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Journals / Osmangazi Tıp Dergisi / 2026 / Cilt: 48 Sayı: 6

Postpartum Depression Risk in Mothers According to Infant Level of Care: A Cross-Sectional Study

Bebeğin Bakım Düzeyine Göre Annelerde Postpartum Depresyon Riski: Kesitsel Bir Çalışma

Sümeyye Baysal(Balıkesir Atatürk Şehir Hastanesi)0000-0002-1382-2906
Erhan Özbek(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR DR. BEHÇET UZ ÇOCUK HASTALIKLARI VE CERRAHİSİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0009-0009-0960-885X
Pages
1169–1181
Publication Date
2026-09-22
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Overall, 30.4% of participants had elevated postpartum depression risk.

📌 3 Key Takeaways

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Objective & Hypothesis:Postpartum depression is a common maternal mental health problem.
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Key Findings & Data:This cross-sectional study included 240 mothers of infants aged 1–3 months recruited from three clinical settings at a single children's hospital.
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Conclusion & Impact:Overall, 30.4% of participants had elevated postpartum depression risk.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:bebek · hastaneye yatırılmış çocuk · multiparite

Abstract

Postpartum depression is a common maternal mental health problem. This study aimed to compare postpartum depression risk among mothers of healthy infants, mothers of infants evaluated as outpatients, and mothers of hospitalized infants, and to identify factors independently associated with elevated risk. This cross-sectional study included 240 mothers of infants aged 1–3 months recruited from three clinical settings at a single children's hospital. Postpartum depression risk was assessed using the Edinburgh Postnatal Depression Scale (EPDS >12). Associated factors were evaluated using univariate and multivariable logistic regression analyses. A total of 120 mothers of healthy infants, 61 mothers of infants evaluated as outpatients, and 59 mothers of hospitalized infants were included. Overall, 30.4% of participants had elevated postpartum depression risk. The proportion with elevated risk differed significantly across the three groups (chi-square test, p=0.020): 44.1% among mothers of hospitalized infants, versus 28.3% among mothers of healthy infants and 21.3% among mothers of infants evaluated as outpatients. In multivariable analysis, infant hospitalization (adjusted OR=2.22, 95% CI 1.09–4.56), having more than three children (OR=5.27, 95% CI 2.02–14.54), lower self-reported marital satisfaction (OR=6.75, 95% CI 2.45–20.71), and smoking during pregnancy (OR=2.95, 95% CI 1.19–7.46) were independently associated with elevated risk. Infant hospitalization, lower self-reported marital satisfaction, having more than three children, and smoking during pregnancy were independently associated with elevated postpartum depression risk. Routine psychosocial assessment during postpartum follow-up may facilitate early identification of mothers requiring additional support.

Özet

Postpartum depresyon, hem anneyi hem de bebeği olumsuz etkileyebilen yaygın bir anne ruh sağlığı sorunudur. Bu çalışmada sağlıklı bebek anneleri, ayaktan değerlendirilen bebek anneleri ve hastanede yatan bebek anneleri arasında postpartum depresyon riskinin karşılaştırılması ve artmış postpartum depresyon riski ile bağımsız olarak ilişkili faktörlerin belirlenmesi amaçlanmıştır. Bu kesitsel çalışmaya, tek bir çocuk hastanesinin üç farklı klinik biriminden alınan 1–3 aylık bebeğe sahip 240 anne dahil edilmiştir. Postpartum depresyon riski Edinburgh Doğum Sonrası Depresyon Ölçeği (EPDÖ >12) ile değerlendirilmiştir. Artmış riskle ilişkili faktörler tek değişkenli ve çok değişkenli lojistik regresyon analizleri ile incelenmiştir. Çalışmaya 120 sağlıklı bebek annesi, 61 ayaktan değerlendirilen bebek annesi ve 59 hastanede yatan bebek annesi dahil edilmiştir. Katılımcıların %30,4'ünde artmış postpartum depresyon riski saptanmıştır. Artmış postpartum depresyon riski oranı üç grup arasında anlamlı farklılık göstermiştir (ki-kare testi, p=0,020); bu oran hastanede yatan bebek annelerinde en yüksekti (%44,1; sağlıklı bebek anneleri %28,3, ayaktan değerlendirilenler %21,3). Çok değişkenli analizde bebeğin hastanede yatması (düzeltilmiş OR=2,22; %95 GA 1,09–4,56), üçten fazla çocuk sahibi olma (OR=5,27; %95 GA 2,02–14,54), öz bildirime dayalı düşük evlilik doyumu (OR=6,75; %95 GA 2,45–20,71) ve gebelikte sigara kullanımı (OR=2,95; %95 GA 1,19–7,46) artmış postpartum depresyon riski ile bağımsız olarak ilişkili bulunmuştur. Bebeğin hastanede yatması, öz bildirime dayalı düşük evlilik doyumu, üçten fazla çocuk sahibi olma ve gebelikte sigara kullanımı artmış postpartum depresyon riski ile bağımsız olarak ilişkiliydi. Doğum sonrası izlemde rutin psikososyal değerlendirme, ek desteğe gereksinim duyan annelerin erken dönemde belirlenmesine katkı sağlayabilir.

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Cite This Article

Baysal, S., Özbek, E. (2026). Postpartum Depression Risk in Mothers According to Infant Level of Care: A Cross-Sectional Study. Osmangazi Tıp Dergisi, Cilt: 48 Sayı: 6, 1169–1181. https://doi.org/10.20515/otd.1972733

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