Evaluation of prevalence and risk factors for postpartum depression using the Edinburgh Postpartum Depression Scale: a cross-sectional analytic study

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DOI:

https://doi.org/10.21613/GORM.2020.1109

Keywords:

Edinburgh postpartum depression scale, Postpartum depression, Prevalence, Risk factors

Abstract

Objective: To evaluate the prevalence and associated risk factors for postpartum depression (PPD) using the Edinburgh Postpartum Depression Scale (EPDS).  

Study design: The population of this cross-sectional analytic study consisted of 311 women who were admitted to our hospital at 4-6 weeks after birth. The data were collected between April-June 2018 by applying a sociodemographic data form consisting of 44 questions and the EPDS consisting of 10 questions. We used the EPDS in postpartum period to divide parturients into those with (n=47) and without (n=264) PPD using a cut-off score of ³ 13. The primary outcome is the prevalence of PPD, while the secondary outcomes are associated risk factors.

Results: The PPD prevalence was 15.1% (n=47).  In the PPD group, the difference was highly significant in terms of abortion, antenatal depression, inadequate care for the baby and health problem in the newborn [0.6±0.9 vs. 0.2±0.6, 13 (37.1%) vs. 27 (10.5%), 9 (56.3%) vs. 38 (12.9%), 12 (36.4%) vs. 35 (12.6%), respectively] (p<0.001). The logistic regression analysis revealed that abortion increased PPD by 1.64 fold (1.13-2.37% at 95% CI), antenatal depression by 5.04 fold (2.38-10.68% at 95% CI), inadequate care for the baby by 6.28 fold (1.89-20.86% at 95% CI), and health problem in the newborn increased PPD by 3.59 fold (1.43-8.99% at 95% CI).

Conclusion: PPD is a health problem that can affect primarily mother and child. Therefore, it is important to determine highly predictable risk factors using a scale (e.g. EPDS) for early diagnosis and timely treatment of symptoms.

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Author Biographies

Bekir Kahveci, Cukurova University

Department of Obstetrics and Gynecology, Lecturer Doctor

Hamza Aslanhan, Dicle University

Department of Family Medicine, Assistant Professor

Pakize Gamze Erten Bucaktepe, Dicle University

Department of Family Medicine, Assistant Professor

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Published

2020-12-27 — Updated on 2020-12-27

How to Cite

1.
Kahveci G, Kahveci B, Aslanhan H, Bucaktepe PGE. Evaluation of prevalence and risk factors for postpartum depression using the Edinburgh Postpartum Depression Scale: a cross-sectional analytic study. Gynecol Obstet Reprod Med [Internet]. 2020Dec.27 [cited 2021Mar.2];:1-7. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/1109

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Section

Obstetrics; Maternal Fetal Medicine and Perinatology