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:: Volume 1, Issue 2 (Caspian J Reprod Med 2015) ::
Caspian J Reprod Med 2015, 1(2): 13-21 Back to browse issues page
The mode of delivery and some selected obstetric factors as predictors of post-partum depression
Fatemeh Abdollahi * , Azhar MD Zain
Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (10855 Views)

Background: The most prevalent mental or emotional problem associated with childbirth is post-partum depression (PPD). This study was designed to determine the psychological responses of Iranian women to difficult childbirth. 

Methods: In this prospective cohort design, incidence rate and associated obstetric predictors of PPD over twelve week’s post-partum were investigated among 1801 non depressed pregnant women attending primary health centers (PHCs) of Mazandaran province from January to June 2009 using the Iranian version of the Edinburgh Postnatal Depression Scale (EPDS > 12). Using logistic regression analyses, odds ratios (ORs) for the significant obstetric risk factors that were significantly associated with PPD from chi-square tests were calculated. The associations were controlled for possible socio-demographic confounding factors. 
Results: The incidence proportions of depression occurring over a 12 weeks period of post-partum were 12.30%. The regression model showed that the risk of PPD was increased by experienced recurrent urinary infection [OR=2.25, (95% CI: 1.15-4.38), unwanted pregnancy [OR=1.97, (95% CI: 1.15-3.35)] and gestational diabetes [OR=3.41, (95% CI=1.46-5.88)] during pregnancy. 
Conclusions: Although the mode of delivery was not predictive of PPD, other difficulties during pregnancy were associated with higher levels of depressive symptoms over 12 week's post-partum that needs on-time interventions.
Keywords: Depression, Obstetrics, Post-partum, Risk factors
Full-Text [PDF 245 kb]   (4437 Downloads)    
Type of Study: Original Research | Subject: Obstetrics and Gynecology
Received: 2015/04/14 | Accepted: 2015/06/25 | Published: 2015/06/30
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Abdollahi F, Zain A M. The mode of delivery and some selected obstetric factors as predictors of post-partum depression. Caspian J Reprod Med 2015; 1 (2) :13-21
URL: http://caspjrm.ir/article-1-57-en.html


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Volume 1, Issue 2 (Caspian J Reprod Med 2015) Back to browse issues page
Caspian Journal of Reproductive Medicine
Caspian J Repord Med: Infertility and Reproductive Health Research Center of Babol University of Medical Sciences, Babol-Amol old highway, after Mohammadhasan Khan bridge, Babol, Mazandaran, Iran, P.O. Box: 47135-547 Tel: +98-11-32274881-2 Fax: +98-11-32274880 E-mail: info@caspjrm.ir Website: www.caspjrm.ir
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