1.SOCIAL SUPPORT AND THE ASSOCIATED RISK FACTORS FOR POSTPARTUM DEPRESSION AMONG MOTHERS ATTENDING PRIMARY CARE CENTERS IN MALAYSIA.
Nadzirah Ruslan ; Salina Mohamed ; Norley Shuib ; Mohamad Ikhsan Selamat ; Omar Ali
ASEAN Journal of Psychiatry 2023;24(12):1-12
SOCIAL SUPPORT AND THE ASSOCIATED RISK FACTORS FOR POSTPARTUM DEPRESSION AMONG MOTHERS ATTENDING PRIMARY CARE CENTERS IN MALAYSIA.
Abstract
Background/Objectives: Postpartum Depression (PPD) is the most common maternal
distress worldwide. PPD negatively impacts mothers, infants, and the family,
affecting psychosocial and economic well-being. The study aims to determine the
prevalence of Postpartum Depression in mothers attending primary care centres and
the associated risk factors, including perceived social support and breastfeeding
experiences.
Methods: This cross-sectional study assessed 230 mothers up to three months
postpartum attending two maternal and child clinics in Alor Setar, Kedah, Malaysia,
from August to November 2022. Three self-report measures were used, namely the
sociodemographic and clinical questionnaires, The Edinburgh Postnatal Depression
Scale (EPDS) to assess depression and the Multidimensional Scale of Perceived Social
Support (MSPSS) to measure the level of perceived social support.
Results: The prevalence of Postpartum Depression was 2.6%. Univariate analysis
found that duration of postpartum, employment status, income groups, depressed
mood during pregnancy and presence of breastfeeding difficulties were significantly
associated with Postpartum Depression. Predictors of Postpartum Depression were
the high-income group (P 0.044 or 10.76 95% CI 1.07-108.76), depressed mood
during pregnancy (P 0.026 or 8.31 95% CI 1.29-53.47) and breastfeeding difficulties
(P 0.018 or 15.14 95% CI 1.59-144.54).
Conclusion: Postpartum Depression is prevalent in the community. General and
targeted Postpartum Depression screening should be done early. Breastfeeding
educators’ services should be feasible for the mother to reduce the risk of
Postpartum Depression.

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