eCollection 2017.
Postpartum depression (PPD) among women is a common mental health concern. It occurs at a time of major life change, coupled with the increased responsibilities associated with the care of a newborn infant. In Vietnam, the prevalence of depressive symptoms after giving birth has not been fully investigated. Research in the Northern provinces, in Ho Chi Minh City, and in Hue suggests postnatal depressive symptoms among women are common. This research aims to (1) estimate the prevalence of PPD symptoms among married women in one Vietnam city (Danang) and (2) identify the social and personal factors associated with postpartum depressive symptoms.
This cross-sectional study was conducted from July 2013 to August 2014 in 10 wards of Hai Chau District, Danang. A total of 600 mothers who gave birth 4 weeks to 6 months prior to being interviewed were recruited. Interviews were conducted using structured questionnaires, which included several dimensions: demographics, family living arrangements, expectations of pregnancy, expectations of infant gender, the woman's relationship with her husband, exercise after birth, infant health, and anxiety about matters other than the birth. The Edinburgh Postpartum Depression Scale (EPDS) was used to examine PPD symptoms, with a cutoff point of 12/13.
EPDS scores indicated the prevalence of PPD symptoms was 19.3% (95% CI: 16.16-22.50). Among women with PPD symptoms, 37.9% had suicidal thoughts in the previous seven days. Multivariate logistic regression indicated that the following key factors were significantly associated with PPD symptoms: Not being able to rely on their husband for help, having a husband who does not spend time to discuss problems, having anxiety about matters other than the birth, not exercising after giving birth, and having an ill baby.
These findings should be interpreted in relation to other recent research in Vietnam. A consistent pattern of prevalence estimates and associated social factors is emerging that has implications for the postpartum care of mothers.
产后抑郁症（PPD）是女性常见的心理健康问题。它发生在人生重大转变时期，同时伴随着照顾新生儿带来的责任增加。在越南，产后抑郁症状的患病率尚未得到充分调查。在越南北部省份、胡志明市和顺化的研究表明，女性产后抑郁症状很常见。本研究旨在：（1）估计越南一个城市（岘港）已婚女性中产后抑郁症状的患病率；（2）确定与产后抑郁症状相关的社会和个人因素。
本横断面研究于2013年7月至2014年8月在岘港海洲区的10个病房进行。共招募了600名在接受访谈前4周至6个月分娩的母亲。访谈采用结构化问卷进行，问卷包括几个维度：人口统计学、家庭生活安排、对怀孕的期望、对婴儿性别的期望、女性与丈夫的关系、产后锻炼、婴儿健康以及对分娩以外事情的焦虑。采用爱丁堡产后抑郁量表（EPDS）检查产后抑郁症状，临界值为12/13。
EPDS评分显示产后抑郁症状的患病率为19.3%（95%置信区间：16.16 - 22.
