%0 Journal Article
%T Socioeconomic, Psychiatric and Materiality Determinants and Risk of Postpartum Depression in Border City of Ilam, Western Iran
%A Pegah Taherifard
%A Ali Delpisheh
%A Ramin Shirali
%A Abdorrahim Afkhamzadeh
%A Yousef Veisani
%J Depression Research and Treatment
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/653471
%X Background. Postpartum depression (PPD) is considered as one of the mood disturbances occurring during 2-3 months after delivery. The present study aimed to determine the prevalence of PPD and its associated risk factors in border city of Ilam, western Iran. Methods. Through a descriptive cross-sectional study in 2011, overall, 197 women who attended Obstetrics & Gynecology clinics postpartumly in the border city of Ilam, western Iran, were randomly recruited. A standard questionnaire that was completed by a trained midwife through face to face interviews was used for data gathering. Results. Mean age ㊣ standard deviations was 27.9 ㊣ 5.2 years. Prevalence of PPD was estimated to be 34.8% (95% CI: 27.7每41.7). A significant difference was observed among depression scores before and after delivery ( ). Type of delivery ( ), low socioeconomic status ( ), and women having low educational level ( ) were the most important significant risk factors associated with PPD. The regression analysis showed that employed mothers compared to housekeepers were more at risk for PPD (adjusted OR = 2.01, 95% CI: 1.22每2.28, ). Conclusions. Prevalence of PPD in western Iran was slightly higher than the corresponding rate from either national or international reports. 1. Introduction Pregnancy, delivery, and adaptability with newborn babies are the most sensitive phases in women＊s life [1]. In this period of time, women usually suffer from physiological, spiritual, and psychological crises leading to change of their positions. The first six weeks after delivery is a vulnerable period for postpartum depression (PPD) [2]; of 4 million births that occur in the world annually, approximately 40 percent of new mothers are affected with different types of postpartum mood disorders including depression symptoms before and during pregnancy [3]. Prevalence of PPD is closely linked with socioeconomic and cultural factors and it varies among different countries, ethnicities, and races [4]. The global prevalence of PPD has been estimated to be between 10每25 percent [5每7] and between 27每39 percent in Iran [8, 9]. Various putative psychosocial and obstetric factors have been studied and suggested as risk factors for the development of PPD; if these results are inconsistent and do not effectively help predict women at risk, knowledge of these factors may help identify those who are at higher risk and can benefit from early professional help [10]. Personal history of depression (prior to pregnancy or postpartum) is the major risk factor for PPD [11每14]. Family psychiatric history [15], lack of
%U http://www.hindawi.com/journals/drt/2013/653471/