Investigating the relationship between disrespect and abuse during childbirth with postpartum depression in mothers who referred to comprehensive health centers in Saqqez city, in 2023

Articles in Press

Document Type : Original Article

Authors

1 Department of Midwifery, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran

2 Master's student, Students Research Committe, Kurdistan University of Medical Sciences, Sanandaj, Iran.

3 Professor, Department of Midwifery, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.

4 Lecture, Department of Midwifery, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.

10.22038/ijogi.2025.84485.6286

Abstract

Background and Objective: Identifying risk factors for postpartum mental disorders such as depression, given its importance and complications, is a step towards improving maternal health. Therefore, the present study was designed and implemented with the aim of determining the relationship between disrespect and abuse during childbirth and postpartum depression.

Methods: This research is a cross-sectional study that was conducted in 1402 among 348 mothers referring to comprehensive health centers in Saqqez city. The data collection tool included a form for recording demographic and clinical characteristics, a checklist for disrespect and abuse during childbirth, and the Edinburgh Postpartum Depression Questionnaire.

Results: The results of the study showed that 68.2% of the participants in the study had experienced at least one case of disrespect and mistreatment during childbirth, and the mean overall score was 1.47 ± 1.3 (range 0-6). The most common form of disrespect and mistreatment experienced by women was care without consent (59.3%) and abandonment of care (30.9%), and the least common was discrimination (2.3%). The rate of postpartum depression was 32.1%. The results of multivariate regression analysis showed that having high school (P=0.02) and university (P=0.04) education and high spousal support (P=0.05) played a preventive role in the occurrence of postpartum depression, a

Conclusion: Improving the level of care provided during childbirth by educating midwifery personnel about the importance of respecting mothers and regularly monitoring their performance plays an important role in preventing postpartum mental disorders.

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The Iranian Journal of Obstetrics, Gynecology and Infertility

Articles in Press, Accepted Manuscript
Available Online from 26 May 2025

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