Perinatal Depression, Birth Experience, Marital Satisfaction and Childcare Sharing: A Study in Russian Mothers

Abstract

Background: Over 300,000 women in Russia face perinatal depressive disorders every year, according to the data for middle-income countries. This study is the first attempt to perform a two-phase study of perinatal depressive disorders in Russia. The paper examines risk factors for perinatal depressive symptoms, such as marital satisfaction, birth experience, and childcare sharing. Methods: At 15–40 gestational weeks (M = 30.7, SD = 6.6), 343 Russian-speaking women, with a mean age of 32 years (SD = 4.4), completed the Edinburgh Postnatal Depression Scale, Couples Satisfaction Index, Birth Satisfaction Scale, and provided socio-demographic data. Two months after childbirth, 190 of them participated in the follow-up. Results: The follow-up indicated that 36.4% of participants suffered from prenatal depression and 34.3% of participants had postnatal depression. Significant predictors of prenatal depression were physical well-being during pregnancy (β = −0.25; p = 0.002) and marital satisfaction during pregnancy (β = −0.01; p = 0.018). Birth satisfaction (β = −0.08; p = 0.001), physical well-being at two months after delivery (β = −0.36; p < 0.01), and marital satisfaction during pregnancy (β = 0.01; p = 0.016) and after delivery (β = −0.02; p < 0.01) significantly predicted postnatal depression at 2 months after delivery. Conclusion: Our study identified that physical well-being during pregnancy and marital satisfaction during pregnancy significantly predicted prenatal depression. Birth satisfaction, physical well-being at 2 months after delivery, and marital satisfaction during pregnancy and after delivery significantly predicted postnatal depression. To our knowledge, this is the first study of perinatal depressive disorders in the context of marital satisfaction and birth satisfaction in the Russian sample. The problem of unequal childcare sharing is widely spread in Russia. Adjusting spousal expectations and making arrangements for childcare may become the focus of psychological work with the family. The availability of psychological support during pregnancy and labor may be important in the context of reducing perinatal depression risks.

The association between paternal childcare involvement and postpartum depression and anxiety among Chinese women—a path model analysis

“…Our finding that fathers' childcare involvement is associated with lower levels of PPD is consistent with previous research conducted in Western and Asian countries (de Mendonça et al 2012;Kasamatsu et al 2021;Lin et al 2017;Sejourne et al 2012;Yakupova & Liutsko 2021). Maselko and colleagues found that greater paternal involvement predicted lower levels of maternal depression in rural Pakistan (Maselko et al 2019).…”

Prevalence of postpartum depression and its associated factors within a year after birth in Semey, Kazakhstan: A cross sectional study

“…The authors also highlight a high prevalence of PPD in the antenatal 36.4% and postpartum 34.3% periods among women. 29 Studies with similar high prevalence rates of PPD can also be seen in countries such as Pakistan (63%), 30 Afghanistan (60.93%), 31 Eswatini (47.4%) 32 and Croatia (45.03%) 6 and South Africa (39,93%). 33 However, the results of d 238 women (not including four women who were single or divorced/parents passed away) answered.…”

Determinants of postpartum depression among mothers in Debre Tabor town, North-central, Ethiopia: Community-based unmatched case-control study

“…Marital satisfaction had an inverse significant association with PPD among postpartum mothers. This is supported by studies done in Mizan Aman town, Southwest Ethiopia (20), Bandar Abbas, Iran (31), Tirana (32), Jahrom, Iran (33), and Russia (34). The reason for this could be that having a healthy relationship reduces the risk of psychological suffering.…”