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Lee, Yeo, Ahn, Lee, Yang, and Han: Postpartum Depressive Score and Related Factors Pre- and Post-delivery
Original Article
Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2010; 16(1): 29-36.

Published online: 31 March 2010

DOI: https://doi.org/10.4069/kjwhn.2010.16.1.29

Postpartum Depressive Score and Related Factors Pre- and Post-delivery

Sun Ok Lee1, Jung Hee Yeo2, Suk Hee Ahn3, Hyeon Sook Lee4, Hyun Joo Yang5, Mi Jung Han6

1Full-time Lecturer, Department of Nursing, Silla University, Korea.

2Associate Professor, Department of Nursing, Dong-A University, Korea.

3Associate Professor, College of Nursing, Chungnam National University, Korea.

4Director of Nursing, Pusan Ilsin Christian Hospital, Korea.

5Chief of Nursing, Pusan Ilsin Christian Hospital, Korea.

6Head Nurse, Pusan Ilsin Christian Hospital, Korea.

Address reprint requests to: Yeo, Jung Hee, Department of Nursing, Dong-A University, 1 Dongdaesin-dong 3ga, Seo-gu, Busan 602-704, Korea. Tel: 82-51-240-2784, Fax: 82-51-240-2947, jheeyeo@donga.ac.kr

Received 18 August 2009       Accepted 22 January 2010

Copyright © 2010 Korean Academy of Women's Health Nursing

Abstract

Purpose

This study aimed to identify the scores of postpartum depression(PPD) on the first day, 1st week, and 6th week after the delivery and to explore their related factors before and after delivery in postpartum women.

Methods

With a survey design, 293 postpartum women were recruited from a postpartum unit, Ilsin Christian hospital in Pusan via convenience sampling and were followed at 1st week and 6th week in the outpatient clinic.

Results

Results showed that the scores of PPD(EPDS score) were low at postpartum 1st day, 1st week and 6th week but prevalence of PPD(EPDS ≥13) was 3.1% at 1st day, 8.2% at 1st week and 7.5% at 6th week, respectively. The pre-delivery factors were experience of depression, and the post-delivery factors were baby's sex(1st day), no caregiver for baby(1st week), and no help and concern for taking care of baby from husband and family(1st day and 6th week). The greater satisfaction with becoming a mother and her life, and greater maternal attachment were related to lower level of PPD at the three time points.

Conclusion

Regular screening for postpartum depression and supportive and informative education is needed for postpartum women visiting the outpatient clinic for follow-up.

Keywords: Postpartum depression, Delivery

Figures and Tables

Table 1
Prevalence of PPD and Mean of Postpartum Depressive Score at Three Time
kjwhn-16-29-i001

PPD=postpartum depression (a score higher than 13 of EDPS); PP=postpartum.

Table 2
General Characteristics of Subjects (N=293)
kjwhn-16-29-i002
Table 3
Differences in Pre-delivery Factors by Postpartum Depressive Scores Over Time (N=293)
kjwhn-16-29-i003

EBS=expectation of baby's sex; ED=experience of depression; RM=relationship of mother; PE=prenatal education; CP =complication at pregnancy.

Table 4
Differences in Post-delivery Factors by Postpartum Depressive Scores Over Time
kjwhn-16-29-i004

Cp=complication at postpartum ; HP=health status at postpartum; CBH=concern with baby of husband; TBH=taking care of baby with husband; TBF=taking care of baby with family members.

Table 5
Correlations between Factors and Postpartum Depressive Scores at Three Time (N=293)
kjwhn-16-29-i005

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