Caspian Journal of Reproductive Medicine
نشریه طب تولید مثل خزر
Caspian J Reprod Med
Medical Sciences
http://caspjrm.ir
1
admin
2423-5660
2423-5660
8
10.22088/caspjrm
14
8888
13
en
jalali
1394
3
1
gregorian
2015
6
1
1
2
online
1
fulltext
fa
The mode of delivery and some selected obstetric factors as predictors of post-partum depression
The mode of delivery and some selected obstetric factors as predictors of post-partum depression
Obstetrics and Gynecology
Obstetrics and Gynecology
پژوهشي
Original Research
<p><b>Background:</b> 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. </p>
<div><b>Methods:</b> 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. </div>
<div><b>Results:</b> 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. </div>
<div><b>Conclusions:</b> 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.</div>
Depression, Obstetrics, Post-partum, Risk factors
13
21
http://caspjrm.ir/browse.php?a_code=A-12-1-10&slc_lang=fa&sid=1
Fatemeh
Abdollahi
10031947532846001263
10031947532846001263
Yes
Mazandaran University of Medical Sciences, Sari, Iran
Azhar MD
Zain
10031947532846001264
10031947532846001264
No
Psychiatry Department, Faculty of Medicine and Health Sciences, University Putra Malaysia