Burden and Risk Factors of Postpartum Depression in Southwest Saudi Arabia

Objectives: The burden of postpartum depression (PPD) is significant because it remains unrecognized, and it not only affects the mother adversely but also has a negative consequence on the family life and the development of the infant. The aim of the study was to measure the prevalence of PPD and i...

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Main Authors: Safar Abadi Saeed Al-Saleem Alshahrani, Norah Fayz Al-Saleh, Aesha Farheen Siddiqui, Shamsun Nahar Khalil, Mohammed Abadi Alsaleem, Hayfa A. AlHefdhi, Sahar Awad Al-Qadi, Abdullah Ahmad Asiri
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/10/3444
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author Safar Abadi Saeed Al-Saleem Alshahrani
Norah Fayz Al-Saleh
Aesha Farheen Siddiqui
Shamsun Nahar Khalil
Mohammed Abadi Alsaleem
Hayfa A. AlHefdhi
Sahar Awad Al-Qadi
Abdullah Ahmad Asiri
author_facet Safar Abadi Saeed Al-Saleem Alshahrani
Norah Fayz Al-Saleh
Aesha Farheen Siddiqui
Shamsun Nahar Khalil
Mohammed Abadi Alsaleem
Hayfa A. AlHefdhi
Sahar Awad Al-Qadi
Abdullah Ahmad Asiri
author_sort Safar Abadi Saeed Al-Saleem Alshahrani
collection DOAJ
description Objectives: The burden of postpartum depression (PPD) is significant because it remains unrecognized, and it not only affects the mother adversely but also has a negative consequence on the family life and the development of the infant. The aim of the study was to measure the prevalence of PPD and identify the risk factors of PPD among mothers attending the well-baby clinic of six Primary Health Care centers in Abha city, Southwest Saudi Arabia. Materials and Methods: A total of 228 Saudi women having a child aged between two weeks to one year were recruited in the study by using a consecutive sampling technique. The Arabic version of the Edinburgh Postnatal Depression Scale (EPDS) was used as a screening tool to measure the prevalence of PPD. The mothers were also inquired about their socio-demographic characteristics and risk factors. Results: The prevalence rate of postpartum depression was 43.4%. Family conflict, and lack of support by spouse and family during pregnancy were found to be the strongest predictors of developing PPD. Women who had reported family conflict were at six times higher risk for developing PPD compared to those who did not have a family conflict (aOR = 6.5, 95% CI = 2.3–18.4). Women who reported a lack of spousal support during pregnancy encountered 2.3 fold increased risk for PPD (aOR = 2.3, 95% CI = 1.0–4.8) and women who had not received family support during pregnancy period were more than three times (aOR = 3.5, 95 % CI 1.6–7.7) likely to experience PPD. Conclusion: The risk of PPD among Saudi postnatal women was high. PPD screening should be an integral part of postnatal care. Awareness of women, spouses and families about potential risk factors can be a preventive strategy. The early identification of high-risk women during the antenatal and post-natal period could help to prevent this condition.
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spelling doaj.art-f89c979fe40d48708aec17660622c2ad2023-11-18T01:53:09ZengMDPI AGJournal of Clinical Medicine2077-03832023-05-011210344410.3390/jcm12103444Burden and Risk Factors of Postpartum Depression in Southwest Saudi ArabiaSafar Abadi Saeed Al-Saleem Alshahrani0Norah Fayz Al-Saleh1Aesha Farheen Siddiqui2Shamsun Nahar Khalil3Mohammed Abadi Alsaleem4Hayfa A. AlHefdhi5Sahar Awad Al-Qadi6Abdullah Ahmad Asiri7Family and Community Medicine Department, College of Medicine, King Khalid University, Abha 62529, Saudi ArabiaMinistry of Health, Abha 61521, Saudi ArabiaFamily and Community Medicine Department, College of Medicine, King Khalid University, Abha 62529, Saudi ArabiaFamily and Community Medicine Department, College of Medicine, King Khalid University, Abha 62529, Saudi ArabiaFamily and Community Medicine Department, College of Medicine, King Khalid University, Abha 62529, Saudi ArabiaFamily and Community Medicine Department, College of Medicine, King Khalid University, Abha 62529, Saudi ArabiaMinistry of Health, Abha 61521, Saudi ArabiaMinistry of Health, Abha 61521, Saudi ArabiaObjectives: The burden of postpartum depression (PPD) is significant because it remains unrecognized, and it not only affects the mother adversely but also has a negative consequence on the family life and the development of the infant. The aim of the study was to measure the prevalence of PPD and identify the risk factors of PPD among mothers attending the well-baby clinic of six Primary Health Care centers in Abha city, Southwest Saudi Arabia. Materials and Methods: A total of 228 Saudi women having a child aged between two weeks to one year were recruited in the study by using a consecutive sampling technique. The Arabic version of the Edinburgh Postnatal Depression Scale (EPDS) was used as a screening tool to measure the prevalence of PPD. The mothers were also inquired about their socio-demographic characteristics and risk factors. Results: The prevalence rate of postpartum depression was 43.4%. Family conflict, and lack of support by spouse and family during pregnancy were found to be the strongest predictors of developing PPD. Women who had reported family conflict were at six times higher risk for developing PPD compared to those who did not have a family conflict (aOR = 6.5, 95% CI = 2.3–18.4). Women who reported a lack of spousal support during pregnancy encountered 2.3 fold increased risk for PPD (aOR = 2.3, 95% CI = 1.0–4.8) and women who had not received family support during pregnancy period were more than three times (aOR = 3.5, 95 % CI 1.6–7.7) likely to experience PPD. Conclusion: The risk of PPD among Saudi postnatal women was high. PPD screening should be an integral part of postnatal care. Awareness of women, spouses and families about potential risk factors can be a preventive strategy. The early identification of high-risk women during the antenatal and post-natal period could help to prevent this condition.https://www.mdpi.com/2077-0383/12/10/3444post-partumdepressionpost-natalEdinburgh postnatal depression scaleSaudi Arabia
spellingShingle Safar Abadi Saeed Al-Saleem Alshahrani
Norah Fayz Al-Saleh
Aesha Farheen Siddiqui
Shamsun Nahar Khalil
Mohammed Abadi Alsaleem
Hayfa A. AlHefdhi
Sahar Awad Al-Qadi
Abdullah Ahmad Asiri
Burden and Risk Factors of Postpartum Depression in Southwest Saudi Arabia
Journal of Clinical Medicine
post-partum
depression
post-natal
Edinburgh postnatal depression scale
Saudi Arabia
title Burden and Risk Factors of Postpartum Depression in Southwest Saudi Arabia
title_full Burden and Risk Factors of Postpartum Depression in Southwest Saudi Arabia
title_fullStr Burden and Risk Factors of Postpartum Depression in Southwest Saudi Arabia
title_full_unstemmed Burden and Risk Factors of Postpartum Depression in Southwest Saudi Arabia
title_short Burden and Risk Factors of Postpartum Depression in Southwest Saudi Arabia
title_sort burden and risk factors of postpartum depression in southwest saudi arabia
topic post-partum
depression
post-natal
Edinburgh postnatal depression scale
Saudi Arabia
url https://www.mdpi.com/2077-0383/12/10/3444
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