학술논문

Prevalence and key predictors of perinatal depression among postpartum women in Ghana.
Document Type
Journal Article
Source
International Journal of Gynecology & Obstetrics. May2020, Vol. 149 Issue 2, p203-210. 8p.
Subject
*EDINBURGH Postnatal Depression Scale
*POSTPARTUM depression
*BLOOD transfusion
*PRENATAL depression
*POSTPARTUM depression diagnosis
*DIAGNOSIS of mental depression
*CROSS-sectional method
*CASE-control method
*PSYCHOLOGICAL tests
*MENTAL depression
*DISEASE prevalence
*QUESTIONNAIRES
*DELIVERY (Obstetrics)
*LOGISTIC regression analysis
Language
ISSN
0020-7292
Abstract
Objective: To determine the prevalence and key predictors of perinatal depression among women in Accra.Method: A two-step hospital-based cross-sectional study from May to July 2016. Patient Health Questionnaire version 9 was administered to postpartum mothers, and those aged 18 years or older with scores above 5 who delivered at LEKMA, Ridge, and Korle Bu Hospitals were recruited. A modified Edinburgh Postnatal Depression Scale was used to assess depression at 2 weeks postpartum. Associations between perinatal depression and sociodemographic/obstetric variables were assessed by χ2 and multivariate logistic regression.Results: Among 1456 women screened, the prevalence of mental health disorders was 27.5% (400/1456). Of 350 women recruited, perinatal depression at 2 weeks postpartum was 8.6%, 31.6%, and 41.1% at LEKMA, Ridge, and Korle Bu, respectively. Mothers younger than 20 years and older than 35 years at Korle Bu had depression. Vaginal delivery increased the odds of perinatal depression at Ridge and Korle Bu. Blood transfusion was associated with depression at all three hospitals.Conclusion: Blood transfusion, but not other variables, was associated with perinatal depression at 2 weeks postpartum in Accra. Understanding the prevalence of perinatal depression and its associated risk factors in Ghana will aid policy decisions, planning, and clinical management. [ABSTRACT FROM AUTHOR]