Identifying the factors associated with depressive symptoms among postpartum mothers in Kathmandu, Nepal

作     者：Babu Ram Bhusal Nisha Bhandari Babu Ram Bhusal;Nisha Bhandari

作者机构：Senior Public Health Officer at Ministry of Health and PopulationGovernment of NepalNepal Faculty of Maharajgunj Nursing CampusInstitute of MedicineTribhuvan UniversityKathmanduNepal 

出 版 物：《International Journal of Nursing Sciences》 (国际护理科学（英文）)

年 卷 期：2018年第5卷第3期

页      面：268-274页

学科分类：1011[医学-护理学（可授医学、理学学位）] 0905[农学-畜牧学] 09[农学] 

主　　题：Edinburgh postnatal depression scale(EPDS) Nepal Postpartum depressive symptoms 

摘      要：Purpose:This study aimed to identify the factors associated with depressive symptoms among postpartum mothers in Kathmandu,***:A hospital-based cross-sectional study that included 346 postpartum mothers at 4-14 weeks after delivery was carried *** Nepalese version of Edinburgh Postnatal Depression Scale with cut-off value of≥12 was used to screen depressive symptoms and structured questionnaires were used to identify the associated *** factors associated with depressive symptoms were identified by logistic regression ***:The mean age of the mothers was 22.75(SD=4.51).The prevalence of depressive symptoms among postpartum mothers was 17.1%(95%CI=15.07-19.12).No significant association existed between postpartum depressive symptoms and socio demographic and economic *** multivariate analysis,risk factors for postpartum depressive symptoms were identified as follows:women without adequate rest during pregnancy(aOR=4.023,95%CI=1.294-12.501),abortion history(aOR=3.25,95%CI=1.208-9.065),poor relationship with husband(aOR=1.67,95%CI=1.073-8.384),marital dissatisfaction(aOR=4.053,95%CI=2.281-12.819)and stressful life events(aOR=3.89,95%CI=1.504-9.810).Conclusions:This study aids to draw attention on the incorporation of routine screening for basic support and intervention for identified risk factors in postpartum *** can be formulated to encourage postpartum women to obtain adequate rest during pregnancy,support women with poor partner relationship,reduce marital dissatisfaction,help women adjust with stressful life events,and prevent and manage abortion *** policies may reduce harmful consequences of postpartum depressive symptoms for women,newborn and their family.