Publication:
Prevalence and factors associated with postpartum depression in primary healthcare centres in Yangon, Myanmar

dc.contributor.authorTheigi Myoen_US
dc.contributor.authorSeo Ah Hongen_US
dc.contributor.authorBang On Thepthienen_US
dc.contributor.authorNate Hongkrailerten_US
dc.contributor.otherMahidol Universityen_US
dc.date.accessioned2022-08-04T11:06:24Z
dc.date.available2022-08-04T11:06:24Z
dc.date.issued2021-01-01en_US
dc.description.abstractBackground: Postpartum depression (PPD) can have serious consequences on both the mother and infant. Despite the higher prevalence, there are limited numbers of studies on PPD in low-and middle-income countries, like Myanmar. This study aimed to explore the prevalence and associated factors of PPD in primary healthcare settings in Myanmar. Methods: This cross-sectional online study was conducted with 220 mothers under 6 months postpartum in April–May 2020 and who registered in public health centres in Kungyangone Township, Yangon, Myanmar. The postpartum depression was measured with the Edinburgh postpartum depression scale (EPDS, ≥ 13 scores). Independent variables included sociodemographic factors, obstetric and infant factors, psychosocial factors (social support and social media usage), health services utilisation and accessibility factors. Chi-square tests and multiple logistic regression were performed. Results: Overall prevalence of depressive symptoms in 220 women under 6 months postpartum was 31.8% (95% confidence interval [CI]: 25.9, 37.3). In multiple logistic regression, unplanned pregnancy (adjusted odds ratio [AOR]: 2.946), less than four times antenatal care (ANC) visits (AOR: 2.518), travel time more than 1 h to reach health centres (AOR: 3.068) and birth interval more than 5 years (AOR: 4.594) were more likely to be associated with PPD, while preterm delivery (AOR: 0.091) was inversely associated. Conclusion: This study showed the relatively high prevalence of PPD and the strong association with preterm delivery, pregnancy intention, breastfeeding status, birth interval as well as frequency of ANC received and travel time to health centre. It may suggest that maternal mental health services should be integrated with existing maternal and child health (MCH) services for early detection and prevention of depression symptoms with promotion of MCH services utilisation and improved accessibility among mothers in primary healthcare setting.en_US
dc.identifier.citationMalaysian Journal of Medical Sciences. Vol.28, No.4 (2021), 71-86en_US
dc.identifier.doi10.21315/mjms2021.28.4.8en_US
dc.identifier.issn21804303en_US
dc.identifier.issn1394195Xen_US
dc.identifier.other2-s2.0-85114739985en_US
dc.identifier.urihttps://repository.li.mahidol.ac.th/handle/20.500.14594/78623
dc.rightsMahidol Universityen_US
dc.rights.holderSCOPUSen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85114739985&origin=inwarden_US
dc.subjectMedicineen_US
dc.titlePrevalence and factors associated with postpartum depression in primary healthcare centres in Yangon, Myanmaren_US
dc.typeArticleen_US
dspace.entity.typePublication
mu.datasource.scopushttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85114739985&origin=inwarden_US

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