Postpartum depression in the Occupied Palestinian Territory: a longitudinal study in Bethlehem
Autor: | Stefan Wagler, Samah Jabr, Simon M Collin, Sara Qandil |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
Postpartum depression
Adult Longitudinal study medicine.medical_specialty Palestine Time Factors postnatal depression Population Mothers Logistic regression Depression Postpartum 03 medical and health sciences Middle East 0302 clinical medicine Pregnancy Risk Factors Obstetrics and Gynaecology medicine Odds Ratio Prevalence Humans 030212 general & internal medicine Longitudinal Studies Psychiatry education education.field_of_study Arabic business.industry Postpartum Period Obstetrics and Gynecology Pregnancy Unplanned Odds ratio medicine.disease 030227 psychiatry Postnatal depression Parity Logistic Models Telephone interview postpartum depression Family planning Edinburgh Postnatal Depression Scale Female business Demography Research Article Follow-Up Studies |
Zdroj: | BMC Pregnancy and Childbirth Qandil, S, Jabr, S, Wagler, S & Collin, S 2016, ' Postpartum depression in the Occupied Palestinian Territory : a longitudinal study in Bethlehem ', BMC Pregnancy and Childbirth, vol. 16, 375 . https://doi.org/10.1186/s12884-016-1155-x |
ISSN: | 1471-2393 |
Popis: | Background: Postpartum depression (PPD) affects women from different cultures around the world. No previous studies have investigated PPD among women in Palestine. Fertility rates in Palestine are among the highest in the world, hence even low rates of PPD could have considerable national impact. The aim of this study was to determine the prevalence of, and risk factors for, PPD among Palestinian mothers. Methods: 101 mothers were recruited during the registration of their child’s birth (within 1 week) at the Bethlehem branch of the Ministry of Interior. Participants were assessed via a face to face interview, and were followed up 1 week, 2 weeks, 6 weeks, 3 months, and 6 months later by telephone interview. Interviews included the Arabic Edinburgh Postnatal Depression Scale (EPDS), with PPD indicated by depressive symptoms (EPDS score ≥11) at ≥2 follow-up time points. Pearson’s correlation was calculated between repeated EPDS scores, and multivariable logistic regression was used to investigate risk factors for PPD.Results: The prevalence of depressive symptoms was fairly constant (14-19%) over the follow-up period. Most depressive symptoms developed within one month of delivery; mothers with depressive symptoms at 3 months postpartum were highly likely to still have symptoms at 6 months. 27.7% (28/101) of women met our criteria for PPD. High parity (odds ratio (OR) 4.52 (95% CI 0.90, 22.8) parity 3+ versus primiparous), unplanned pregnancy (OR 2.44 (0.99, 6.01)) and sex of child not being the one desired (OR 5.07 (1.12, 22.9)) were associated with PPD, but these associations were attenuated in multivariable analysis.Conclusions: The prevalence of PPD in Palestine appears to be higher than in high income countries, but similar to the prevalence in other Middle Eastern countries. High parity and unplanned pregnancy were identified as risk factors for PPD, suggesting that fully meeting the need for family planning could reduce the incidence of PPD in the Palestinian population. |
Databáze: | OpenAIRE |
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