[Postpartum depression in the health area of Toledo].
OBJECTIVE
To find how common post-natal depression is in our area and its relationship with social and demographic variables, vital events and morbidity.


METHODS
Descriptive crossover study based on initial interview face-to-face, and follow-up telephone interview.


METHODS
Community framework; our area's health districts.


METHODS
190 women who attended our reference hospital to give birth between February and April 1998.


RESULTS
Through face-to-face interview at the hospital, social and demographic variables, morbidity, intercurrent vital events and family support were collected for 190 women. Six to eight weeks after the birth, these women were phoned and the Edinburgh Depression Scale (EPDS) was conducted. According to the EPDS, the frequency of depression was 13.16% (95% CI, 8.86-19). Characteristics of the sample were: mean age 30.13 (SD 4.63), rural setting. 56% had basic schooling. 32% had psychiatric history, and 44% had family history of depression. 80% thought they were going to be supported after the birth: after seven weeks this figure was 75%. In comparison between women with and without post-natal depression, we found statistically significant differences on relating it to psychiatric history of the woman (p < 0.05) and of the women's family (p < 0.01). For mother's educational level, we found a nearly significant association (p < 0.1). No significant differences were found with the other variables studied.


CONCLUSIONS
The frequency of post-natal depression found was similar to in the literature. Our profile of women with post-natal depression was: medium-low educational level, personal and family history of depression. Unlike other studies, we found no relationship between post-natal depression and family support during the puerperium.
Sebastián Romero
E
E
Unidad Docente de Medicina Familiar y Comunitaria de Toledo.
Mas Lodo
N
N
Martín Blázquez
M
M
Raja Casillas
M I
MI
Izquierdo Zamarriego
M J
MJ
Valles Fernández
N
N
Metola Gómez
M
M
D000328:Adult; D003430:Cross-Sectional Studies; D019052:Depression, Postpartum / Q000453:epidemiology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology; D015995:Prevalence; D012424:Rural Population / Q000706:statistics & numerical data; D013030:Spain / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data