Objective:To explore the status quo of postpartum depression at different time points in Baoding city and its correlation with parenting self-efficacy.Methods:400 women who gave birth and underwent postnatal reexamination in Baoding Second Hospital from January to June 2022 were selected.The time points were 1 month(T1),3 months(T2)and 6 months(T3)postnatal.The final study sample was 372.Depression and parenting self-efficacy at different postpartum time points were compared.Spearman correlation analysis was used to analyze the score of Edinburgh Postpartum Depression Scale(EPDS)and the Parenting Competence(PSOC)Scale(PSOC scale to assess parenting self-efficacy)at different time points after childbirth.Results:The incidence of depression at T2 was lower than that at T1(P＜0.05),the differences of PSOC scores at three time points were statistically significant(P＜0.05),compared with T1,PSOC scores at T3 were increased(P＜0.05).Spearman correlation analysis showed that EPDS scores of T1,T2 and T3 were negatively correlated with PSOC scores(rs=-0.805,-0.616,-0.581,P＜0.05).The age of 31-40 years was higher than that of 20-30 years at T1 and T3(P＜0.05).At T1,T2 and T3 time points,the incidence of depression in women with per capita family income below 4 000 yuan and 4 001-7 999 yuan,artificial feeding and poor marriage relationship was higher than that in women with per capita family income above 8 000 yuan,breastfeeding and mixed feeding,and good marriage relationship,respectively(P＜0.05).Multivariate Logistic regression showed that poor marital relationship,low PSOC score,per capita monthly family income below 4 000 yuan and artificial feeding were risk factors affecting the occurrence of postpartum depression at T1 and T2,while poor marital relationship,low PSOC score and per capita monthly family income below 4 000 yuan were risk factors for the occurrence of T3 depression(P＜0.05).Conclusion:In Baoding City,postpartum 1 month is a high incidence stage of depression,and the degree of depression in the same time is related to parenting self-efficacy.
postpartum depressioninvestigation and researchparenting self-efficacy
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