| dc.description.abstract | Abstract
INTRODUCTION: Teenage pregnancy is a serious health problem with social
consequences all around the world, which has been defined as pregnancy in women between
the age of 10 to 19 years old. Pregnancy at this age can have considerable negative effects
on the individual, the society, and the economy, and may cause health consequences.
Adolescent mothers do face the risk of having more mental problems due to their postpartum
period, state of growth, and development. The purpose of the current study is to investigate
postpartum depression, distress, and post-traumatic stress disorder following childbirth in
adolescent mothers refering to the medical health centres in Tabriz, and their relationship
with exclusive breastfeeding.
METHOD: This is a cross-sectional study that was conducted on 167 teenage newmothers
of the age of 10 to 19 in Tabriz city who had given birth. The sampling was conducted
through the total population sampling method. For each participant, in order to investigate
post-traumatic stress disorder following childbirth the PCL-5 questionnaire, for investigating
postpartum depression the EPDS questionnaire, and for investigating postpartum distress the
PDM questionnaire, was completed 8 weeks after delivery.
RESULTS: This study was conducted from (September 2021) until (August 2022). The
mean (standard deviation) age of the participants was 18.09 (0.98) years. The results showed
that 12.6% (21 people) of the participants had severe depression, 7.2% (12 people) had PTSD
after delivery, and 68.9% of the mothers had exclusive breastfeeding. The Logistic regression
test was used to determine the predictors of postpartum depression, post-traumatic stress
disorder following delivery, and exclusive breastfeeding. The results showed that insufficient
income (OR=4.32, P=0.015) and depression history (OR=8.33, P=0.049) variables were the
predictors of postpartum depression, and unwanted pregnancy (OR=9.39, P=0.008) =), lack
of support from the spouse (OR = 10.31, P = 0.006), insufficient income (OR = 0.77, P =
0.07), and infant restlessness variables are predictors of post-traumatic stress disorder
following childbirth. The Linear regression test was used to determine the predictors of
postpartum distress. The results showed that the variables like the number of children
(B=1.17, P=0.020), lack of satisfaction with married life (B=2.2, P=0.001), and depression
history before pregnancy (B=1.1, P=0.013), were including the risk factors associated with
postpartum distress.
CONCLUSION: identifying mothers with depression history and setting the correct and
optimal diagnosic and screening systems in preconcertion period and pregnancy care by
health care providers, is very important. They can identify modifiable risk factors and may
improve the mental health of adolescent mothers. Moreover, due to the lifelong benefits of
breast milk on the health of the mother and child, by promoting education about the
appropriate age of childbirth, the benefits of natural childbirth, and identifying mothers with
a history of depression, we can increase exclusive breastfeeding, improve the health of the
mother and child, and impose fewer costs on the family and society. | en_US |
