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Magnitude of postpartum depression and associated factors among women in Mizan Aman town, Bench Maji zone, Southwest Ethiopia

BACKGROUND: The first 12 months after childbirth may represent a high-risk time for depression. In Ethiopia there is a paucity of evidence about its magnitude and associated factors during that period. So, the aim of this study was to assess the magnitude of depression and associated factors among p...

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Autores principales: Toru, Tigistu, Chemir, Fantaye, Anand, Susan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237000/
https://www.ncbi.nlm.nih.gov/pubmed/30428843
http://dx.doi.org/10.1186/s12884-018-2072-y
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author Toru, Tigistu
Chemir, Fantaye
Anand, Susan
author_facet Toru, Tigistu
Chemir, Fantaye
Anand, Susan
author_sort Toru, Tigistu
collection PubMed
description BACKGROUND: The first 12 months after childbirth may represent a high-risk time for depression. In Ethiopia there is a paucity of evidence about its magnitude and associated factors during that period. So, the aim of this study was to assess the magnitude of depression and associated factors among postpartum women in Mizan Aman town, Bench Maji Zone, Southwest Ethiopia 2017. METHODS: A community based cross- sectional study design was employed from March 15 to April 15, 2017. Four hundred sixty women were selected using multistage random sampling technique. Face to face interview were conducted using structured questionnaires and standardized scales. Bivariate logistic regression analysis was done to see crude association between each independent variable and outcome variable. Variables with p value < 0.25 in bivariate analysis were entered to multivariable logistic regression analysis to control for confounding. Adjusted odd ratios with 95%CI were calculated to identify independent predictors of postpartum depression. RESULT: Four hundred fifty-six postpartum women participated in the study giving a response rate of 99%. The magnitude of postpartum depression among the study population was 102 (22.4%, 95% CI: 19.84–24.96). Postpartum depression is relatively higher in the first 6 weeks after birth. Postpartum depression is higher among mothers with age range between 18 and 23 years (aOR 3.89 95%CI: 1.53–9.90), unplanned pregnancy (aOR 3.35 95% CI: 1.701–6.58), child having sleeping problems (aOR 3.72 95%CI: 1.79–7.72), domestic violence (aOR 2.86 95%CI 1.72–8.79), unsatisfied marital relation (aOR 2.72 95% CI 1.32–5.62), poor social support (aOR 4.30 95% CI 1.79–10.30), history of previous depression (aOR 7.38 95% CI 3.12–17.35) and substance use (aOR 5.16 95% CI 2.52–10.60). CONCLUSION: The magnitude of postpartum depression was high. This underlines health care planners’ needs to incorporate screening strategies for depression following childbirth. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12884-018-2072-y) contains supplementary material, which is available to authorized users.
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spelling pubmed-62370002018-11-23 Magnitude of postpartum depression and associated factors among women in Mizan Aman town, Bench Maji zone, Southwest Ethiopia Toru, Tigistu Chemir, Fantaye Anand, Susan BMC Pregnancy Childbirth Research Article BACKGROUND: The first 12 months after childbirth may represent a high-risk time for depression. In Ethiopia there is a paucity of evidence about its magnitude and associated factors during that period. So, the aim of this study was to assess the magnitude of depression and associated factors among postpartum women in Mizan Aman town, Bench Maji Zone, Southwest Ethiopia 2017. METHODS: A community based cross- sectional study design was employed from March 15 to April 15, 2017. Four hundred sixty women were selected using multistage random sampling technique. Face to face interview were conducted using structured questionnaires and standardized scales. Bivariate logistic regression analysis was done to see crude association between each independent variable and outcome variable. Variables with p value < 0.25 in bivariate analysis were entered to multivariable logistic regression analysis to control for confounding. Adjusted odd ratios with 95%CI were calculated to identify independent predictors of postpartum depression. RESULT: Four hundred fifty-six postpartum women participated in the study giving a response rate of 99%. The magnitude of postpartum depression among the study population was 102 (22.4%, 95% CI: 19.84–24.96). Postpartum depression is relatively higher in the first 6 weeks after birth. Postpartum depression is higher among mothers with age range between 18 and 23 years (aOR 3.89 95%CI: 1.53–9.90), unplanned pregnancy (aOR 3.35 95% CI: 1.701–6.58), child having sleeping problems (aOR 3.72 95%CI: 1.79–7.72), domestic violence (aOR 2.86 95%CI 1.72–8.79), unsatisfied marital relation (aOR 2.72 95% CI 1.32–5.62), poor social support (aOR 4.30 95% CI 1.79–10.30), history of previous depression (aOR 7.38 95% CI 3.12–17.35) and substance use (aOR 5.16 95% CI 2.52–10.60). CONCLUSION: The magnitude of postpartum depression was high. This underlines health care planners’ needs to incorporate screening strategies for depression following childbirth. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12884-018-2072-y) contains supplementary material, which is available to authorized users. BioMed Central 2018-11-14 /pmc/articles/PMC6237000/ /pubmed/30428843 http://dx.doi.org/10.1186/s12884-018-2072-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Toru, Tigistu
Chemir, Fantaye
Anand, Susan
Magnitude of postpartum depression and associated factors among women in Mizan Aman town, Bench Maji zone, Southwest Ethiopia
title Magnitude of postpartum depression and associated factors among women in Mizan Aman town, Bench Maji zone, Southwest Ethiopia
title_full Magnitude of postpartum depression and associated factors among women in Mizan Aman town, Bench Maji zone, Southwest Ethiopia
title_fullStr Magnitude of postpartum depression and associated factors among women in Mizan Aman town, Bench Maji zone, Southwest Ethiopia
title_full_unstemmed Magnitude of postpartum depression and associated factors among women in Mizan Aman town, Bench Maji zone, Southwest Ethiopia
title_short Magnitude of postpartum depression and associated factors among women in Mizan Aman town, Bench Maji zone, Southwest Ethiopia
title_sort magnitude of postpartum depression and associated factors among women in mizan aman town, bench maji zone, southwest ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237000/
https://www.ncbi.nlm.nih.gov/pubmed/30428843
http://dx.doi.org/10.1186/s12884-018-2072-y
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