title: [Prevalence of Positive Screen for Postpartum Depression in a Tertiary Hospital and Associated Factors].
abstract: Postpartum depression (PPD) is a major health problem. With a three times higher prevalence in developing countries, it is of multiple origin and affects maternal well-being, such as health and behaviour, as well as the development of the child. The influence of biological, psychological, and social factors and their implications have been recognised in the origins of PPD, with different prevalence reported depending on the characteristics of the study population.
  
  
  OBJECTIVE
  To determine the prevalence of PPD in the University Hospital in San José de Popayan (HUSJ) and examine the factors associated with its development.
  
  
  METHODS
  A cross-sectional study was conducted in a level III hospital on a sample of 194 postpartum women during the period from January to June 2015. The Edinburgh Depression Scale was used, taking a cut-off of 10 or more as a positive screen. The socio-demographic characteristics were also collected and social support scale was applied. The prevalence of the PPD period was estimated, and the determination of the factors associated with PPD was conducted using bivariate analysis. Based on the bivariate analysis and using logistic regression, three different models (biological, psychological and social) were generated. Theoretical and statistical criteria were taken into account in the selection of the variables to include in each of these.
  
  
  RESULTS
  A prevalence of 40.20% (95% CI; 33%-47%) positives was found in the screening for PPD 95%. The possible factors associated with this are: obstetric pathology high risk, ORa=2.11; 95% CI; 1.11 to 4.01, hospitalised newborn, ORa=1.95; 95% CI; 1.01-3.76, poor social support, ORa 12.92, 95% CI; 3.61-46.17, not able to breastfeed, ORa= 2.85, 95% CI; 1.29-6.25, African/Indian race, ORa 3.13, 95% CI; 1.32-7.41, less than 5 years education, ORa 2.20; 95% CI; 1.03 - 4.68, and a subsidised healthcare scheme, Ora=2.61, 95% CI; 1.17-5.79.
  
  
  CONCLUSIONS
  The prevalence of PDP is higher than that found in developed countries, and is similar to that of Latin America, including Colombia. Poverty, ethnic minorities, poor social support, and maternal and neonatal adverse outcomes are the possible associated factors.
authors.affiliation: Especialista en Ginecología y Obstetricia, Universidad del Cauca, Magister en Epidemiologia, Universidad del Valle, Docente Universidad del Cauca. Electronic address: roberthni@yahoo.com.
authors.forename: Roberth Alirio
authors.initials: RA
authors.lastname: Ortiz Martinez
authors.affiliation: Médico Residente de Ginecología y Obstetricia, Universidad del Cauca.
authors.forename: Cristal Ximena
authors.initials: CX
authors.lastname: Gallego Betancourt
authors.affiliation: Médico interno, Universidad del Cauca.
authors.forename: Ednna Lizeth
authors.initials: EL
authors.lastname: Buitron Zuñiga
authors.affiliation: Médico interno, Universidad del Cauca.
authors.forename: Yohana Daisury
authors.initials: YD
authors.lastname: Meneses Valdés
authors.affiliation: Médico interno, Universidad del Cauca.
authors.forename: Nestor Felipe
authors.initials: NF
authors.lastname: Muñoz Fernandez
authors.affiliation: Médico interno, Universidad del Cauca.
authors.forename: Maria Alejandra
authors.initials: MA
authors.lastname: Gonzales Barrera
mesh_terms: D000293:Adolescent; D000328:Adult; D003105:Colombia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D019052:Depression, Postpartum / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006801:Humans; D008403:Mass Screening; D015995:Prevalence; D012307:Risk Factors; D062606:Tertiary Care Centers; D055815:Young Adult
keywords: Apoyo social; Depresión postparto; Postpartum depression; Prevalence; Prevalencia; Social support