여성건강간호학회지 (Women's Health Nursing)

  • 제30권3호
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  • Pages.238-249
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  • 2024
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  • 3022-7666(pISSN)
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  • 3022-8247(eISSN)
한국여성건강간호학회 (Korean Society of Women Health Nursing)
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Prevalence and factors associated with postpartum depression among Bhutanese mothers: a cross-sectional study

  • 투고 : 2024.04.22
  • 심사 : 2024.09.02
  • 발행 : 2024.09.30
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초록

Purpose: This study investigated the prevalence of postpartum depression (PPD) and explored associated factors among mothers attending postnatal care in Bhutan. Methods: A cross-sectional study was conducted from August to November 2023 at a national referral hospital in Thimphu, the capital city of Bhutan. In total, 314 mothers were recruited. Sociodemographic, psychosocial, obstetric, and infant-related data were collected using questionnaires. The Edinburgh Postnatal Depression Scale, with a threshold of ≥11, was employed to screen for PPD, and logistic regression was used to test the potential factors. Results: The prevalence of PPD was 14.97%. Mothers with a perceived change in body image (adjusted odds ratio [AOR], 4.40; 95% confidence interval [CI], 1.91-10.17; p=.001), perceived heightened stress after delivery (AOR, 3.74; 95% CI, 1.45-9.67; p=.006), poor relationship with inlaws (AOR, 2.57; 95% CI, 1.24-5.30; p=. 011), and negative birth experience (AOR, 2.42; 95% CI, 1.17-5.00; p=.016) demonstrated significantly higher odds of developing PPD. However, mothers with a higher monthly family income (Bhutanese ngultrum [Nu.] 20,000 to <50,000; AOR, 0.35; 95% CI, 0.13-0.92; p=.033), ≥Nu. 50,000 (AOR, 0.37; 95% CI, 0.13-1.07, p=.067) compared to <Nu. 20,000, and advanced gestational age (37 to <41 weeks; AOR, 0.25; 95% CI, 0.09-0.71; p=.009) and ≥41 weeks (AOR, 0.08; 95% CI, 0.00-0.75; p=.028) compared to <37 weeks had significantly lower risks of PPD. Conclusion: To mitigate the prevalence and risk of PPD, prioritizing screening strategies and interventions may benefit mothers with perceived changes in body image and heightened perceived stress after delivery, poor relationships with in-laws, and those with negative birth experiences.

키워드

과제정보

Sherab Zangmo is a graduate student at Chiang Mai University (Faculty of Public Health) pursuing a master's degree program under a scholarship from the Thailand International Cooperation Agency (TICA). The authors express profound gratitude. We would like to acknowledge Dr. Thinley Yangzom, Head of the Department and the staff of at the Gyaltsuen Jetsun Pema Wangchuck Mother and Child Hospital (GJPWMCH) with a special mention to the postnatal care unit for their invaluable support during the data collection phase. We would also like to express our sincere appreciation to all the participants.

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