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ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Perinatal Psychiatry
Volume 15 - 2024 |
doi: 10.3389/fpsyt.2024.1479427
This article is part of the Research Topic Perinatal mental health: Depression, Anxiety, Stress, and Fear View all articles
Comparing the prevalence and influence factors of postpartum depression in primiparous and multiparous women in China
Provisionally accepted- 1 Shandong University of Traditional Chinese Medicine, Jinan, China
- 2 Liaocheng Dongchangfu Maternal and Child Health Care Hospital, Liaocheng, Shandong Province, China
- 3 China Academy of Chinese Medical Sciences, Beijing, Beijing Municipality, China
Background: Few studies have compared the influencing factors of postpartum depression between primiparous and multiparous women. Therefore, this study is aimed to investigate the prevalence and influencing factors of postpartum depression in primiparous and multiparous women, and provide reference suggestions for clinical nursing. Methods: A total of 429 postpartum women who gave birth at a Maternal and Child Health Hospital in Shandong Province, China, from April to June 2024, were recruited by convenience sampling. A Sociodemographic Questionnaire, Edinburgh Postpartum Depression Scale, Pittsburgh Sleep Quality Index, and Perceived Social Support Scale were used for investigation. SPSS 26.0 was used to analyze the data, and multivariate regression was employed to analyze the influencing factors of postpartum depression between primiparous and multiparous women. Results: The total prevalence of postpartum depression among 429 postpartum women (191 primiparas and 238 multiparas) was 22.14%. The prevalence of postpartum depression among primiparous and multiparous women were 21.99% and 22.27%, respectively, with no statistically significant difference [OR=1.016, 95% CI (0.642, 1.608)]. Sleep quality is a common protective factor for postpartum depression in both primiparous and multiparous women, while perceived social support is another protective factor for multiparous women. The risk factors are different in both two group, there is no risk factor found in primiparous women, the newborns health and women's expectation on newborns gender are risk factors for postpartum depression in multiparous women. Conclusions: Both primiparous and multiparous women have a high risk of postpartum depression. In order to promote the mental health of postpartum women, precise nursing measures should be adopted for different parity of postpartum women in clinical practice.
Keywords: postpartum depression, Primiparous, Multiparous, Prevalence, Influencing factors, China
Received: 12 Aug 2024; Accepted: 10 Sep 2024.
Copyright: © 2024 Zhang, Wang, fan and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Peipei Wang, Liaocheng Dongchangfu Maternal and Child Health Care Hospital, Liaocheng, Shandong Province, China
Yingjie Zhang, Shandong University of Traditional Chinese Medicine, Jinan, China
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