Prevalence and Factors Associated with High Postpartum Depression Score Using Thai Edinburgh Postnatal Depression Scale in Charoenkrung Pracharak Hospital
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Abstract
Objectives: This study aimed to estimate the prevalence of high postpartum depression score at 6-week postpartum using Thai Edinburgh postnatal depression scale (EPDS).
Materials and Methods: This cross-sectional study was conducted in December 2022 - May 2023. Two hundred and ninety-four participants were included. Personal data and obstetrics outcome of participants were collected on the 2nd day and 6-week of the postpartum period. Thai version of EPDS was recorded at 6 weeks postpartum. EPDS score at least 11 were considered as high postpartum depression score. Personal data and obstetrics outcome were analyzed by using t-test and regression analysis to identify associating factors.
Results: Of all 264 participants who were followed-up at 6-week postpartum period, it was found that 46 participants had high postpartum depression scores with the prevalence of 17.42%. After multivariate analysis, unintended pregnancy adjusted odds ratio (aOR 2.27, 95% confidence interval (CI) 1.06-4.76), maternity leave (aOR 0.47, 95%CI 0.23-0.99), postpartum stressful event (aOR 4.55, 95%CI 2.13-9.74) and inadequate social support (aOR 5.26, 95%CI 2.33-12.5, p <0.001) were statistically significantly associated with high postpartum depression scores.
Conclusion: The prevalence of high postpartum depression scores at 6 weeks was 17.42%. Healthcare professionals should be aware of postpartum depression and pay extra attention to patients with unintended pregnancy, postpartum stressful event, and inadequate social support. Taking maternity leave may be advocated.
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