ArticlePloS one2022
Mothers at risk of postpartum depression in Sri Lanka: A population-based study using a validated screening tool.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Role of psychological resilience and social support in perinatal depression: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- The association of psycho-economic factors with postpartum depression without significant medical complications for the mother and infant: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- Depression in mothers at four weeks and twenty-four weeks postpartum: a study on the prevalence and selected risk factors in Sri Lanka.BMC pregnancy and childbirth · 2026Article
- Nutrition and non-nutrition determinants of maternal mental disorders, stress and depression in pregnancy amidst a global pandemic: findings from Action against Stunting Hub Indonesia.The British journal of nutrition · 2025Article
- Expectant fathers' knowledge and attitudes towards postpartum depression and the associated factors: a cross-sectional study in a rural community, Sri Lanka.Reproductive health · 2025Article
- Trends in the prevalence of antenatal and postnatal depression in Bangladesh: A systematic review and meta-analysis.Heliyon · 2025Article
- Factors associated with postpartum depression among Myanmar women in Yangon: A cross-sectional study.Heliyon · 2024Article
- Exploring the burden of postpartum depression in urban Bangladesh: Prevalence and its associations with pregnancy-related factors from a cross-sectional study.Health science reports · 2024Article
- Non-biological factors associated with postpartum depression among women in Shenzhen: a case-control study.Frontiers in public health · 2024Article
- Factors influencing postpartum depression among Japanese parents: A prospective longitudinal study.Neuropsychopharmacology reports · 2023Article
- The relationship between fatigue, sleep quality, resilience, and the risk of postpartum depression: an emphasis on maternal mental health.BMC psychology · 2023Article
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4 authors.
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Abstract
backgroundPostpartum depression is an important public health concern. The prevalence of postpartum depression is estimated to be 18% worldwide. The purpose of this study was to estimate the prevalence of mothers at risk of postpartum depression in Sri Lanka and to investigate its associated risk factors.
methodsThis was a cross-sectional study conducted among 975 mothers in Galle district, Sri Lanka. The prevalence of mothers at risk of postpartum depression was assessed using the Edinburgh Postpartum Depression scale (EPDS) which has been validated for screening for mothers at risk of postpartum depression in Sri Lanka with a cut-off score 9 or more. Prevalence was estimated using a cut-off 9 or more, 10 or more, 11 or more and 12 or more to assess the difference in prevalence using unvalidated cut-offs for screening. Data from routine records on pregnancy, delivery and postnatal care was collected to investigate possible predictors of EPDS score 9 or more (risk of postpartum depression). Univariate and multivariable logistic regressions were performed to identify risk factors for EPDS score 9 or more (risk of postpartum depression).
resultsThe prevalence of mothers with EPDS score 9 or more was found to be 9.4% (95%CI: 7.8-11.4); EPDS score 10 or more was 5.6% (95%CI: 4.4-7.3). EPDS score 9 or more (risk of postpartum depression) was associated with the following risk factors: Former history of mental illness (aOR 32.9, 95%CI: 7.9-136.2), high maternal age 30-39 (aOR 2.2, 95%CI: 1.3-3.8), BMI 25.0-29.9 (aOR 2.6, 95%CI: 1.5-4.5), hypertension (aOR 3.6, 95%CI: 1.2-10.9) and newborn death (aOR 28.9, 95%CI: 4.5-185.1). One in five women reported thoughts of self-harm.
conclusionAround one in ten mothers in Sri Lanka experience symptoms of postpartum depression, highest risk among mothers who reported former history of mental illness and newborn death. The prevalence estimates were lower with a higher cut-off for screening and this highlights the importance of using the validated cut-off for screening in future studies on postpartum depression in Sri Lanka. Mothers at increased risk should be identified in antenatal care and are important targets of referral.
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