ArticleArchives of public health = Archives belges de sante publique2025
Identifying risk factors for postpartum depression in Mashhad, Iran, 2017-2024: a population-based case-control study.
Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Psychological dilemmas and distress among Chinese primiparas during the postpartum transition underlying implicit cultural norms: a phenomenological inquiry.BMC psychology · 2025Article
- A method for predicting postpartum depression via an ensemble neural network model.Frontiers in public health · 2025Article
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3 authors.
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Abstract
backgroundPostpartum depression (PPD) is a common and debilitating disorder affecting mothers worldwide. This study aimed to identify risk factors and the frequency of PPD in Mashhad, Iran.
methodsA population-based case-control study was conducted using data from the Sina Health Information System (SINAEHR) from March 1, 2017, to June 20, 2024. The Edinburgh Postpartum Depression Scale was used to identify cases (score > 12) and controls (score ≤ 12). Bivariate and multivariate logistic regression analyses were performed to determine risk factors associated with PPD.
resultsAmong 108,952 women evaluated, 3,407 (3.03%) were diagnosed with PPD and matched with an equal number of controls. Significant risk factors for PPD included maternal age ≤ 20 years (OR = 1.76, 95% CI: 1.31-2.36), history of abortion (OR = 1.25, 95% CI: 1.15-1.42), cesarean delivery (OR = 1.22, 95% CI: 1.11-1.34), preterm delivery (OR = 1.99, 95% CI: 1.67-2.37), twin births (OR = 2.10, 95% CI: 1.41-3.24), and drug use (OR = 5.76, 95% CI: 2.90-11.33). Psychological factors were strongly associated with PPD, including history of anxiety (OR = 2.48, 95% CI: 2.06-2.93), domestic violence (OR = 4.08, 95% CI: 2.43-6.59), history of depression (OR = 5.31, 95% CI: 4.58-6.61), and psychological distress (OR = 4.94, 95% CI: 3.91-6.23).
conclusionThis study identified multiple risk factors for PPD, with psychological factors showing the strongest associations. These findings highlight the importance of screening for mental health issues and providing targeted support to high-risk women during pregnancy and the postpartum period to prevent and manage PPD effectively.
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