Predictors of Postpartum Depression Among Women with Emergency Cesarean Section

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กุสุมล แสนบุญมา วรรณี เดียวอิศเรศ อุษา เชื้อหอม



Postpartum depression is an emotional change of the mothers after birth that affect the mothers themselves, infants, and family. This study aimed to determine predicting factors of postpartum depression among women with emergency cesarean section. A convenience sample of 98 mothers during their 4 to 8 weeks postpartum who gave a birth by emergency cesarean section and visited postpartum clinic or took their babies to well-baby clinic Rayong regional hospital, Banglamoung hospital, or private clinic/hospital were recruited in this study. Data were collected by self-report questionnaires including demographic questionnaire, Thai Edinburgh Postnatal Depression (EPDS) scale, Self-Esteem Scale, Thai Childcare Stress Inventory, and Postpartum Support questionnaires. Descriptive statistics and standard multiple regression analysis were used to analyze data.

Results of the study revealed that 20.20 % of mothers with emergency cesarean section experienced postpartum depression. Maternal age, family income, duration of infant hospitalized in neonatal intensive care unit (NICU), self-esteem, childcare stress, and social support altogether explained 56% of variance in postpartum depression (Adjusted R2 = .53,F6, 91= 19.307, p < .05). The most important predictor was self-esteem (β = -.59, p < .05) followed by childcare stress (β = .20, p < .05) and duration of infant hospitalized in NICU (β = .17, p < .05).  Findings of the study suggest that nurse-midwives should design interventions to promote self-esteem and to help management of child care stress especially mothers with infants hospitalized in NICU to prevent postpartum depression among this group of mothers.


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