TY - JOUR
T1 - Obstetric risk factors for depression during the postpartum period in South Korea
T2 - a nationwide study
AU - Youn, Hyun Chul
AU - Lee, Suji
AU - Han, Sung Won
AU - Kim, Log Young
AU - Lee, Tae Seon
AU - Oh, Min Jeong
AU - Jeong, Hyun Ghang
AU - Cho, Geum Joon
N1 - Publisher Copyright:
© 2017
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2017/11
Y1 - 2017/11
N2 - Objective Postpartum depression is related to many adverse effects in both mothers and their children; therefore, proper screening and early interventions are needed. This study aims to identify the risk factors of postpartum depression. Our primary focus is on obstetric risk factors. Methods This study is a cross-sectional study which we extracted the data of women who gave birth between January 1st, 2010 and December 31st, 2012 from the Health Insurance Review and Assessment service (HIRA) database. We analyzed the data using multivariable logistic regression models. Results A total of 17,483 (1.4%) women suffered from depression during the postpartum period. Younger (< 20 years) and advanced maternal age (≥ 35 years), primiparity, previous depression, peripartum hysterectomy, uterine artery embolization, preterm delivery, placental abruption, cesarean delivery, induced labor, and preeclampsia were found to increase the likelihood of having depression after delivery. Conclusions Our findings suggest that there are several risk factors that lead women to postpartum depression. Therefore, early detection and well-management of the symptoms and risk factors for postpartum depression along with social support can help both physical and psychological conditions of women after childbirth.
AB - Objective Postpartum depression is related to many adverse effects in both mothers and their children; therefore, proper screening and early interventions are needed. This study aims to identify the risk factors of postpartum depression. Our primary focus is on obstetric risk factors. Methods This study is a cross-sectional study which we extracted the data of women who gave birth between January 1st, 2010 and December 31st, 2012 from the Health Insurance Review and Assessment service (HIRA) database. We analyzed the data using multivariable logistic regression models. Results A total of 17,483 (1.4%) women suffered from depression during the postpartum period. Younger (< 20 years) and advanced maternal age (≥ 35 years), primiparity, previous depression, peripartum hysterectomy, uterine artery embolization, preterm delivery, placental abruption, cesarean delivery, induced labor, and preeclampsia were found to increase the likelihood of having depression after delivery. Conclusions Our findings suggest that there are several risk factors that lead women to postpartum depression. Therefore, early detection and well-management of the symptoms and risk factors for postpartum depression along with social support can help both physical and psychological conditions of women after childbirth.
KW - Cesarean delivery
KW - Peripartum hysterectomy
KW - Placental abruption
KW - Postpartum depression
KW - Preeclampsia
KW - Preterm delivery
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U2 - 10.1016/j.jpsychores.2017.09.003
DO - 10.1016/j.jpsychores.2017.09.003
M3 - Article
C2 - 28992892
AN - SCOPUS:85028936650
SN - 0022-3999
VL - 102
SP - 15
EP - 20
JO - Journal of Psychosomatic Research
JF - Journal of Psychosomatic Research
ER -