Risk factors and prevalance of postpartum depression during the COVID-19 pandemic ın a universıty hospital in western Turkey: a crosssectional study

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Aim: This study aimed to examine the prevalence and risk factors of postpartum depression in a university hospital in Turkey during the COVID-19 pandemic. Methods: A cross-sectional study was performed from November 2020 to December 2020. Totally 517 women, who are all in the first month of the postpartum period were evaluated by using the Edinburgh Postpartum Depression Scale (EPDS). A total score equal to or above 13 was accepted as PPD. Multivariant regression analysis was used to identify factors associated with PPD during the pandemic. Results: The prevalence of PPD was 15.7%. Patients who were delivered by the vaginal route, who were at earlier gestational age at delivery, and who needed neonatal intensive care unit (NICU) care for their babies were significantly more likely to develop PPD. The risk of PPD during the COVID-19 pandemic was 5.5 times higher in patients who had a previous depressive episode. The PPD risk was 44% lower in women who properly attend regular antenatal care visits. Conclusion: Identification of pregnant women who had a previous depressive episode in their first prenatal visit and ensuring regular attendance of pregnant women to antenatal care visits may help early detection of women who are at high-risk for PPD and taking timely preventive approaches.

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