Maternal mental health in Amhara region, Ethiopia: a cross-sectional survey

Baumgartner, Joy Noel; Parcesepe, Angela M.; Mekuria, Yared Getachew; Abitew, Dereje Birhanu; Gebeyehu, Wondimu; Okello, Francis; Shattuck, Dominick

doi:10.9745/ghsp-d-14-00119

Cited by 27 publications

(31 citation statements)

References 16 publications

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“…The discrepancy in estimation might be due to the different tools, assessment period, methods and economic status. Similar studies from Ethiopia in Amhara region (27), Eastern zone of Tigray (26) and at Goba and Robe town of Bale zone, Oromia region (29) in which 32.8%, 19% and 31.5% of postnatal women were depressed respectively at their postnatal period; this is a higher prevalence report than the present study. Variation in estimation from this study might be due to the usage of different study design, sampling technique, and sample size.…”

Section: Prevalence Of Antenatal Depressionsupporting

confidence: 86%

Prevalence of postpartum depression and associated factors among postnatal care attendees in Debre Berhan, Ethiopia, 2018.

Wubetu

Gizachew

2019

Preprint

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Background: Postpartum depression explains various groups of depressive symptoms and syndromes that take place during the first 6 weeks following birth. The postpartum period is a critical time where both mild and severe mood disorders occur. The familiar forms are baby blues and postpartum depression. Determination of the prevalence and associated factors of postpartum depression is mandatory for early detection and treatment. Methods: Institution based cross-sectional study was conducted from May to June 2018 by using systematic random sampling technique. The data was collected from each health centers and referral hospital. The study participants were eligible women who came to Debre Berhan referral hospital and health centers for postnatal care and vaccination service. The Edinburg postnatal depression scale was used to assess postpartum depression. The collected data were coded and entered into Epi-info version 7 and transported to SPSS version 20 for analysis. Both Bivariate and Multivariate Binary Logistic Regression were done to identify associated factors. During bivariate analysis, variables with p-value < 0.05 were included in multivariate analysis. Odds Ratios and their 95% Confidence Intervals were computed and variables with p-value less than 0.05 were considered significantly associated factors (multivariate analysis). Results: A total of 308 mothers who attend postnatal care included with a response rate of 100%. The prevalence of postnatal depression was found to be 15.6 %( 95%CI=11.7, 19.8). Being widowed/widower (AOR=4.17 (95% CI=1.14, 15.20)), having poor social support (AOR=5.11(95% CI= 1.00, 26.18), having hospitalized child (AOR=3.32(95%CI= 1.39, 7.93), and having died close family or relative (AOR=2.92(95%CI=1.01, 8.50)) were significantly associated factor with postpartum depression. Conclusions: Though significant proportions of mothers are depressed, the prevalence of postpartum depression was lower than most studies in different areas. It will be better if health care professionals give special attention to maternal mental health issues and consult mothers to mitigate the problem. It will be better if Health care professionals working in maternal and child health clinics to give special attention to mothers who are widowed/widower, having poor social support, having hospitalized child, having died close family or relative. Therefore, the authors failed to accept both null hypotheses.

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Section: Prevalence Of Antenatal Depressionsupporting

confidence: 86%

Prevalence of postpartum depression and associated factors among postnatal care attendees in Debre Berhan, Ethiopia, 2018.

Wubetu

Gizachew

2019

Preprint

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“…In this meta-analysis, a total of sixteen studies that assessed the prevalence of postpartum depression (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) and fourteen studies that assessed the associated factors (21,22,24,(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)59) had been analyzed. A total of 11400 postpartum women had participated in this analysis.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Region-wise, six (26,28,29,34,36,59), six (22-25, 32, 35), three (21,31,33), one (27) and one (30) of the studies were from the southern part of Ethiopia, Amhara region, Oromia region, Addis Ababa and Tigray respectively. Of included studies three (26,34,36), ten (21-24, 27, 29-32, 35), and another three (25,28,33) utilized PHQ-9, EPDS, and SRQ-20 to asses depression in the postnatal women. Besides regarding, the design type of the study; eight (21,23,25,28,(32)(33)(34)36), seven (22,24,27,(29)(30)(31)35) and one (26) were communitybased cross-sectional, institution-based cross-sectional and cohort in respective order.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Of included studies three (26,34,36), ten (21-24, 27, 29-32, 35), and another three (25,28,33) utilized PHQ-9, EPDS, and SRQ-20 to asses depression in the postnatal women. Besides regarding, the design type of the study; eight (21,23,25,28,(32)(33)(34)36), seven (22,24,27,(29)(30)(31)35) and one (26) were communitybased cross-sectional, institution-based cross-sectional and cohort in respective order. Besides, six of the studies (23,25,27,28,30,34) employed a multi-stage sampling method during data collection.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Another systematic review and meta-analysis study in India which assessed 38 studies reported a pooled prevalence of postpartum depression to be 22% (10). Moreover, other individual studies reported earlier showed that postpartum depression was 17.6% in Portugal (11), 27.3% in China(12), 61.4% in Korea(13), 18.6% in Qatar(14), 34.8% in Iraq(15), 34% in Jamaica(16) ,15.4% in Turkey (17), 13.5% and 10.3% in Oman(18), 31.7% in South Africa (19), and 43% in Uganda (20).In Ethiopia, the prevalence of postpartum depression varies between 12.2-33.8% (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36).…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Review and Meta-Analysis of Depression in Postnatal Women in the Case of a Low-Income Country; Ethiopia, 2020

Necho¹,

Abadisharew²

2020

Preprint

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BackgroundMaternal mental health in the postpartum period is essential for the optimal development of the newborn and appropriate breastfeeding practices. Despite this, a shortage of concrete evidence exists regarding the magnitude of postpartum depression and associated factors. This meta-analysis study was therefore done to fill such a gap.MethodsPubMed, Scopus, and EMBASE were investigated with no time limitation. A manual search for a reference list of articles was also done. Relevant data were extracted using Meta XL package and analysis was done Stata-11 meta-prop package. Heterogeneity was checked with Cochran's Q-statistics and the Higgs I2 test. Furthermore, sub-group and sensitivity analyses were done. Egger's test and funnel plots tests were engaged to identify publication bias.ResultsA total of 16 studies that assessed 11400 postpartum women in Ethiopia were included. The average estimated prevalence of postpartum depression was 21.9% (95% CI: 18.98, 24.77). The pooled prevalence of postpartum depression was higher in studies that used SRQ-20; 24.6% (95% CI: 18.42, 30.84) than studies that used PHQ-9; 18.9% (95% CI: 11.52, 26.28). Moreover, the pooled estimated prevalence of postpartum depression was slightly higher in the southern part of Ethiopia (22.6%) than Addis Ababa (21.2%). Poor marital relation (pooled aOR = 3.56) (95% CI: 2.50, 4.63), unplanned pregnancy (pooled aOR = 3.48) (95% CI: 2.18, 4.79), previous history of depression (pooled aOR = 4.33) (95% CI: 2.26, 6.59), poor social support (pooled aOR = 4.5) (95% CI: 3.34, 5.56), domestic violence (pooled aOR = 3.77) (95% CI: 2.62, 4.92), family history of mental illness (pooled aOR = 4) (95% CI:1.56, 6.56), use of substance (pooled aOR = 4.67) (95% CI:4.00, 5.34), low income (pooled aOR = 2.87) (95% CI: 1.59, 4.14), stressful life event (pooled aOR = 3.5) (95% CI: 1.39, 5.87) and perinatal complications (pooled aOR = 3.8)( 95% CI: 1.45, 6.15) were among the associated factors for postpartum depression in Ethiopia.ConclusionMore than one in five women was with postpartum depression and factors such as poor marital relations, history of depression, poor social support, domestic violence, unplanned pregnancy, family history of mental illness were related to it. Therefore, maternal postnatal care services should be geared to incorporate this public essential health concern.

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Correlates of postpartum common mental disorders: results from a population-based study in Amhara region, Ethiopia

Baumgartner

Parcesepe

Mekuria³

et al. 2016

Arch Womens Ment Health

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Postpartum common mental disorders are prevalent among women in Ethiopia. Data on associated factors are limited. This population-based study assessed mental health among 1294 nonpregnant, postpartum women in Amhara region. Poor health of the last delivered child and inequitable gender attitudes were associated with poor mental health among other factors. Social support from female friends was strongly protective. Community mental health services could strengthen social support between female friends with education and support group facilitation by health extension workers.

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Maternal mental health in Amhara region, Ethiopia: a cross-sectional survey

Cited by 27 publications

References 16 publications

Prevalence of postpartum depression and associated factors among postnatal care attendees in Debre Berhan, Ethiopia, 2018.

Prevalence of postpartum depression and associated factors among postnatal care attendees in Debre Berhan, Ethiopia, 2018.

A Systematic Review and Meta-Analysis of Depression in Postnatal Women in the Case of a Low-Income Country; Ethiopia, 2020

Correlates of postpartum common mental disorders: results from a population-based study in Amhara region, Ethiopia

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