Document Details
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Document Type |
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Thesis |
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Document Title |
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POSTPARTUM DEPRESSION AMONG SAUDI WOMEN VISITING WELL BABY CLINIC AT PRIMARY HEALTH CARE CENTERS IN JEDDAH: A CROSS-SECTIONAL STUDY اكتئاب الولادة بين السعوديات الزائرات لعيادات الطفل السليم بمراكز الرعاية الصحية الاولية بجدة / دراسة مقطعية |
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Subject |
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Faculty of medicine |
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Document Language |
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Arabic |
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Abstract |
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Postpartum depression (PPD) is a moderate to severe psychological disorder that affects mothers after childbirth. It is one of the commonest psychiatric disorders that influence the mother and her relationship with her child. Nevertheless, the prevalence and factors associated with PPD in the well-baby clinics of primary health care centers (PHCCs) in Saudi Arabia aren’t well studied. Objectives: This study aimed to assess the prevalence of postpartum depression among Saudi women, to identify factors associated with PPD, and to determine its association with breastfeeding. Design: PHCC-based cross-sectional study. Setting: Well-baby clinics at PHCCs in Jeddah between October 2016 and January 2017. Measurements: A total of 265 eligible Saudi women, 18+ years of age, participated in the study. The assessment tools consisted of a self-administered questionnaire on socio-demographic characteristics, social, medical history, obstetric history, breastfeeding and an Arabic version of Edinburgh postnatal depression scale for the assessment of PPD. Results: Among 265 women visiting well-baby clinics at PHCCs in Jeddah from 0-6 months postnatally, the prevalence of PPD was 45.66% (n=121). Using multivariate logistic regression, we found significant association between PPD and antenatal depression (adjusted odds ratio (OR). 5.7; 95%-confidence interval (CI)= 1.47-22.42), depression before pregnancy (adjusted OR= 3.84; 95%-CI= 1.04-14.18), anxiety before pregnancy (adjusted OR= 3.46; 95%-CI= 1.35-9.78), husband's support (adjusted OR= 0.3; 95%-CI= 0.17-0.66), problems with husband (adjusted OR= 4.74; 95%-CI= 1.85-12.15), bleeding during or after delivery (adjusted OR= 3.7; 95%-CI= 1.05-12.87) and bottle feeding (adjusted OR= 2.11; 95%-CI= 1.02-4.40). Strengths and Limitations: The main strengths of our study were its conduct in a representative sample of well-baby clinics using a validated questionnaire to screen for PPD. However, our study had several limitations; we were unable to draw a random sample due to the lack of a sampling frame and the sample size might have limited the statistical power to identify further factors associated with PPD. Conclusions: In comparison to the prevalence in other Saudi cities, the prevalence of PPD was higher among Saudi women in Jeddah. Depressive symptoms were associated with antenatal depression, depression before pregnancy, husband's support, problems with husband, and bottle feeding. Obstetricians, family physicians, and prenatal nurses should assess PPD at the routine prenatal and postnatal visits. Husbands should be educated to support their wives during and after pregnancy. |
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Supervisor |
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Dr. Abdel Moneim Mokhtar |
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Thesis Type |
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Master Thesis |
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Publishing Year |
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1439 AH
2018 AD |
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Added Date |
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Tuesday, July 10, 2018 |
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Researchers
| سعيد هريس الزهراني | al-Zahrani, Said Hris | Researcher | Master | |
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