尼泊尔Rupandehi, Bhairahawa, Universal College Medical Sciences and Teaching Hospital,产后母亲抑郁症及其决定因素

IF 1.3 Q3 PEDIATRICS
Chet Kant Bhusal, Sigma Bhattarai, Alisha Shrestha, Hem Raj Sharma
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引用次数: 0

摘要

背景:产后抑郁症是一种严重的心理健康问题,与产妇发病率和婴儿的正常生长发育和健康产生负面影响有关。本研究旨在评估尼泊尔一家三级医院的母亲产后抑郁症的患病率和相关因素。方法:以医院为单位对173名产后母亲进行横断面调查(双因素分析p值< 0.05),采用多因素logistic回归模型寻找最终的相关因素。结果:在尼泊尔一家三级医院就诊的母亲中,产后抑郁症的患病率为20.2%。受访者平均年龄24.77±3.47岁。有女婴的母亲(AOR = 6.39, CI = 1.54 - 26.46)、意外怀孕(AOR = 10.08, CI = 2.91 - 34.94)、妊娠引起的健康问题(AOR = 9.68, CI: 3.51-26.64)等因素与产后抑郁风险增加相关。同样,受过正规教育的母亲(AOR = 0.28, CI: 0.08-0.91),配偶受过中等及以上教育(AOR = 0.16, CI: 0.03-0.85),以及去ANC≥4次(AOR = 0.15, CI = 0.05 - 0.40)与产后抑郁症有显著相关,但有保护作用。结论:新生儿性别、母亲和配偶的受教育程度、怀孕意图、ANC访问和妊娠引起的健康问题与产后抑郁显著相关。因此,应向孕妇、母亲及其丈夫提供具体的妇幼保健健康教育方案,包括心理健康,重点是性别歧视。同样,应向当地保健工作者提供关于计划怀孕重要性的具体指导方案,以减少非孕检人员访问期间与怀孕有关的健康问题,并向分娩后的母亲提供指导方案,以进一步减少产后抑郁症的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Depression and Its Determinants among Postpartum Mothers Attending at Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Rupandehi, Nepal.

Background: Postpartum depression is a serious mental health issue linked to maternal morbidity and negative effects for infant's normal growth, development, and well-being. This study is aimed at assessing the prevalence and factors associated with postpartum depression among mothers attending a tertiary hospital in Nepal.

Methods: A hospital-based cross-sectional study was conducted among 173 postpartum mothers (<6 weeks postdelivery) who were receiving care either at the postnatal ward or immunization clinic of Universal College of Medical Sciences and Teaching Hospital in Bhairahawa, Rupandehi district, Nepal. The study was carried out from October 2020 to February 2021 by using purposive sampling technique for selecting respondents. The variables that showed significant association with the dependent variable having p value < 0.05 in bivariate analysis were entered into multivariate logistic regression model to find the final associated factors.

Results: The prevalence of postpartum depression was 20.2% among mothers attending a tertiary hospital in Nepal. The mean age of the respondents was 24.77 ± 3.47. Factors such as mothers having female child (AOR = 6.39, CI = 1.54 - 26.46), unplanned pregnancy (AOR = 10.08, CI = 2.91 - 34.94), pregnancy-induced health problems (AOR = 9.68, CI: 3.51-26.64) were associated with an increased risk of postpartum depression. Similarly, mothers having formal education (AOR = 0.28, CI: 0.08-0.91), whose spouses have secondary and above education (AOR = 0.16, CI: 0.03-0.85), and who have ≥4 ANC visits (AOR = 0.15, CI = 0.05 - 0.40) were significantly associated but have a protective effect with postpartum depression.

Conclusions: Sex of newborn, mother's and spouse's education, intention of pregnancy, ANC visits, and pregnancy-induced health problems were found to be significantly associated with postpartum depression. Hence, specific health education program regarding maternal and child health integrating mental health should be provided to pregnant women, mothers, and their husbands, focusing on gender discrimination. Similarly specific orientation program should be provided to local health worker about the importance of planned pregnancy, in order to reduce pregnancy related health problems during ANC visits and to mothers after their delivery to reduce further chances of postpartum depression.

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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
0
审稿时长
4 weeks
期刊介绍: International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.
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