Factors associated with depressive symptoms among postpartum mothers in a rural district in Uganda

Tracy Alexis Kakyo, Joshua Kanaabi Muliira, Scovia Nalugo Mbalinda, Irene Betty Kizza, Rhoda Suubi Muliira

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objective: across Africa the prevalence of postpartum depression is a major health problem affecting mothers, their infants and families. The purpose of this study was to explore the factors associated with postpartum depressive symptoms (PDS) among women living in a rural Ugandan district. Design: descriptive correlation design. Setting: Young-Child's Clinic of a public hospital, providing postpartum care services to approximately 450 women and their babies per month in a rural district of Uganda. Participants: 202 postpartum women who have lived in the rural district both during pregnancy and postpartum period following birth of the current infant of age ≤12 weeks. Measurements: PDS were measured using the Edinburgh Postnatal Depression Scale (EPDS). Findings: participants' mean age and number of children were 24±4.33 years and 2.85±1.26 children, respectively. Majority of participants were married (61%), delivered the current infant by normal vaginal delivery (91%) at a health facility (86%) and experienced no complications (80%). The mean EPDS score for the sample was 9.5±0.18 and 43% of the participants were found to have PDS (scores ≥10). Statistically significant relationships were found between PDS and factors such as number of female sexual partners the husband has (r=0. 28, p≤0.01); current problems in marriage (r=0.22, p≤0.01), participant's parity (r=-0.24, p≤0.05), infant's ability to breast feed (r=0.28, p≤0.05) and husband support during the postpartum period (r=0. 20, p≤0.05). Conclusion: male partners of postpartum women are a major source of factors associated with PDS in rural areas. Implication for practice: midwifery practitioners in rural settings should emphasise psychosocial assessment and male involvement in postpartum care to increase opportunities of identifying mothers at risk of PDS and implementation of interventions targeting men.

Original languageEnglish
Pages (from-to)374-379
Number of pages6
JournalMidwifery
Volume28
Issue number3
DOIs
Publication statusPublished - Jun 2012

Fingerprint

Uganda
Postpartum Period
Mothers
Depression
Postpartum Depression
Postnatal Care
Spouses
Aptitude
Sexual Partners
Public Hospitals
Health Facilities
Midwifery
Parity
Marriage
Breast
Parturition
Pregnancy

Keywords

  • Depressive symptoms
  • Male partners
  • Post partum
  • Rural uganda

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Maternity and Midwifery

Cite this

Factors associated with depressive symptoms among postpartum mothers in a rural district in Uganda. / Kakyo, Tracy Alexis; Muliira, Joshua Kanaabi; Mbalinda, Scovia Nalugo; Kizza, Irene Betty; Muliira, Rhoda Suubi.

In: Midwifery, Vol. 28, No. 3, 06.2012, p. 374-379.

Research output: Contribution to journalArticle

Kakyo, Tracy Alexis ; Muliira, Joshua Kanaabi ; Mbalinda, Scovia Nalugo ; Kizza, Irene Betty ; Muliira, Rhoda Suubi. / Factors associated with depressive symptoms among postpartum mothers in a rural district in Uganda. In: Midwifery. 2012 ; Vol. 28, No. 3. pp. 374-379.
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abstract = "Objective: across Africa the prevalence of postpartum depression is a major health problem affecting mothers, their infants and families. The purpose of this study was to explore the factors associated with postpartum depressive symptoms (PDS) among women living in a rural Ugandan district. Design: descriptive correlation design. Setting: Young-Child's Clinic of a public hospital, providing postpartum care services to approximately 450 women and their babies per month in a rural district of Uganda. Participants: 202 postpartum women who have lived in the rural district both during pregnancy and postpartum period following birth of the current infant of age ≤12 weeks. Measurements: PDS were measured using the Edinburgh Postnatal Depression Scale (EPDS). Findings: participants' mean age and number of children were 24±4.33 years and 2.85±1.26 children, respectively. Majority of participants were married (61{\%}), delivered the current infant by normal vaginal delivery (91{\%}) at a health facility (86{\%}) and experienced no complications (80{\%}). The mean EPDS score for the sample was 9.5±0.18 and 43{\%} of the participants were found to have PDS (scores ≥10). Statistically significant relationships were found between PDS and factors such as number of female sexual partners the husband has (r=0. 28, p≤0.01); current problems in marriage (r=0.22, p≤0.01), participant's parity (r=-0.24, p≤0.05), infant's ability to breast feed (r=0.28, p≤0.05) and husband support during the postpartum period (r=0. 20, p≤0.05). Conclusion: male partners of postpartum women are a major source of factors associated with PDS in rural areas. Implication for practice: midwifery practitioners in rural settings should emphasise psychosocial assessment and male involvement in postpartum care to increase opportunities of identifying mothers at risk of PDS and implementation of interventions targeting men.",
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