背景:产后抑郁症对产妇心理健康和儿童发育产生负面影响。在低收入和中低收入国家,产后抑郁症(PPD)的高患病率引起了人们对其预测因素的质疑。这项研究检查了PPD与母乳喂养体验之间的关联。儿童死亡,未解决的怀孕,强迫流离失所,COVID-19大流行封锁,婚姻,乌克兰妇女的财务状况。
方法:这项在线研究通过向其提供服务的非政府组织招募了1634名0-5岁儿童的乌克兰母亲。爱丁堡产后抑郁量表(EPDS),临界值≥13,用于评估产后抑郁症状.独立的t检验,卡方检验,单向方差分析,非参数相关性,并采用logistic回归检验对数据进行分析。
结果:抑郁症状的患病率为39.0%(n=1631)。EPDS评分与母乳喂养困难之间存在正相关,大流行封锁,和财政困难。我们没有发现PPD症状和未解决的妊娠之间的关联,一个孩子的死亡,受到COVID-19和被迫流离失所的影响。我们发现,与流离失所的母亲(n=74)相比,未经历强迫流离失所的妇女(n=1528)的EPDS得分明显更高。
结论:目前对乌克兰妇女的研究表明,妇女经历了受各种因素影响的抑郁症状,包括母乳喂养困难,大流行封锁,和财政困难。有必要对未解决的怀孕等因素进行更多的研究,一个孩子的死亡,受到COVID-19和被迫流离失所的影响。
BACKGROUND: Postpartum depression negatively impacts maternal mental health and child development. The high prevalence of postpartum depression (PPD) in low and lower middle-income countries raises questions about its predictors. This study examines the association between PPD and breastfeeding experience, child death, unresolved pregnancy, forced displacement, COVID-19 pandemic lockdown, marital, and financial status among Ukrainian women.
METHODS: This online study recruited 1634 Ukrainian mothers of children aged 0-5 years through non-governmental organizations providing services to them. The Edinburgh Postnatal Depression Scale (EPDS), with a cut-off of ≥13, was used to assess depressive symptoms in the postpartum period. Independent t-tests, chi-squared tests, one-way ANOVA, non-parametric correlations, and logistic regression tests were used to analyze the data.
RESULTS: The prevalence of depressive symptoms was 39.0% (n=1631). There was a positive association between EPDS scores and breastfeeding difficulties, pandemic lockdown, and financial difficulties. We did not find an association between PPD symptoms and unresolved pregnancy, death of a child, being affected by COVID-19, and forced displacement. We found that EPDS scores for women who did not experience forced displacement (n=1528) were significantly higher compared to displaced mothers (n=74).
CONCLUSIONS: The present study of Ukrainian women shows that women experienced depressive symptoms influenced by various factors including breastfeeding difficulties, pandemic lockdown, and financial difficulties. There is a need for additional research into such factors as unresolved pregnancy, the death of a child, being affected by COVID-19, and forced displacement.