Volume 23, Issue 2 (March-April 2024)
Payesh 2024, 23(2): 199-208 |
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Ethics code: IR.TBZMED.REC.1401.1041
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Ghanbari-Homaie S, Naseri E, Mirghafourvand M, Vahidi F. Prevalence of postpartum depression and its relationship with birth experience among adolescent mothers: a cross-sectional study. Payesh 2024; 23 (2) :199-208
URL: http://payeshjournal.ir/article-1-2243-en.html
URL: http://payeshjournal.ir/article-1-2243-en.html
1- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2- Department of Psychology, Faculty of Educational Sciences and Psychology, Tabriz University, Tabriz, Iran
3- Social determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4- Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
2- Department of Psychology, Faculty of Educational Sciences and Psychology, Tabriz University, Tabriz, Iran
3- Social determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4- Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract: (459 Views)
Objective(s): Adolescent pregnancy is one of the important challenges of reproductive health. Factors such as family conflict, poor social support, and low self-esteem among adolescent mothers can expose them to postpartum depression. Therefore, the present study was performed to determine the prevalence of postpartum depression and its relationship with birth experience among adolescent mothers.
Methods: The present study was a cross-sectional study that was conducted on 202 adolescent mothers referred to urban and suburban health centers in Tabriz, Iran. Sampling method was census and done in the period of 1 to 3 months after birth in 2022. After checking the eligibility criteria, childbirth experience questionnaire version 2.0 (CEQ 2.0) and Edinburgh Postnatal Depression Scale (EPDS) were completed through interview. Data analysis was done using SPSS software and logistic regression test.
Results: The mean (SD) of postpartum depression score was 7.5 (5.6) ranging from 0 to 30. The prevalence of postpartum depression and negative birth experience were approximately 23.8% and 11.4%, respectively. After adjusting the effect of possible confounding variables, there was no statistically significant relationship between the negative experience of birth and postpartum depression (p= 0.310). In mothers with unwanted pregnancy compared to mothers with wanted pregnancy, the probability of postpartum depression was 2.22 times higher [Odds Ratio (95% Confidence Interval) = 2.22 (4.71 to 1.05); p= 0.037].
Conclusion: Although in this study, approximately one-fifth of adolescent mothers were exposed to postpartum depression; there was no significant relationship between the negative birth experience and postpartum depression. The results of this study can be used to identify high-risk mothers, especially mothers with unwanted pregnancies, referring them for counseling, and prevent postpartum depression.
Methods: The present study was a cross-sectional study that was conducted on 202 adolescent mothers referred to urban and suburban health centers in Tabriz, Iran. Sampling method was census and done in the period of 1 to 3 months after birth in 2022. After checking the eligibility criteria, childbirth experience questionnaire version 2.0 (CEQ 2.0) and Edinburgh Postnatal Depression Scale (EPDS) were completed through interview. Data analysis was done using SPSS software and logistic regression test.
Results: The mean (SD) of postpartum depression score was 7.5 (5.6) ranging from 0 to 30. The prevalence of postpartum depression and negative birth experience were approximately 23.8% and 11.4%, respectively. After adjusting the effect of possible confounding variables, there was no statistically significant relationship between the negative experience of birth and postpartum depression (p= 0.310). In mothers with unwanted pregnancy compared to mothers with wanted pregnancy, the probability of postpartum depression was 2.22 times higher [Odds Ratio (95% Confidence Interval) = 2.22 (4.71 to 1.05); p= 0.037].
Conclusion: Although in this study, approximately one-fifth of adolescent mothers were exposed to postpartum depression; there was no significant relationship between the negative birth experience and postpartum depression. The results of this study can be used to identify high-risk mothers, especially mothers with unwanted pregnancies, referring them for counseling, and prevent postpartum depression.
type of study: Descriptive |
Subject:
Health Psychologhy
Received: 2023/08/2 | Accepted: 2023/12/4 | ePublished ahead of print: 2024/02/6 | Published: 2024/03/10
Received: 2023/08/2 | Accepted: 2023/12/4 | ePublished ahead of print: 2024/02/6 | Published: 2024/03/10
References
1. Vieira Martins M, Karara N, Dembiński L, Jacot-Guillarmod M, Mazur A, Hadjipanayis A, et al. Adolescent pregnancy: An important issue for paediatricians and primary care providers. A position paper from the European academy of paediatrics. Frontiers in Pediatrics 2023;11:1119500 [DOI:10.3389/fped.2023.1119500]
2. Oner S, Yapici G, Kurt AO, Sasmaz T, Bugdayci R. The sociodemographic factors related with the adolescent pregnancy. Asian Pacific Journal of Reproduction 2012;1:135-41 [DOI:10.1016/S2305-0500(13)60064-0]
3. Maheshwari MV, Khalid N, Patel PD, Alghareeb R, Hussain A. Maternal and neonatal outcomes of adolescent pregnancy: a narrative review. Cureus 2022;14:25921 [DOI:10.7759/cureus.25921]
4. United Nations Department of Economic and Social Affairs. World Population Prospects, 2019 Revision: Age-specific fertility rates by region, subregion and country, 1950-2100 (births per 1,000 women)Estimates. Online Edition [cited 2021 Dec 10]. Available at : https://population.un.org/wpp/Download/Standard/Fertility/
5. United Nations Population Fund UNP. UNFPA annual report 2007. Available at: http://wwwunfpa.org/poblications/unfpa-annual-report.2007. Accessed on May 30 2017
6. World Health Organization. Adolescent birth rate. Available at: https://apps.who.int/gho/data/view.main.1630AG. Accessed on May 8, 2023
7. Jaffee S, CA, Moffitt TE, Belsky JA, Silva P. Why are children born to teen mothers at risk for adverse outcomes in young adulthood? Results from a 20-year longitudinal study. Development and Psychopathology 2001;13:377-97 [DOI:10.1017/S0954579401002103]
8. American Psychiatric Association DS, American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5st Edition, American Psychiatric Association: Washington, DC, 2013 [DOI:10.1176/appi.books.9780890425596]
9. Rahmadhani W, Kusumastuti K, Chamroen P. Prevalence and Determinants of Postpartum Depression Among Adolescent Mothers: A Cross-sectional Study. International Journal of Health Sciences 2022;6:533-44 [DOI:10.53730/ijhs.v6n2.6422]
10. Troutman BR, Cutrona CE. Nonpsychotic postpartum depression among adolescent mothers. Journal of Abnormal Psychology 1990;99:69 [DOI:10.1037/0021-843X.99.1.69]
11. Veisani Y, Sayehmiri K. Prevalence of postpartum depression in Iran: A systematic review and meta-analysis. The Iranian Journal of Obstetrics, Gynecology and Infertility 2012;15:21-29 [Persian]
12. Black MM, Baqui AH, Zaman K, McNary SW, Le K, Arifeen SE, et al. Depressive symptoms among rural Bangladeshi mothers: implications for infant development. Journal of Child Psychology and Psychiatry 2007;48:764-72 [DOI:10.1111/j.1469-7610.2007.01752.x]
13. Kingston D, Tough S, Whitfield H. Prenatal and postpartum maternal psychological distress and infant development: a systematic review. Child Psychiatry & Human Development 2012;43:683-714 [DOI:10.1007/s10578-012-0291-4]
14. Lefkovics E, Baji I, Rigó J. Impact of maternal depression on pregnancies and on early attachment. Infant Mental Health Journal 2014;35:354-365 [DOI:10.1002/imhj.21450]
15. Leinonen JA, Solantaus TS, Punamäki RL. Parental mental health and children's adjustment: The quality of marital interaction and parenting as mediating factors. Journal of Child Psychology and Psychiatry, and Allied Disciplines 2003;44:227-241 [DOI:10.1111/1469-7610.t01-1-00116]
16. Darcy JM, Grzywacz JG, Stephens RL, Leng I, Clinch CR, Arcury TA. Maternal depressive symptomatology: 16-month follow-up of infant and maternal health-related quality of life. The Journal of the American Board of Family Medicine 2011;24:249-57 [DOI:10.3122/jabfm.2011.03.100201]
17. Green K, Broome H, Mirabella J. Postnatal depression among mothers in the United Arab Emirates: socio-cultural and physical factors. Psychology, Health & Medicine 2006;11:425-431 [DOI:10.1080/13548500600678164]
18. Kheyrabadi GR, Maraci M, Barekateyn M, Salehi M, Sadri GH, Kelishadi M, et al. Risk factors of postpartum depression in rural areas of Isfahan Province, Iran. Archives of Iranian Medicine 2009;12:461-467 [Persian]
19. Hymas R, Girard LC. Predicting postpartum depression among adolescent mothers: A systematic review of risk. Journal of Affective Disorders 2019;246:873-885 [DOI:10.1016/j.jad.2018.12.041]
20. Bell AF, Andersson E. The birth experience and women's postnatal depression: a systematic review. Midwifery 2016;39:112-123 [DOI:10.1016/j.midw.2016.04.014]
21. Anderson CA. The trauma of birth. Health Care for Women International 2017;38:999-1010 [DOI:10.1080/07399332.2017.1363208]
22. MacKinnon AL, Yang L, Feeley N, Gold I, Hayton B, Zelkowitz P. Birth setting, labour experience, and postpartum psychological distress. Midwifery 2017;50:110-6 [DOI:10.1016/j.midw.2017.03.023]
23. Choi KW, Sikkema KJ, Vythilingum B, Geerts L, Faure SC, Watt MH, et al. Maternal childhood trauma, postpartum depression, and infant outcomes: Avoidant affective processing as a potential mechanism. Journal of Affective Disorders 2017;211:107-15 [DOI:10.1016/j.jad.2017.01.004]
24. Decastro F, Hinojosa-Ayala N, Hernandez-Prado B. Risk and protective factors associated with postnatal depression in Mexican adolescents. Journal of Psychosomatic Obstetrics & Gynecology 2011;32:210-7 [DOI:10.3109/0167482X.2011.626543]
25. Barekatain M, Tavakkoli M, Kheirabadi G, Maracy MR. The relationship between life-time prevalence of bipolar spectrum disorders and incidence of postnatal depression. Iranian Journal of Psychiatry and Clinical Psychology 2009;15:183-92 [Persian]
26. Ahmadi kani Golzar A, GoliZadeh Z. Validation of Edinburgh Postpartum Depression Scale (EPDS) for screening postpartum depression in Iran. Iranian Journal of Psychiatric Nursing 2015;3:1-10 [Persian]
27. Dencker A,Taft C, Bergqvist L, Lilja H, Berg M. Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument. BMC Pregnancy and Childbirth 2010;10:1-8 [DOI:10.1186/1471-2393-10-81]
28. Ghanbari-Homayi S, Dencker A, Fardiazar Z, Jafarabadi MA, Mohammad-Alizadeh-Charandabi S, Meedya S, et al. Validation of the Iranian version of the childbirth experience questionnaire 2.0. BMC Pregnancy and Childbirth 2019;19:1-0 [Persian] [DOI:10.1186/s12884-019-2606-y]
29. Veisani Y, Delpisheh A, Sayehmiri K, Rezaeian S. Trends of postpartum depression in Iran: a systematic review and meta-analysis. Depression Research and Treatment 2013;2013 [Persian] [DOI:10.1155/2013/291029]
30. Shorey S, Chee CY, Ng ED, Chan YH, San Tam WW, Chong YS. Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research 2018;104:235-48 [DOI:10.1016/j.jpsychires.2018.08.001]
31. Liu X, Wang S, Wang G. Prevalence and risk factors of postpartum depression in women: a systematic review and meta‐analysis. Journal of Clinical Nursing 2022;31:2665-77 [DOI:10.1111/jocn.16121]
32. Swift ER, Pierce M, Hope H, Osam CS, Abel KM. Young women are the most vulnerable to postpartum mental illness: A retrospective cohort study in UK primary care. Journal of Affective Disorders 2020;277:218-24 [DOI:10.1016/j.jad.2020.08.016]
33. Atan ŞU, Ozturk R, Satir DG, Çalim SI, Weller BK, Amanak K, et al. Relation between mothers' types of labor, birth interventions, birth experiences and postpartum depression: A multicentre follow-up study. Sexual & Reproductive Healthcare 2018;18:13-8 [DOI:10.1016/j.srhc.2018.08.001]
34. Muslu A, Kilci Erciyas Ş, Cindaş P, Ünsal Atan Ş. The relationship between women's childbirth experiences and their maternal attachment and the risk of postpartum depression. European Journal of Clinical and Experimental Medicine 2022;20:435-42 [DOI:10.15584/ejcem.2022.4.9]
35. Grekin R, O'Hara MW. Prevalence and risk factors of postpartum posttraumatic stress disorder: a meta-analysis. Clinical Psychology Review 2014;34:389-401 [DOI:10.1016/j.cpr.2014.05.003]
36. Ahmadpour P, Faroughi F, Mirghafourvand M. The relationship of childbirth experience with postpartum depression and anxiety: a cross-sectional study. BMC Psychology 2023;11:1-9 [Persian] [DOI:10.1186/s40359-023-01105-6]
37. Faisal-Cury A, Menezes PR, Quayle J, Matijasevich A. Unplanned pregnancy and risk of maternal depression: secondary data analysis from a prospective pregnancy cohort. Psychology, Health & Medicine 2017;22:65-74 [DOI:10.1080/13548506.2016.1153678]
38. Nelson JA, O'Brien M. Does an unplanned pregnancy have long-term implications for mother-child relationships? Journal of Family Issues 2012;33:506-526 [DOI:10.1177/0192513X11420820]
39. Salsabilla DA, Prasetya H, Murti B. The effect of unplanned pregnancy on postpartum depression: Ameta-analysis. Journal of Maternal and Child Health 2020;5:500-513 [DOI:10.26911/thejmch.2020.05.05.05]
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