Medical Research and Careers Organisation, North West Region, Bamenda, Cameroon.
Tubah District Hospital, Regional Delegation of Public Health, North West Region, Bamenda, Cameroon.
Pan Afr Med J. 2022 Jun 21;42:138. doi: 10.11604/pamj.2022.42.138.32347. eCollection 2022.
post-partum depression is one of the many challenges associated with childbirth. In Cameroon, the focus is more on post-partum obstetric complications resulting in underdiagnosis and misdiagnosis of this condition. The current socio-political crisis plaguing the English-speaking part of Cameroon has increased the stressors that may inherently increase the prevalence. There is no published data describing post-partum depression in a rural setting in Cameroon. We seek to determine the prevalence and factors associated with PPD in women attending the Tubah District hospital, North West Region, Cameroon.
we conducted a cross-sectional hospital-based study at the Tubah District Hospital. A consecutive convenience sampling technique was used to recruit participants. Our main outcome was post-partum depression which was assessed using the Edinburgh Post-partum Depression Scale.
a total of 207 post-partum women took part in this study with a mean age of 27.54 ± 5.78 years. The prevalence of depression was 31.8%. Gender-based violence (OR: 4.67, P = 0.013), financial stress (OR: 3.57, P = 0.002) and male baby (OR: 2.83, P < 0.001) were independent psychosocial factors associated with PPD. Independent psycho-clinical factors of post-partum depression include family history of mental health illness (OR: 4.34, P = 0.04) and previous history of depression (OR: 4.17, P = 0.02).
the prevalence of post-partum depression in women attending the Tubah District Hospital, Northwest Region, Cameroon is high. The factors associated with PPD are many. Identification of risk factors, early diagnosis and proper management can prevent PPD, disabling morbidity, and suicide in mothers.
产后抑郁症是与分娩相关的众多挑战之一。在喀麦隆，人们更关注产后产科并发症，导致这种疾病的漏诊和误诊。目前，喀麦隆英语区的社会政治危机增加了可能会增加其普遍性的压力源。目前还没有发表的数据描述喀麦隆农村地区的产后抑郁症。我们旨在确定在喀麦隆西北大区图巴地区医院就诊的妇女中产后抑郁症的患病率及其相关因素。
我们在图巴地区医院进行了一项横断面医院基础研究。采用连续便利抽样技术招募参与者。我们的主要结局是产后抑郁症，使用爱丁堡产后抑郁量表进行评估。
共有 207 名产后妇女参与了这项研究，平均年龄为 27.54 ± 5.78 岁。抑郁症的患病率为 31.8%。基于性别的暴力（OR：4.67，P = 0.013）、经济压力（OR：3.57，P = 0.002）和男婴（OR：2.83，P < 0.001）是与 PPD 相关的独立社会心理因素。产后抑郁症的独立心理临床因素包括精神病史（OR：4.34，P = 0.04）和既往抑郁症史（OR：4.17，P = 0.02）。
在喀麦隆西北大区图巴地区医院就诊的妇女中，产后抑郁症的患病率很高。与 PPD 相关的因素很多。识别危险因素、早期诊断和适当管理可以预防母亲的 PPD、致残发病率和自杀。
