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Prevalence of postpartum depression after normal vaginal delivery and related variables
Gül Çavuşoğlu Çolak1, Kevser Arkan2, Ali Deniz Erkmen2, Esra Akdeniz1, Sultan Seren Karakuş3, Zehra Begüm Sucu1, Sedat Akgöl21Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital, Diyarbakir, Turkey2Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital, Diyarbakir, Turkey
3Department of Obstetrics and Gynecology, Private Clinic, Istanbul, Turkey
INTRODUCTION: This study aimed to determine the prevalence of postpartum depression (PPD) in mothers after normal vaginal delivery (NVD) and to identify associated risk factors.
METHODS: Two hundred post-NVD mothers participated in this cross-sectional study. The Edinburgh Postnatal Depression Scale (EPDS; cutoff ≥13) and sociodemographic information were used. The chi-square test or Fisher’s exact test was applied to assess categorical variables, while the Mann–Whitney U test and independent samples t-test were used to compare continuous variables. Logistic regression was performed to identify predictors of postpartum depression; p<0.05 was considered statistically significant.
RESULTS: The prevalence of PPD was 15% (n=30). Logistic regression revealed a significantly higher risk of PPD among mothers with comorbidities (OR=21.0), unplanned pregnancies (OR=83.5), smoking (OR=27.6), lack of a companion (OR=35.8), obstetric complications (OR=31.7), and formula use (OR=17.8) (all p<0.001).
DISCUSSION AND CONCLUSION: PPD is a significant public health concern among mothers after NVD and is strongly associated with specific risk factors. Routine PPD screening and targeted support are crucial for mothers with these risk factors.
Keywords: Edinburgh postpartum depression scale, normal vaginal delivery, postpartum depression, risk factors.
Manuscript Language: English
