Background
Specific objectives
-
To determine the prevalence of postpartum depression in postnatal care attendees
-
To identify factors associated with postpartum depression in postnatal care attendees.
Methods
The study area, design and period
Population
Eligibility
Inclusion Criteria
Exclusion Criteria
Sample size calculation and sampling technique
Study variables
Dependent variable
Independent variables
Operational definitions
Poor social support
Moderate social support
Strong social support
Data collection tools and procedures
Data quality control and analysis
Results
Socio-demographic characteristics of postpartum mothers
Variables | Category | Frequency | Percentage |
---|---|---|---|
Age in years | 19–24 | 43 | 14.0 |
25–45 | 265 | 86.0 | |
Marital status | Single | 28 | 9.1 |
Widowed/widower | 19 | 6.2 | |
Married | 261 | 84.7 | |
Address | Urban | 215 | 69.8 |
Rural | 93 | 30.2 | |
Religion | Orthodox | 191 | 62.0 |
Catholic | 15 | 4.9 | |
Muslim | 47 | 15.3 | |
Protestant | 55 | 17.9 | |
Ethnicity | Amhara | 234 | 76.0 |
Oromo | 62 | 20.1 | |
Tigray | 12 | 3.9 | |
Attended modern education | Yes | 206 | 66.9 |
No | 102 | 33.1 | |
Occupational status of mother | Government employed | 84 | 27.2 |
House wife | 146 | 47.4 | |
private employed | 58 | 18.8 | |
Farmer | 8 | 2.6 | |
Unemployed | 12 | 3.9 | |
Monthly income | ≤ 1200 | 5 | 1.6 |
1201–2500 | 35 | 11.4 | |
≥2501 | 268 | 87.0 |
Obstetric and clinical characteristic of postpartum mothers
Variable | Category | Frequency | Percent % |
---|---|---|---|
Number of pregnancy | 1 | 54 | 17.5 |
≥ 2 | 254 | 82.5 | |
Living child | 1 | 64 | 20.8 |
≥ 2 | 244 | 79.2 | |
Sex of last baby | Male | 189 | 61.4 |
Female | 119 | 38.6 | |
Desired sex of the baby | Desired | 271 | 71.3 |
Undesired | 109 | 28.7 | |
Abortion | Yes | 25 | 6.6 |
No | 355 | 93.4 | |
Pattern of pregnancy termination | Spontaneous | 47 | 15.3 |
Induced | 6 | 1.9 | |
Number of termination of pregnancy | 1 | 49 | 15.9 |
≥ 2 | 4 | 1.3 | |
Baby death | Yes | 38 | 10.0 |
No | 342 | 90.0 | |
Had a current hospitalized baby | Yes | 95 | 30.8 |
No | 213 | 69.2 | |
Mode of delivery | Vaginal | 190 | 61.7 |
Cesarean section | 87 | 28.2 | |
Vacuum/forceps | 31 | 10.1 | |
Planed pregnancy | Yes | 260 | 84.4 |
No | 48 | 15.6 | |
Illness/complication in last pregnancy | Yes | 47 | 12.4 |
No | 333 | 87.6 |
Psychosocial factors (in last 6 months) of postpartum mothers
Variable | Category | Frequency | Percent (%) |
---|---|---|---|
Serious illness injury or assault during pregnancy | Yes | 42 | 13.6 |
No | 266 | 86.4 | |
Close relative serious illness, injury or assault | Yes | 60 | 19.5 |
No | 248 | 80.5 | |
Died spouse, parent or child | Yes | 59 | 19.2 |
No | 249 | 80.8 | |
Died Family or close relative | Yes | 62 | 20.1 |
No | 246 | 79.9 | |
Major financial crisis | Yes | 37 | 12.0 |
No | 271 | 88.0 | |
Sacked from job | Yes | 12 | 3.9 |
No | 296 | 96.1 | |
Unemployed/not able to work | Yes | 41 | 13.3 |
No | 267 | 86.7 | |
Separation due to marital difficulty | Yes | 42 | 13.6 |
No | 266 | 86.4 | |
Broken off a steady relationship | Yes | 33 | 10.7 |
No | 275 | 89.3 | |
Serious problem with close friend, neighbor /relative | Yes | 37 | 12 |
No | 271 | 88 | |
Lost / stolen property which mattered a lot | Yes | 30 | 9.7 |
No | 278 | 90.3 | |
Any problems with police/court | Yes | 18 | 5.8 |
No | 290 | 94.2 | |
Emotional violence | Yes | 26 | 8.4 |
No | 282 | 91.6 | |
Physical violence | Yes | 40 | 13 |
No | 268 | 87 | |
Who physically violate you | Boy friend | 21 | 52.5 |
Family member | 8 | 20 | |
Stranger | 11 | 27.5 | |
Forced sexual activity | Yes | 35 | 11.4 |
No | 273 | 88.6 | |
Who forced you for sexual activity | Boy friend | 15 | 37.5 |
Family member | 2 | 5 | |
Stranger | 18 | 45 |
Substance use among postpartum mothers
History of known illness among postpartum mothers
Social support among postpartum mothers
Prevalence of postpartum depression and its associated factors
Variables | Postpartum Depression | COR (95%CI) | AOR(95%CI) | ||
---|---|---|---|---|---|
Yes | No | ||||
Marital status | Single | 10 | 18 | 4.28 (1.81,10.13) | 2.70 (0.72,10.21) |
Widowed/widower | 8 | 11 | 5.60 (2.09,15.03) | 4.17 (1.14,15.20)* | |
Married | 30 | 231 | 1.00 | 1.00 | |
Attend modern school | Yes | 24 | 182 | 1.00 | 1.00 |
No | 24 | 78 | 2.33 (1.25,4.36) | 0.76 (0.34,1.71 | |
Social support | Poor | 34 | 80 | 11.69 (2.70,50.67) | 5.11 (1.00,26.18)* |
Moderate | 12 | 125 | 2.64 (0.57,12.19) | 1.93 (0.36,10.36) | |
Strong | 2 | 55 | 1.00 | 1.00 | |
Husband support | Poor | 8 | 14 | 4.43 (1.65,11.8) | 0.70 (0.14,3.57) |
Moderate | 20 | 91 | 1.70 (0.870,3.33) | 1.02 (0.42,2.47 | |
Strong | 20 | 155 | 1.00 | 1.00 | |
Serious illness, injury or assault to a close relative | Yes | 17 | 43 | 2.77 (1.41,5.44) | 0.28 (0.08,10.96) |
No | 31 | 217 | 1.00 | 1.00 | |
Died spouse, parent or child | Yes | 20 | 39 | 4.05 (2.08,7.89 | 0.56 (0.17,1.85 |
No | 28 | 221 | 1.00 | 1.00 | |
Died close family or relative | Yes | 21 | 41 | 4.15 (2.15,8.04) | 2.92 (1.01,8.50)* |
No | 27 | 219 | 1.00 | 1.00 | |
Has major financial crisis | Yes | 14 | 23 | 4.24 (1.99,9.03) | 1.74 (0.55,5.49 |
No | 34 | 237 | 1.00 | 1.00 | |
Sacked from job | Yes | 5 | 7 | 4.20 (1.28,13.85 | 0.67 (0.21,2.11) |
No | 43 | 253 | 1.00 | 1.00 | |
Unemployed/not able to work | Yes | 15 | 26 | 4.09 (1.97,8.51) | 3.21 (0.68,15.12) |
No | 33 | 234 | 1.00 | 1.00 | |
Separation due to marital difficulty | Yes | 13 | 29 | 2.96 (1.40,6.23) | 0.72 (0.22,2.40) |
No | 35 | 231 | 1.00 | 1.00 | |
Broken off steady friendship/relationship | Yes | 14 | 19 | 5.22 (2.40,11.37) | 0.75 (0.22,2.50) |
No | 34 | 241 | 1.00 | 1.00 | |
Serious problem with close friend, neighbor /relative | Yes | 13 | 24 | 3.65 (1.70,7.83) | 1.86 (0.51,6.81) |
No | 35 | 236 | 1.00 | 1.00 | |
Any problems with police/court | Yes | 6 | 12 | 2.95 (1.05,8.30) | 0.62 (0.19,2.05) |
No | 42 | 248 | 1.00 | 1.00 | |
Emotional/physical abused by parents | Yes | 9 | 17 | 3.30 (1.37,7.92) | 1.51 (0.47,4.90) |
No | 39 | 243 | 1.00 | 1.00 | |
Had a current hospitalized baby | Yes | 27 | 68 | 3.63 (1.926,6.84) | 3.32 (1.39,7.93)* |
No | 21 | 192 | 1.00 | 1.00 | |
Pregnancy intention | Planned | 35 | 225 | 1.00 | 1.00 |
Unplanned | 13 | 35 | 2.39 (1.15,4.95) | 0.75 (0.25,2.21) | |
Forced sexual activity | Suffered | 13 | 22 | 4.02 (1.86,8.69) | 2.00 (0.68,5.93) |
Not suffered | 35 | 238 | 1.00 | 1.00 | |
Diagnosed mental illness in the family | Yes | 15 | 29 | 3.62 (1.76,7.46 | 2.04 (0.68,6.14) |
No | 33 | 231 | 1.00 | 1.00 | |
Diabetes mellitus | Yes | 12 | 16 | 5.08 (2.23,11.6) | 2.40 (0.69,8.35) |
No | 36 | 244 | 1.00 | 1.00 |