Screening of Turkish women for postpartum depression within the first postpartum year: the risk profile of a community sample.
OBJECTIVE
To explore the prevalence of postpartum depression (PPD) and potential risk factors giving rise to PPD among Turkish women.


METHODS
A descriptive design and random survey method were used.


METHODS
Collected from 9 public health centers, the sample consisted of 679 mothers within their first year after delivery.


METHODS
The Edinburgh Postpartum Depression Scale (EPDS) and a risk factor questionnaire were used during home visits.


RESULTS
The EPDS results revealed a 25.6% prevalence of higher-level depression (12 or above) and a 16.7% prevalence of lower-level depression. Maximum prevalence occurred at 2, 8, 10, and 12 months postpartum. Seventeen independent variables were found to be associated with the elevated scores on EPDS. Strong predictors of depression were as follows: previous psychiatric illness (odds ratio [OR] 15.95); smoking (OR 4.17); lower economic status (OR 4.10); relationship problems with husband (OR 3.49) or mother-in-law (OR 2.53); dissatisfaction in social relations (OR 1.53); previous loss of a baby (OR 7.49); and giving birth to a baby girl (OR 2.54).


CONCLUSIONS
PPD is common among Turkish women. There is an increased need to educate public and health care practitioners about PPD. Public health nursing interventions, in particular, need to be developed to provide support to postpartum women.
Dindar
Ilknur
I
Department of Public Health Nursing, Trakya University School of Nursing, Trakya Universitesi Edirne Saglik Yuksekokulu, Edirne, Turkey.
Erdogan
Semra
S
D000293:Adolescent; D000328:Adult; D003151:Community Health Centers; D019052:Depression, Postpartum / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D015995:Prevalence; D012307:Risk Factors; D012959:Socioeconomic Factors; D014421:Turkey / Q000453:epidemiology