The Relationship between the Intrapartum Experience and the Risk of Postpartum Depression among Jordanian Women: A Cross-Sectional Study.

Abstract

Background: This study seeks to investigate the relationship between birth experience and risk of developing postpartum depression among Jordanian women. Furthermore, it aims to explore the prevalence and risk factors of postpartum depression and raise awareness of it among Jordanians.

Material and methods: This study was carried out on 214 postpartum Jordanian women at Jordan University Hospital (JUH). A questionnaire was handed to participants which touched on demographics, intrapartum experience, along with the Edinburgh Postnatal Depression Scale (EPDS), and the psychosocial factors affecting them.

Results: Among the 214 respondents, 184 women (86%) had postpartum depression according to EPDS, those with high scores and statistically significant p-values include individuals diagnosed with depression (15.89, p = 0.163), those who had previous consultations with a mental health specialist (16.61, p = 0.037), individuals under 18 (18.75, p = 0.028), those who underwent vaginal delivery (15.12, p = 0.008), underwent episiotomy (15.92, p = 0.023), lacked support from the medical team (13.21, p < 0.001), expressed dissatisfaction with childbirth care (17.03, p < 0.001), experienced body image issues during pregnancy (15.74, p = 0.008) and after birth (16.11, p = 0.001), felt anxiety about motherhood (15.88, p < 0.001), reported insufficient emotional support during pregnancy (17.49, p < 0.001), and after childbirth (17.00, p < 0.001).

Conclusion: A significant proportion of Jordanian women are at an increased risk of developing postpartum depression. A maternal age under 18, normal vaginal delivery including episiotomy, and lack of support among others were identified as risk factors for postpartum depression (PPD).