Prevalence and factors associated with postpartum depression in women from single-child families

ObjectiveTo investigate the prevalence of postpartum depression (PPD) and its associated factors among women without siblings from south China. MethodsA cross-sectional study was conducted involving 468 mothers from single-child families who were assessed at 6weeks after childbirth at a tertiary hospital in Guangzhou, China, from June 2015 to July 2016. The Chinese version of the Edinburgh Postnatal Depression Scale and a self-designed questionnaire regarding risk factors were administered to all participants. ResultsThe prevalence of PPD in women from single-child families was 56.2%. A multivariate logistic regression model identified the following pregnancy-related and psychological risk factors: unplanned pregnancy (odds ratio [OR] 2.35, 95% confidence interval [CI] 1.73-3.32), being a first-time mother (OR 3.00, 95% CI 1.73-4.93), poor mother-in-law relationship (OR 3.15, 95% CI 2.93-3.36), and poor family support (OR 2.13, 95% CI 1.84-2.45). Sociodemographic characteristics were not associated with the development of PPD. ConclusionThe development of PPD in women from single-child families is an important public health concern. Health practitioners should offer psychoeducation and culturally sensitive counseling during the postpartum period, and the screening of mood disorders from the prenatal to the postpartum period should be covered by maternity insurance. An unplanned pregnancy, being a first-time mother, poor mother-in-law relationship, and poor family support were risk factors for postpartum depression among women from single-child families.