Department of Neurology and Psychiatry, Assiut University, 71516 Assiut, Egypt; Department of Child & Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London SE5 8AF, UK.
Department of Neurology and Psychiatry, Assiut University, 71516 Assiut, Egypt.
J Affect Disord. 2021 Jul 1;290:211-218. doi: 10.1016/j.jad.2021.04.046. Epub 2021 May 5.
Postpartum depression (PPD) is highly prevalent with a major impact on the mother and child health. We aimed to determine the prevalence of PPD in primary health care centres which provide vaccinations services to infants in Assiut city and to evaluate the possible risk factors associated with PPD.
In this multicentre study, 257 mothers attended three primary health care centres for immunization of their babies were recruited from January 2019 to January 2020. All participants were evaluated for socio-demographic features, Family affluence scale (FAS), Edinburgh Postnatal Depression Scale (EPDS) and associated risk factors.
The mean age of the participants was 27.98 ± 4.7. About half of the mothers and their husbands had low education level. Most of the families (89%) have low socioeconomic scale (SES). About (33.5%) women were found to have possible PPD. In the logistic regression analysis, SES, history of depression, history of PPD, history of stressful conditions, familial support, unwanted pregnancy, and male preference were significant statistical in PPD (p < 0.05).
We did not investigate the medical and psychological problems during antenatal care. Also, we did not assess relation of the type of delivery and medical problems during delivery on the postnatal care.
PPD was prevalent in 33.5% The possible risk factors of PPD were low SES, history of depression, history of PPD, history of stressful conditions, familial support, unwanted pregnancy, and male preference.
产后抑郁症（PPD）的发病率很高，对母婴健康有重大影响。我们旨在确定为阿西尤特市婴儿提供疫苗接种服务的初级保健中心中 PPD 的患病率，并评估与 PPD 相关的可能危险因素。
在这项多中心研究中，2019 年 1 月至 2020 年 1 月期间，从 3 个初级保健中心招募了 257 名前来为婴儿接种疫苗的母亲。所有参与者均接受了社会人口统计学特征、家庭富裕量表（FAS）、爱丁堡产后抑郁量表（EPDS）和相关危险因素的评估。
参与者的平均年龄为 27.98 ± 4.7 岁。大约一半的母亲及其丈夫教育水平较低。大多数家庭（89%）的社会经济地位较低（SES）。约 33.5%的女性可能患有 PPD。在逻辑回归分析中，SES、抑郁史、PPD 史、压力史、家庭支持、意外怀孕和男性偏好对 PPD 具有统计学意义（p<0.05）。
我们没有调查产前保健期间的医疗和心理问题。此外，我们没有评估分娩期间的分娩类型和医疗问题与产后护理的关系。
PPD 的患病率为 33.5%。PPD 的可能危险因素为 SES 低、抑郁史、PPD 史、压力史、家庭支持、意外怀孕和男性偏好。
