Prevalence and Associated Factors of Postpartum Depression among Mothers Attending Public Health Centers of Addis Ababa, Ethiopia, 2016

Fantahun, Addishiwet (2016) Prevalence and Associated Factors of Postpartum Depression among Mothers Attending Public Health Centers of Addis Ababa, Ethiopia, 2016. Masters thesis, Addis Ababa University.

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Abstract

Background: Mental health problems in mothers can lead to increased maternal mortality and morbidity. Postpartum depression (PPD) explains a various groups of depressive symptoms and syndromes that take place during the first year following birth. Objective: To assess the prevalence and associated factors of postpartum depression among mothers attending public health centers of Addis Ababa, Ethiopia, March 2016 –April 2016. Methods: Facility based cross sectional study design was conducted among 633postpartum women. Simple random sampling technique was used to select four sub cities from the 10 sub cities of Addis Ababa. Secondly, 10 Health centers were selected by a lottery method. The numbers of women included in the study were determined using proportion to size allocation technique. Then the study participants from each health center were selected by simple random sampling. The Edinburgh Postnatal Depression Scale (EPDS) was used at a cutoff point >13 to detect depression. Descriptive statistics and logistic regression were used. Result: 144(23.3%) of participants had postpartum depression .Those respondents who had previous history of postpartum depression [AOR=4.41(95% C.I: 2.4-8.3)], domestic violence [AOR=3.1 (95% C.I: 1.6-5.9)], and unplanned pregnancy [AOR=3.0 (95% C.I: 1.7-5.2)] had a higher odds of postpartum depression compared to their counterparts. Unmarried [AOR=2.8(CI: 1.4-5.4)], who had problem in income, [AOR=2.3 (95% C.I: 1.3-4.0)], who had previous history of child death [AOR=3.5(95% C.I: 1.4-8.8)] and who used substance during pregnancy [AOR=4.9(95% C.I: 1.1-21.3)] were more likely to be depressed. Dissatisfaction in marriage [AOR=2.9(95% C.I: 1.5-5.6)] and delivery without the presence of any relatives in the health facility [AOR=3.5(95% C.I: 1.5-8.0)] had association with postpartum depression. Conclusion and Recommendations: Postpartum depression is a common mental health problem at the postpartum period. By revealing the prevalence and factors that determine postpartum depression this study recommended interventions like Integration of mental health service with existing maternal health care and Inter sector collaboration between women’s affair and health institutions to prevent Postpartum depression in Addis Ababa Public Health Centers.

Item Type:	Thesis (Masters)
Uncontrolled Keywords:	Depression, Maternal mental health and Postpartum Depression
Subjects:	Q Science > Q Science (General) R Medicine > RT Nursing
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	27 Jun 2018 07:01
Last Modified:	27 Jun 2018 07:01
URI:	http://thesisbank.jhia.ac.ke/id/eprint/5968

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