Prevalence and Associated Factors of Postpartum Depression Among Mothers Attending Public Health Centers Of Addis Ababa, Ethiopia, 2016
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Date
2016-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: Mental health problems in mothers can lead to increased maternal mortality and
morbidity. Postpartum depression (PPD) explains a various groups of depressive symptoms and
syndromes
that
take
place
during
the
first
year
following
birth.
Objective: To assess the prevalence and associated factors of postpartum depression among
mothers attending public health centers of Addis Ababa, Ethiopia, March 2016 –April 2016.
Methods: Facility based cross sectional study design was conducted among 633postpartum
women. Simple random sampling technique was used to select four sub cities from the 10 sub
cities of Addis Ababa. Secondly, 10 Health centers were selected by a lottery method. The
numbers of women included in the study were determined using proportion to size allocation
technique. Then the study participants from each health center were selected by simple random
sampling. The Edinburgh Postnatal Depression Scale (EPDS) was used at a cutoff point >13 to
detect
depression.
Descriptive
statistics
and
logistic
regression
were
used.
Result: 144(23.3%) of participants had postpartum depression .Those respondents who had
previous history of postpartum depression [AOR=4.41(95% C.I: 2.4-8.3)], domestic violence
[AOR=3.1 (95% C.I: 1.6-5.9)], and unplanned pregnancy [AOR=3.0 (95% C.I: 1.7-5.2)] had a
higher odds of postpartum depression compared to their counterparts. Unmarried [AOR=2.8(CI:
1.4-5.4)], who had problem in income, [AOR=2.3 (95% C.I: 1.3-4.0)], who had previous history
of child death [AOR=3.5(95% C.I: 1.4-8.8)] and who used substance during pregnancy
[AOR=4.9(95% C.I: 1.1-21.3)] were more likely to be depressed. Dissatisfaction in marriage
[AOR=2.9(95% C.I: 1.5-5.6)] and delivery without the presence of any relatives in the health
facility
[AOR=3.5(95%
C.I:
1.5-8.0)]
had
association
with
postpartum
depression.
Conclusion and Recommendations: Postpartum depression is a common mental health problem
at the postpartum period. By revealing the prevalence and factors that determine postpartum
depression this study recommended interventions like Integration of mental health service with
existing maternal health care and Inter sector collaboration between women’s affair and health
institutions to prevent Postpartum depression in Addis Ababa Public Health Centers.
Key words: - Depression, Maternal mental health and Postpartum Depression
Description
Keywords
Depression, Maternal mental health and Postpartum Depression