Abstract: Post-partum depression affects a considerable proportion of women in developing countries. It has immediate health effects on the woman`s self-confidence as a mother, as well as its impact on baby`s social, cognitive, emotional as well as physical development.
Objectives: To estimate prevalence and determine the socio-demographic and obstetric factors of depression amongst women attending primary health care centers in Taif within 2 months after delivery.
Subjects and Methods: The study was conducted in Taif governorate, in the western region of Saudi Arabia. It is a cross sectional study included a random sample of women in postpartum less than 1 year attending primary health care centers (PHCCs) in Taif governorate throughout the study period (January-February, 2018), for post-natal services or “well-baby” clinic services. A self-administered questionnaire was used for data collection. It consists of three main parts: socio-demographic characteristics, obstetric history and the Arabic version of the Patient Health Questionnaire (PHQ-9) to assess depression.
Results: Two hundred fifty women were included in the study. The age of more than half of them (54%) ranged between 26 and 35 years while 4% of them aged between 41 and 49 years. Depression was present among more than half (51.6%) of women; it was mild among 34.8%. However, moderate, moderately severe and severe depressions were observed among 10.8%, 14.5% and 0.4% of the women, respectively. Results of multivariate logistic regression analysis showed that women in the age group 36-40 years were more likely to develop PPD compared to those in the age group 18-25 years (Adjusted Odds ratio “aOR”2.20, 95% Confidence interval “CI” 1.01-5.17, p=0.049). Compared to those who had previous history of anti-depressants intake, women without such history were 92% at lower risk for having PPD (aOR 0.08, 95% CI 0.01-0.67, p=0.020). Women whose husbands helped them sometimes during pregnancy were at three folded risk to develop PPD compared to those whose husbands helped them continuously during pregnancy (aOR 3.53, 95% CI 1.88-6.60, p<0.001).
Conclusion: Postpartum depression is a problem affecting a considerable proportion of women attended primary health care centers in Taif within one year after delivery. Risk factors of PPD in the current study are comrable to others reported in studies carried out in various parts of the world.
Keywords: Postpartum Depression, primary health care centers, physical development.
Title: Prevalence of Postpartum Depression among Primary Health Care Centers Clients in Taif City, Kingdom of Saudi Arabia
Author: Dr. Abdulrahim Ali Alghamdi, Dr. Abdullah Ahmed Albarqi
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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