title: Risk factors of postpartum depression in rural areas of Isfahan Province, Iran.
abstract: BACKGROUND
  Postpartum depression is defined as a major depressive episode that occurs within four weeks after delivery. However, investigators describe a dramatic increase in the incidence of mood disorders after childbirth with the largest risk during 90 days after delivery. We aimed to study the risk factors of postpartum depression in women living in rural areas of Isfahan Province in Iran.
  
  
  METHODS
  We assessed 6627 women, two to 12 months after delivery, for depression and putative risk factors.
  
  
  RESULTS
  Unemployment, low education, mothers' young age, undesired gender of the child, unplanned pregnancy, and history of depression were the main risk factors of postpartum depression. History of depression, low education, primiparity, unplanned pregnancy, and undesired gender of the child had the highest risk score for postpartum depression in this group of Iranian women.
  
  
  CONCLUSIONS
  Risk factors of postpartum depression in Isfahan Province were very similar to other studies, but the negative impact of low level of education, unplanned pregnancy, and undesired gender of the child on postnatal depression seems to be characteristic of this population.
authors.affiliation: Department of Psychiatry, Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. kheirabadi@bsrc.mui.ac.ir
authors.forename: Gholam-Reza
authors.initials: GR
authors.lastname: Kheirabadi
authors.forename: Mohamad-Reza
authors.initials: MR
authors.lastname: Maracy
authors.forename: Majid
authors.initials: M
authors.lastname: Barekatain
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Salehi
authors.forename: Gholam-Hossein
authors.initials: GH
authors.lastname: Sadri
authors.forename: Mahnaz
authors.initials: M
authors.lastname: Kelishadi
authors.forename: Patricia
authors.initials: P
authors.lastname: Cassy
mesh_terms: D000328:Adult; D019052:Depression, Postpartum / Q000209:etiology*; D004522:Educational Status; D004651:Employment; D005260:Female; D006801:Humans; D007492:Iran; D016017:Odds Ratio; D011247:Pregnancy; D012307:Risk Factors; D012423:Rural Health