School of Nursing and midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
PLoS One. 2019 Nov 13;14(11):e0224792. doi: 10.1371/journal.pone.0224792. eCollection 2019.
Postpartum depression is a non-psychotic disorder that happens during the first 1year after childbirth. It affects both the mother's health and child's development and is given significant public health concern in developed countries. However, in developing countries including Ethiopia, postnatal care is mainly concerned with obstetric problems and the baby's health, while the psychological well-being of the mother is given little attention. Therefore, this study was aimed to assess the magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, West Ethiopia, 2019.
Community-based cross-sectional study was conducted on 295 postnatal women, from May 15 to June 5, 2019, in Nekemte town. The study participants were selected by a simple random sampling method and interviewed using structured questionnaires. Multivariable logistic regression was used to find the independent variables which are associated with postnatal depression. All associations between dependent and independent variables and statistical significance were measured using odds ratio at 95% confidence interval and p-value less than 0.05.
From the total of 295 women sampled, 287 were participated in the study. Out of these 287 women participated, 20.9% had developed postnatal depression. Unplanned pregnancy (AOR = 7.84, 95% CI: 3.19, 19.26), Being first time mother (AOR = 4.99, 95% CI: 1.54, 16.09), History of previous depression (AOR = 3.06, 95% CI: 1.06, 8.82), Domestic violence (AOR = 5.92, 95% CI: 2.44, 14.40), History of substance use (AOR = 3.95, 95% CI: 1.52, 10.30) and poor social support (AOR = 6.59, 95% CI: 2.25, 19.29) were significantly associated with postnatal depression.
In this study, the magnitude of postnatal depression was found moderate compared to other studies. Perinatal depression screening and intervention need to be integrated with maternal health care services, especially for mothers at risk of postnatal depression.
产后抑郁症是非精神病性障碍，发生在产后 1 年内。它不仅影响母亲的健康和孩子的发育，而且在发达国家受到高度关注。然而，在包括埃塞俄比亚在内的发展中国家，产后护理主要关注产科问题和婴儿的健康，而母亲的心理健康则很少受到关注。因此，本研究旨在评估东沃洛格州内克姆特镇产后妇女产后抑郁症的发生情况及其相关因素，该地区属于埃塞俄比亚。
本研究是一项基于社区的横断面研究，于 2019 年 5 月 15 日至 6 月 5 日在内克姆特镇对 295 名产后妇女进行了调查。采用简单随机抽样方法选择研究对象，并使用结构化问卷进行访谈。采用多变量逻辑回归分析产后抑郁症的相关因素。使用比值比（OR）和 95%置信区间（CI）以及 p 值<0.05 来测量依赖性变量和独立性变量之间的所有关联和统计学意义。
在总共 295 名被抽样的妇女中，有 287 名妇女参与了研究。在这 287 名参与的妇女中，有 20.9%患有产后抑郁症。无计划妊娠（OR=7.84，95%CI：3.19，19.26）、初产妇（OR=4.99，95%CI：1.54，16.09）、既往抑郁症史（OR=3.06，95%CI：1.06，8.82）、家庭暴力（OR=5.92，95%CI：2.44，14.40）、物质使用史（OR=3.95，95%CI：1.52，10.30）和社会支持差（OR=6.59，95%CI：2.25，19.29）与产后抑郁症显著相关。
在这项研究中，与其他研究相比，产后抑郁症的发生率处于中等水平。需要将围产期抑郁筛查和干预纳入孕产妇保健服务中，特别是针对有产后抑郁风险的母亲。
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