Prevalence of postpartum depression in Edirne, Turkey, and related factors

J Reprod Med. 2004 Nov;49(11):908-14.


Objective: To estimate the community prevalence of postpartum depression (PPD) in Edirne, Turkey, and the potential risk factors for it.

Study design: The study was performed on mothers during the 6-week postpartum visit at home. A questionnaire that was devised to collect data on basic demographic information on the mothers and the Edinburgh Postnatal Depression Scale (EPDS) were applied. A total of 210 mothers were interviewed between January and April 2002, and 178 of them whose data were complete were analyzed. We evaluated EPDS cutoff scores > or =12.

Results: With an EPDs cutoff score of > or =12, the prevalence of PPD was 40.4%. Such factors as the husband's unemployment and a low educational level, living in a rented house, and having psychological or other problems during a previous pregnancy were the most significant risk factors for PPD. In the logistic model, the family's preference for a male infant in the previous pregnancy, female infant in the previous delivery and unwanted pregnancy were associated with PPD. The OR for these 3 variables and their 95% CI are, respectively, OR = 3.10, 95% CI 1.57-6.12; OR = 2.18, 95% CI 1.09-4.37, and OR = 2.84, 95% CI 1.22-6.61).

Conclusion: The prevalence of PPD was high. Although the risk factors were similar to those in other studies, other family members' mention of wanting a son can cause depression in the mothers.

MeSH terms

  • Adolescent
  • Adult
  • Depression, Postpartum / epidemiology*
  • Depression, Postpartum / ethnology*
  • Female
  • Gender Identity
  • Health Surveys
  • Humans
  • Odds Ratio
  • Pregnancy
  • Pregnancy Complications / psychology
  • Prevalence
  • Risk Factors
  • Turkey / epidemiology
  • Turkey / ethnology
  • Unemployment