Department of Obstetrics and Gynecology, University of Health Sciences Turkey, Mogadishu Somalia-Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Somalia.
Department of Gynecologic Oncology, Zeynep Kamil Training and Research Hospital, University of Health Sciences Turkey, Istanbul, Turkey.
J Matern Fetal Neonatal Med. 2023 Dec;36(2):2256445. doi: 10.1080/14767058.2023.2256445. Epub 2023 Sep 25.
This study aimed to identify associated factors for postpartum depression (PPD) among women with female genital mutilation (FGM) in Somalia.
This was a cross-sectional study conducted between February and May 2021 in Somalia Mogadishu-Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Somalia. Mothers with any known chronic disease, or psychiatric disorders and who refused to participate were excluded from the study. The cutoff point for depression was defined as ≥13 points according to the Edinburgh Postnatal Depression Scale.
Out of 446 postpartum mothers, 267 (59.9%) had increased depressive symptoms in the early postpartum period. PPD scale scores of mothers who were very poor were significantly higher depression scores than their counterparts ( = .002). Education level, place of residence, occupational status, number of children, type of FGM, and the presence of perineal tear did not differ significantly between depressed and non-depressed groups.
Women with FGM had increased depressive symptoms in the early postpartum period in Somalia. In addition, women who had lower income had higher PPD scores than their counterparts. Further studies are needed to develop a deeper understanding of the relationships between FGM and PPD and its causes.
本研究旨在确定索马里女性割礼（FGM）女性产后抑郁（PPD）的相关因素。
这是一项在 2021 年 2 月至 5 月期间在索马里摩加迪沙-土耳其雷杰普·塔伊普·埃尔多安培训和研究医院进行的横断面研究。患有任何已知慢性疾病或精神疾病的母亲或拒绝参与的母亲被排除在研究之外。根据爱丁堡产后抑郁量表，抑郁的截断点定义为≥13 分。
在 446 名产后母亲中，267 名（59.9%）在产后早期出现抑郁症状增加。非常贫困的母亲的 PPD 量表评分明显高于对照组（ = .002）。教育程度、居住地、职业状况、孩子数量、FGM 类型以及会阴撕裂的存在在抑郁组和非抑郁组之间没有显著差异。
在索马里，FGM 女性在产后早期出现抑郁症状增加。此外，收入较低的女性的 PPD 评分高于对照组。需要进一步研究以更深入地了解 FGM 和 PPD 之间的关系及其原因。
