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Prevalence and Risk Factors of Postpartum Depression

Chitlada Sutthi¹, Wiyada Luangdansakul¹, Pichamon Sukkasame¹, Buppa Smanchat¹, Kornkarn Bhamarapravatana², Komsun Suwannarurk³

Affiliation : ¹ Department of Obstetrics and Gynecology, Bhumibol Adulyadej Hospital, Royal Thai Air Force, Bangkok, Thailand; ² Department of Preclinical Sciences, Faculty of Medicine, Thammasat University, Pathumthani, Thailand; ³ Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathumthani, Thailand

Background: Postpartum depression (PPD) is one of the most common mental health conditions in new mothers, and negatively impacts newborn care, mother-baby interaction/bonding, and familial relationships.
Objective: To identify the prevalence and risk factors of PPD in parturient-delivered babies at a tertiary medical facility in Thailand.
Materials and Methods: The present study was a cross-sectional descriptive study conducted at Bhumibol Adulyadej Hospital (BAH), Bangkok, Thailand, between October 2023 and October 2024. Participants were pregnant women who delivered their babies and attended the postpartum clinic at BAH. At the postpartum ward, patients were counseled before signing a written consent form. A Thai version of the Edinburgh Postnatal Depression Scale (EPDS) was used for PPD evaluation at four to six weeks. Demographic and clinical data were collected from the BAH electronic database.
Results: Five hundred thirteen participants were recruited in the present study. The mean age was 29.3 years old. The prevalence of PPD was 12.1% (62 out of 513). Risk factors for PPD were being a single mother (adj. OR 7.1, 95% CI 2.5 to 20.2), alcohol drinker (adj. OR 3.7, 95% CI 1.6 to 8.3), neonatal complication (adj. OR 6.6, 95% CI 1.8 to 24.2), premenstrual syndrome (adj. OR 2.7, 95% CI 1.3 to 5.3), no childcare support (adj. OR 5.1, 95% CI 2.2 to 11.7), and previous depression (adj. OR 5.1, 95% CI 1.5 to 16.8).
Conclusion: The prevalence of PPD was 12.1%. Risk factors of PPD were a single mother, alcohol drinker, neonatal complication, premenstrual syndrome, inadequate or absent childcare support, no familial psycho-social support, and previous depression.

Received 29 November 2024 | Revised 8 April 2025 | Accepted 11 April 2025
DOI: 10.35755/jmedassocthai.2025.5.354-360-02003

Keywords : Postpartum depression; Prevalence; Risk factor


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