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IJ Psychiatry and Behavioral Sciences
IJPBS is the Official Journal of Mazandaran University of Medical Sciences
e-ISSN 1735-9287
p-ISSN 1735-8639
Outline
Bio-psycho-socio-demographic and Obstetric Predictors of Postpartum Depression in Pregnancy: A prospective Cohort Study
Authors
Fatemeh Abdollahi1, Samad Rohani2, Ghazali Shariff Sazlina3, Mehran Zarghami4, Zain Azhar5, Munn Sann Lye6,*, Farideh Rezaiee Abhari7, Zohreh Majidi8, Soghra Mozafari8
1Assistant Professor, Department of Public Health, School of Health, Mazandaran University of Medical Sciences, Sari, Iran
2Assistant Professor, Department of Public Health, School of Health, Mazandaran University of Medical Sciences ., Sari, Iran
3Associate Professor, Department of Family Medicine, School of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia
4Professor, Psychiatry and Behavioral Sciences Research Center, Addiction Institute AND Department of Psychiatry, Mazandaran University of Medical Sciences, Sari, Iran
5Professor, Department of Psychiatry, School of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia
6University Putra Malaysia, Serdang, Malaysia. Address: University Putra Malaysia, PO Box 43400, Serdang, Malaysia
7Department of Midwifery, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
8Health Care Provider, Health Center of Behshahr, Mazandaran University of Medical Sciences, Sari, Iran
*Corresponding Author: University Putra Malaysia, Serdang, Malaysia. Address: University Putra Malaysia, PO Box 43400, Serdang, Malaysia, Tel: +60-123083186, Fax: +60-389472410 Email: [email protected]
Published online:Jun 30, 2014
Article type:Research Article
Received:Aug 18, 2013
Accepted:May 21, 2014
How to Cite:Abdollahi F, Rohani S, Sazlina GS, Zarghami M, Azhar Z, et al. Bio-psycho-socio-demographic and Obstetric Predictors of Postpartum Depression in Pregnancy: A prospective Cohort Study. Iran J Psychiatry Behav Sci. 2014;8(2):. doi:
Abstract
Objective: There are various attempts to confirm variables that could predict postpartum depression in advance. This study determined antenatal risk factors for postpartum depression in women at risk of developing this disorder.
Methods: A prospective cohort study was conducted with 2279 eligible women who attended at Mazandaran province’ primary health centers from 32-42 weeks of pregnancy to eighth postpartum weeks. The women were screened for symptoms of depression using the Iranian version of Edinburgh Postnatal Depression Scale. An Edinburgh Postnatal Depression Scale score of > 12 indicated possible postpartum depression. Univariate and multiple logistic regression models were used for data analysis.
Results: A total of 2083women during 32-42 weeks of gestation participated in this study and were followed up to 8-week postpartum. Four hundred and three (19.4%) mothers yielded scores above the threshold of 12. Depression and general health state in pregnancy based on Edinburgh Postnatal Depression Scale (OR = 1.35, CI = 1.3-1.4) and General Health Questionnaire-28 (OR = 1.03, CI = 1.01-1.04), respectively were significant independent antenatal risk factors of depression symptoms at 8-week postpartum. Mothers who lived in nuclear families (OR = 1.38, CI = 1.04-1.84), whose husbands had lower educational status (OR = 0.95, CI = 0.91-0.99), and with delayed prenatal care (OR = 1.01, CI = 1.001-1.03) were more susceptible to postpartum depression.
Conclusion: A comprehensive antenatal assessment focused on psychiatric problems, environmental and obstetric factors would benefit pregnant women in the prevention of postpartum depression.
Declaration of interest: None.
Citation: Abdollahi F, Rohani S, Shariff Sazlina Gh, Zarghami M, Azhar MZ, Lye MS, et al. Bio-psychosocio-demographic and obstetric predictors of postpartum depression in pregnancy: a prospective cohort study. Iran J Psychiatry Behav Sci 2014; 8(2): 11-21.
References
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Copyright
© 2014, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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