Prevalence of postpartum depression and associated factors among women in Mbarara and Rwampara districts of south-western Uganda
| Autor: | Godfrey Zari Rukundo, Laura Brennaman, Samuel Nambile Cumber, Joseph Ngonzi, Daniel Atwine, Grace Nambozi, Catherine Atuhaire |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Postpartum depression
Adult medicine.medical_specialty Reproductive medicine Mothers Logistic regression Depression Postpartum 03 medical and health sciences Social support Young Adult 0302 clinical medicine Risk Factors Environmental health medicine Chi-square test Prevalence Humans Uganda 030212 general & internal medicine 030219 obstetrics & reproductive medicine Crying business.industry Associated factors Postpartum Period Obstetrics and Gynecology Social Support Gynecology and obstetrics Middle Aged medicine.disease Cross-Sectional Studies Logistic Models RG1-991 Residence Female Postpartum psychosis medicine.symptom business Research Article |
| Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-12 (2021) |
| ISSN: | 1471-2393 |
| Popis: | Background Postpartum depression (PPD) is a significant cause of maternal morbidity and has severe consequences on the well-being of mothers, new-borns, families, and communities. PPD reduces the mother’s response to the child’s needs. In severe cases, mothers suffering from PPD are prone to postpartum psychosis, commit suicide and, in rare cases, infanticide. We aimed to determine the prevalence and understand the factors associated with PPD among mothers in southwestern Uganda. Methods This was a cross-sectional study between November 2019 and June 2020 among 292 mothers, 6 to 8 weeks’ postpartum. Mothers were selected from three health facilities in southwestern Uganda and enrolled using stratified consecutive sampling. Postpartum depression was clinically diagnosed using the Diagnostic and Statistical Manual of Mental Disorders V. The factors associated with PPD were assessed by using a structured interviewer administered questionnaire. The factors were analyzed using bivariate chi square analyses and multivariate logistic regression. Results Overall prevalence of PPD was 27.1% (95% CI: 22.2–32.5). This did not vary by the number of previous births or mode of birth. Five factors associated with PPD were low perceived social support, HIV positive status, rural residence, obstetrical complications and the baby crying excessively. Conclusion and recommendations Prevalence of PPD in Mbarara and Rwampara districts is higher than what has previously been reported in Uganda indicating an urgent need to identify pregnant women who are at increased risk of PPD to mitigate their risk or implement therapies to manage the condition. Midwives who attend to these mothers need to be empowered with available methods of mitigating prevalence and consequences of PPD. Women who are HIV positive, residing in rural settings, whose babies cry excessively, having low social support systems and who have birth complications may be a particularly important focus for Ugandan intervention strategies to prevent and reduce the prevalence of PPD. |
| Databáze: | OpenAIRE |
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