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Abstract：
Background Postpartum depression (PPD) is a complex mix of physical, emotional, and behavioral changes that happen in some women after giving birth. Objectives The aim of the study is to determine the prevalence of PPD using the Edinburgh Postnatal Depression Scale (EPDS) and evaluate the predisposing factors for PPD. Methodology The present observational study was conducted in the Department of Community Medicine, Maharaja Krushna Chandra Gajapati (MKCG) Medical College and Hospital, Brahmapur, Odisha, India from May 2022 to November 2022. Using the EPDS, participants were assessed for postnatal depression. Every subject additionally filled out a risk factor questionnaire covering important sociodemographic and obstetric parameters. The prevalence of an EPDS score of 12 or above is the primary outcome measure. Results The study encompassed 121 mothers, with 8.26% scoring above the depression cutoff of 12 and 6.61% falling within the borderline range. Notably, all mothers surpassing the cutoff were from joint families, contrasting with those from nuclear families. A predominant portion of the depressive group was in their 20s, while the borderline group primarily consisted of mothers in their 30s. Urban residency and government hospital care were universal among the samples. Mode of delivery showed significance, with a higher prevalence of PPD observed among those who underwent a lower segment cesarean section. Additionally, maternal age, anemia, mode of delivery, educational status, adverse life events, and lack of partner support significantly correlated with depression scores. Notably, maternal age emerged as the most influential factor, followed by anemia and mode of delivery. Spearman correlation analysis revealed moderate negative associations between various aspects of maternal depression and the ages of their babies, indicating that younger infants were associated with greater maternal distress. However, the correlation between feeling sad or miserable and the baby\'s age was negligible. These findings emphasize the multifaceted nature of PPD, highlighting the interplay between sociodemographic factors, maternal well-being, and infant age.
摘要：
背景产后抑郁症（PPD）是一种复杂的身体组合，情感,以及一些女性分娩后发生的行为变化。目的本研究的目的是使用爱丁堡产后抑郁量表（EPDS）确定PPD的患病率，并评估PPD的诱发因素。方法本观察性研究是在社区医学系进行的，MaharajaKrushnaChandraGajapati（MKCG）医学院和医院，Brahmapur,奥里萨邦,印度从2022年5月到2022年11月。使用EPDS，评估参与者的产后抑郁症.每个受试者还填写了一份风险因素问卷，涵盖重要的社会人口统计学和产科参数。EPDS评分为12分或以上的患病率是主要结果指标。结果这项研究涵盖了121名母亲，8.26%的得分高于12的抑郁截止值，6.61%的得分在临界范围内。值得注意的是,所有超过门槛的母亲都来自联合家庭，与来自核心家庭的人形成鲜明对比。抑郁症组的主要部分是20多岁，而临界组主要由30多岁的母亲组成。在样本中，城市居民和政府医院护理是普遍的。交付方式显示出重要意义，在接受下段剖宫产的患者中，PPD的患病率较高。此外,产妇年龄,贫血,交货方式,教育状况,不良生活事件，缺乏伴侣支持与抑郁评分显著相关。值得注意的是,产妇年龄成为影响最大的因素,其次是贫血和分娩方式。Spearman相关分析显示，母亲抑郁的各个方面与婴儿年龄之间存在中度负相关，这表明年龄较小的婴儿与更大的产妇痛苦相关。然而,感到悲伤或痛苦与婴儿年龄之间的相关性可以忽略不计。这些发现强调了PPD的多面性，强调社会人口因素之间的相互作用，母亲的幸福,和婴儿年龄。
