Department of Public Heath, North South University, Dhaka, Bangladesh; Health, Nutrition and Population (HNP) Global Practice, The World Bank, Dhaka, Bangladesh.
Department of Public Heath, North South University, Dhaka, Bangladesh.
Asian J Psychiatr. 2021 Aug;62:102673. doi: 10.1016/j.ajp.2021.102673. Epub 2021 May 19.
Postpartum depression (PPD) is among the top mental health issues and affects children's health and cognitive development. This study aimed to identify the prevalence of PPD symptomatology and possible determinants among facility delivered mothers of Dhaka city.
A cross-sectional study was conducted among 291 mothers within the 12 months of postpartum during January to May 2019.
The prevalence of PPD symptomatology was 29.9 % among postpartum mothers. Multiple adjusted odds ratios of stepwise logistic regression analyses revealed, mothers age more than 30 years (AOR = 2.56:95 %CI = 1.21-5.39), being a mother for the first time (AOR = 2.08:95 %CI = 1.09-3.96), lost job or couldn't able to do paid work due to pregnancy (AOR = 2.60:95 %CI = 1.25-5.43), hypertension history (AOR = 2.48:95 %CI = 1.20-5.10), neonatal complication (AOR = 2.04:95 %CI = 1.05-3.95), and rare or no support from husband (AOR = 4.12:95 %CI = 2.14-7.95) were identified as significant predictors of PPD. However, having a household income of more than 50,000 Bangladeshi Taka per month (AOR = 0.36:95 %CI = 0.17-0.76) and passing less sedentary hours (AOR = 0.41:95 % CI = 0.23-0.75) were protective factors for PPD.
Our study has revealed a relatively high prevalence of PPD symptomatology; therefore, mental health counseling and proper management of cases are essential for bettering mothers and the next generation.
产后抑郁症（PPD）是最常见的心理健康问题之一，会影响儿童的健康和认知发展。本研究旨在确定达卡市产妇中 PPD 症状的患病率和可能的决定因素。
2019 年 1 月至 5 月期间，在产后 12 个月内对 291 名产妇进行了横断面研究。
产后母亲中 PPD 症状的患病率为 29.9%。逐步逻辑回归分析的多因素调整比值比显示，年龄大于 30 岁的母亲（AOR=2.56；95%CI=1.21-5.39）、初产妇（AOR=2.08；95%CI=1.09-3.96）、因怀孕而失业或无法从事有偿工作（AOR=2.60；95%CI=1.25-5.43）、高血压病史（AOR=2.48；95%CI=1.20-5.10）、新生儿并发症（AOR=2.04；95%CI=1.05-3.95）、丈夫很少或从不支持（AOR=4.12；95%CI=2.14-7.95），这些是 PPD 的显著预测因素。然而，家庭月收入超过 50000 孟加拉塔卡（AOR=0.36；95%CI=0.17-0.76）和久坐时间减少（AOR=0.41；95%CI=0.23-0.75）是 PPD 的保护因素。
我们的研究表明，PPD 症状的患病率相对较高；因此，进行心理健康咨询和对病例进行适当管理对于改善母亲和下一代的健康至关重要。
