Comparing the Prevalence of Postpartum Depression in Women Receiving Midwifery Care Support and Those Without in Bandar Abbas

Background and purpose: The postpartum period predisposes women to a variety of mental health problems, one of which is postpartum depression, a common and serious condition affecting 8% to 26% of women worldwide. It is also recognized as a major public health concern. One potential cause of postpar...

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Main Authors: Masumeh Ghazanfarpour, Hashem Lashgari Kalat, Padide Jannati-ataei, Malihe Nasiri, Sahebeh Dadshahi
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2025-03-01
Series:Journal of Mazandaran University of Medical Sciences
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Online Access:http://jmums.mazums.ac.ir/article-1-21214-en.pdf
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author Masumeh Ghazanfarpour
Hashem Lashgari Kalat
Padide Jannati-ataei
Malihe Nasiri
Sahebeh Dadshahi
author_facet Masumeh Ghazanfarpour
Hashem Lashgari Kalat
Padide Jannati-ataei
Malihe Nasiri
Sahebeh Dadshahi
author_sort Masumeh Ghazanfarpour
collection DOAJ
description Background and purpose: The postpartum period predisposes women to a variety of mental health problems, one of which is postpartum depression, a common and serious condition affecting 8% to 26% of women worldwide. It is also recognized as a major public health concern. One potential cause of postpartum depression is exposure to stressful events before birth. Evidence suggests that continuous maternal support during labor may help reduce the incidence of this condition. Therefore, this study aimed to compare the prevalence of postpartum depression between women who received continuous support during labor and those who did not in Bandar Abbas in 2016. Materials and methods: In this prospective, descriptive-analytical study, 220 postpartum women were divided into two groups: one receiving continuous support from a doula (including emotional, physical, and informational support) and the other receiving no doula support (routine care). Participants were observed and assessed at the maternity ward of Bandar Abbas Social Security Hospital from August 2016 to January 2017. Data were collected using a demographic questionnaire and the Edinburgh Postnatal Depression Scale (EPDS), administered eight weeks postpartum. The results were compared between the two groups. Statistical analysis was conducted using SPSS (version 20), employing the independent t-test, Chi-square test, Mann-Whitney test, and two-way logistic regression. Results: There was a statistically significant difference in the prevalence of postpartum depression between the two groups (P<0.001). After adjusting for other variables, a significant association was found between postpartum depression and doula support (P< 0.001, OR= 0.17). The odds of developing postpartum depression were reduced by 83% among mothers who received doula support. Conclusion: The findings of this study indicate that continuous doula support during labor significantly reduces the risk of postpartum depression.
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spelling doaj-art-ecb34b6e6fe6435e9eac0116d40e32002025-08-20T02:09:40ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792025-03-0135243119125Comparing the Prevalence of Postpartum Depression in Women Receiving Midwifery Care Support and Those Without in Bandar AbbasMasumeh Ghazanfarpour0Hashem Lashgari Kalat1Padide Jannati-ataei2Malihe Nasiri3Sahebeh Dadshahi4 Associate Professor, Department of Nursing and Midwifery, Research Center, Kerman University of Medical Sciences, Kerman, Iran Assistant Professor, Department of Pediatrics, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran Instructor in Midwifery, Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Assistant Professor, Department of Basic Sciences, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran MSc Student in Reproductive Health, Student Research Committee, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Background and purpose: The postpartum period predisposes women to a variety of mental health problems, one of which is postpartum depression, a common and serious condition affecting 8% to 26% of women worldwide. It is also recognized as a major public health concern. One potential cause of postpartum depression is exposure to stressful events before birth. Evidence suggests that continuous maternal support during labor may help reduce the incidence of this condition. Therefore, this study aimed to compare the prevalence of postpartum depression between women who received continuous support during labor and those who did not in Bandar Abbas in 2016. Materials and methods: In this prospective, descriptive-analytical study, 220 postpartum women were divided into two groups: one receiving continuous support from a doula (including emotional, physical, and informational support) and the other receiving no doula support (routine care). Participants were observed and assessed at the maternity ward of Bandar Abbas Social Security Hospital from August 2016 to January 2017. Data were collected using a demographic questionnaire and the Edinburgh Postnatal Depression Scale (EPDS), administered eight weeks postpartum. The results were compared between the two groups. Statistical analysis was conducted using SPSS (version 20), employing the independent t-test, Chi-square test, Mann-Whitney test, and two-way logistic regression. Results: There was a statistically significant difference in the prevalence of postpartum depression between the two groups (P<0.001). After adjusting for other variables, a significant association was found between postpartum depression and doula support (P< 0.001, OR= 0.17). The odds of developing postpartum depression were reduced by 83% among mothers who received doula support. Conclusion: The findings of this study indicate that continuous doula support during labor significantly reduces the risk of postpartum depression.http://jmums.mazums.ac.ir/article-1-21214-en.pdfcontinuous supportdoulapostpartum depression
spellingShingle Masumeh Ghazanfarpour
Hashem Lashgari Kalat
Padide Jannati-ataei
Malihe Nasiri
Sahebeh Dadshahi
Comparing the Prevalence of Postpartum Depression in Women Receiving Midwifery Care Support and Those Without in Bandar Abbas
Journal of Mazandaran University of Medical Sciences
continuous support
doula
postpartum depression
title Comparing the Prevalence of Postpartum Depression in Women Receiving Midwifery Care Support and Those Without in Bandar Abbas
title_full Comparing the Prevalence of Postpartum Depression in Women Receiving Midwifery Care Support and Those Without in Bandar Abbas
title_fullStr Comparing the Prevalence of Postpartum Depression in Women Receiving Midwifery Care Support and Those Without in Bandar Abbas
title_full_unstemmed Comparing the Prevalence of Postpartum Depression in Women Receiving Midwifery Care Support and Those Without in Bandar Abbas
title_short Comparing the Prevalence of Postpartum Depression in Women Receiving Midwifery Care Support and Those Without in Bandar Abbas
title_sort comparing the prevalence of postpartum depression in women receiving midwifery care support and those without in bandar abbas
topic continuous support
doula
postpartum depression
url http://jmums.mazums.ac.ir/article-1-21214-en.pdf
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