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Prevalence and factors associated with postpartum depression in women from single‐child families
Author(s) -
Xiong Ribo,
Deng Aiwen,
Wan Bo,
Liu Yan
Publication year - 2018
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12461
Subject(s) - medicine , childbirth , odds ratio , postpartum depression , psychoeducation , pregnancy , edinburgh postnatal depression scale , postpartum period , public health , logistic regression , depression (economics) , confidence interval , demography , psychiatry , obstetrics , psychological intervention , anxiety , nursing , genetics , macroeconomics , pathology , sociology , economics , biology , depressive symptoms
Objective To investigate the prevalence of postpartum depression ( PPD ) and its associated factors among women without siblings from south China. Methods A cross‐sectional study was conducted involving 468 mothers from single‐child families who were assessed at 6 weeks after childbirth at a tertiary hospital in Guangzhou, China, from June 2015 to July 2016. The Chinese version of the Edinburgh Postnatal Depression Scale and a self‐designed questionnaire regarding risk factors were administered to all participants. Results The prevalence of PPD in women from single‐child families was 56.2%. A multivariate logistic regression model identified the following pregnancy‐related and psychological risk factors: unplanned pregnancy (odds ratio [OR] 2.35, 95% confidence interval [CI] 1.73–3.32), being a first‐time mother ( OR 3.00, 95% CI 1.73–4.93), poor mother‐in‐law relationship ( OR 3.15, 95% CI 2.93–3.36), and poor family support ( OR 2.13, 95% CI 1.84–2.45). Sociodemographic characteristics were not associated with the development of PPD . Conclusion The development of PPD in women from single‐child families is an important public health concern. Health practitioners should offer psychoeducation and culturally sensitive counseling during the postpartum period, and the screening of mood disorders from the prenatal to the postpartum period should be covered by maternity insurance.