Maternal Self Efficacy and Relationship with Postpartum Depression and Functional Status in Mother's referring to Health Centers of Bonab City 2015

Abstract

Abstract: Introduction: Readiness in caring for family, newly-added member, and self and regaining A pre-‎pregnancy functional status are the important aspects of maternal postpartum adjustment. This ‎study aimed to determine the relationship between maternal self-efficacy, postpartum depression ‎and functional status in Iranian mothers, 2015. ‎Materials and methods: This cross-sectional study was conducted on 437 newly delivered ‎mothers visiting the healthcare centers of Bonab, Iran. Random sampling method was employed. ‎Data was collected through socio-demographic characteristics, Edinburgh postpartum depression, ‎maternal self-efficacy and functional status questionnaires. Analysis included descriptive ‎statistics and Pearson, t-test, ANOVA and multivariate linear regression model was used to ‎analyze the data. ‎Results: Mean (SD) score of the maternal self-efficacy was 32.1 (4.1) (range: 10 to 40). Mean ‎‎(SD) postpartum depression score was 8.3 (5.3) (range: 0 to 30) and Mean (SD) of the total ‎functional status score was 2.3 (0.2) from the obtainable range score of 1 to4. The maximum and ‎the minimum scores were in infant care [3.6 (0.3)], and social activities and society [1.4 (0.4)] ‎subdomains, respectively. There was a significant inverse correlation between maternal self-‎efficacy and postpartum depression (r=-0.30, p<0.001).There was a significant inverse correlation ‎between postpartum depression with total score of functional status (r=-0.14, p=0.003), self-care ‎‎(r=-0.09, p=0.04) and social activities and society subscales (r=-0.1, p<0.001). In addition, there ‎was a significant positive relationship between self-efficacy with overall score of functional ‎status (r=0.33, p<0.001) and all of its sub-scales (r=0.23-0.12, p<0.05). ‎Conclusion: Maternal self efficacy is variables that affect functional status and maternal ‎postpartum depression. Therefore, the early diagnosis and treatment of depression on the one ‎hand and the promotion of maternal self-efficacy on the other hand can improve it and help ‎mothers in postpartum adjustment.‎