Postpartum depression (PPD) can have serious consequences for both the mother and infant. We aimed to investigate the prevalence of postnatal depression and associated sociocultural, obstetrics and child-related factors among Iranian women.
Materials and Methods: This is a cross-sectional study carried out in Bushehr, Iran. 290 women from 10 public health centers were selected through stratified random sampling. Data were collected using a self-administered questionnaire from women within 12 weeks postpartum in 2019. PPD was assessed using Edinburgh Post Natal Depression Scale (EPDS), and score of >12 was considered having PPD.
Results: The mean age of the respondents was 28.48 ± 5.50 years. The prevalence of depression was 24.1% in 12 weeks after delivery. Higher social support was associated with lower PPD [OR: 0.92, 95% CI: 0.88, 0.95; p <0.001]. The risk of developing PPD was 4.84 times higher in mothers with cesarean section [OR: 4.84, 95% CI: 1.89, 12.36; p =0.001], 5.19 times higher with preterm birth [OR: 5.19, 95% CI: 1.44, 18.27; p =0.01], 4.47 times higher with a history of depression [OR: 4.47, 95% CI: 1.40, 14.24; p =0.009]. The women who were satisfied with their marital relationship [OR: 0.16, 95% CI: 0.02, 0.96; p=0.04], and the baby's sleep habits [OR: 0.36, 95% CI: 0.15, 0.82; p =0.01] were less likely to suffer from PPD.
Postpartum depression was found common among mothers. The poor social support, poor marital relationship, cesarean section, preterm birth, positive history of depression, and adverse baby's sleep habits were associated with PPD. The vulnerable women should monitor their mental status and should be educated about the effective intervention strategies.