Magnitude and associated factors of postpartum depression among mothers attending public health centers of Yeka sub-city, Addis Ababa, Ethiopia

Abstract

Background: Postnatal depression is a depressive illness which affects between10 to 15 in every 100 women having a baby. Maternal depression (antepartum or postpartum) has been linked to negative health-related behaviors and adverse outcomes, including psychological and developmental disturbances in infants, children, and adolescents. However, in developing countries including Ethiopia, postnatal care is mainly concerned with obstetric problems and the baby’s health, while the psychological well-being of the mother is given little attention Objective: To assess the magnitude and associated factors of postpartum depression among mothers attending public health centers of Yeka-Sub city, Addis Ababa, Ethiopia Methods: Facility based cross sectional study design was conducted among 450 postpartum women. Simple random sampling was used to select five health centers among fifteen governmental health centers. The numbers of women included in the study was determined using proportion to size allocation technique hen the study participants from each health centers were selected using systematic random sampling. The Edinburgh Postnatal Depression Scale (EPDS) was used at a cutoff point 13 to detect depression. Bivariate regression was used to see crude association between independent and dependent variable. Multivariate regression analysis were used to identify predictors of postpartum depression Results: The magnitude of postpartum depression was (16.6%, 95%CI; 13.8-20.9) Postpartum depression is higher among mothers not attended formal school (AOR:3.12,CI:1.15-8.54),difficulty with income(AOR:2.89:CI:1.57-5.31),unplanned pregnancy(AOR:2.09,CI:1.09-4.00),unsupported by father(AOR:3.49,CI:1.42-8.61)and previous history of depression (AOR:2.34,CI:1.31-4.16) Conclusion and Recommendations: the Magnitude of postpartum depression symptoms was 16.6%which is relatively moderate compared to other studies done in Ethiopia so sub city health office should promote planned pregnancy, encourage and support women’s education and together with other stakeholder create income generation activities by prioritizing women. .......................................... Thesis available at ACIPH Library