Tesfaye Winta, Ashine Bezawit, Tezera Hiwot, Asefa Tseganesh
Department of Human Physiology, School of Medicine, University of Gondar, P. O. Box 196, Gondar, Ethiopia.
Department of Reproductive Health,School of Public Health, Sante Medical Collage,Addis Ababa,Ethiopia.
Heliyon. 2023 Oct 18;9(11):e20952. doi: 10.1016/j.heliyon.2023.e20952. eCollection 2023 Nov.
Postpartum depression (PPD) is a major public health concern that affects both the mother's health and the development of the child.Postpartum depression is defined by the American Psychiatric Association (APA) as the development of a Major Depressive Episode (MDE) within four weeks of birth. The rate of postpartum depression statistics is lacking in developing countries. This indicates that the data can be much higher if diagnosed and reported.There for this study assessed the magnitude of postpartum depression and its associated factors among mothers attending selected public health center of Yeka sub city, Addis Ababa, Ethiopia.
An institutional-based cross-sectional approach was conducted from December 2021 to January 2022 among 454 postpartum women. A single population proportion equations was used to calculate the sample size for this investigation.A multi-stage sampling method was applied based on the health center they are attending.One of the eleven sub-cities in Addis Abeba, Ethiopia, was chosen for this procedure using a simple random selection technique. Furthermore, four health centers from the selected sub-city were chosen using simple random selection.For data collection, structured questioners were utilised.The Edinburgh Postnatal Depression Scale, also known as the EPDS, was used to assess participants' postpartum depression. The data was validated, coded, and entered into Epi-data before being exported to SPSS for analysis. Bivariable and multivariable logistic regression were used. -values less than 0.05 were deemed statistically significant.
The overall prevalence of postpartum depression was 23.8 % [95 % CI (20-27.8)].Being single [AOR = 7.4, 95 % CI (4.2-12.9)], having complications during pregnancy [AOR = 2.1, 95 % CI (1.16-3.82)], Bottle feeding immediately after birth [AOR = 0.3, 95 % CI (0.13-0.66)], and having low perceived psycho-social support [AOR = 3.5, 95 % CI (1.4-8.5)] were significantly associated with postpartum depression.
The current study found that post postpartum depression is highly prevalent among women. As a result, we recommend that to have regular screening, follow up and mental health care in postnatal periods of pregnancy. Because the period following childbirth is stressful, especially for new mothers, emotional and psychosocial support should be provided both in the community and in health care settings. :Postpartum depression, Women, Edinburgh Postnatal Depression Scale (EPDS),Ethiopia.
产后抑郁症(PPD)是一个重大的公共卫生问题,会影响母亲的健康和孩子的发育。美国精神病学协会(APA)将产后抑郁症定义为在分娩后四周内出现的重度抑郁发作(MDE)。发展中国家缺乏产后抑郁症的统计数据。这表明,如果进行诊断和报告,数据可能会高得多。因此,本研究评估了埃塞俄比亚亚的斯亚贝巴耶卡子市选定公共卫生中心的母亲中产后抑郁症的严重程度及其相关因素。
2021年12月至2022年1月,对454名产后妇女采用基于机构的横断面研究方法。使用单总体比例方程计算本次调查的样本量。根据她们就诊的卫生中心采用多阶段抽样方法。使用简单随机选择技术从埃塞俄比亚亚的斯亚贝巴的11个子市中选择一个用于此程序。此外,从选定的子市中使用简单随机选择法选择四个卫生中心。为收集数据,使用了结构化问卷。爱丁堡产后抑郁量表(也称为EPDS)用于评估参与者的产后抑郁症。数据经过验证、编码,输入Epi - data,然后导出到SPSS进行分析。使用了双变量和多变量逻辑回归。p值小于0.05被认为具有统计学意义。
产后抑郁症的总体患病率为23.8% [95%置信区间(20 - 27.8)]。单身[AOR = 7.4,95%置信区间(4.2 - 12.9)]、孕期有并发症[AOR = 2.1,95%置信区间(1.16 - 3.82)]、产后立即进行奶瓶喂养[AOR = 0.3,95%置信区间(0.13 - 0.66)]以及感知到的心理社会支持较低[AOR = 3.5,95%置信区间(1.4 - 8.5)]与产后抑郁症显著相关。
当前研究发现产后抑郁症在女性中非常普遍。因此,我们建议在孕期产后阶段进行定期筛查、随访和心理健康护理。由于分娩后的时期压力很大,尤其是对新妈妈来说,应在社区和医疗机构提供情感和心理社会支持。:产后抑郁症、女性、爱丁堡产后抑郁量表(EPDS)、埃塞俄比亚。