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Trop Doct. 2006 Apr;36(2):100-3.

Risk factors of postpartum depression and EPDS scores in a group of Nigerian women.

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  • 1Psychiatric Hospital, Yaba, Lagos, Nigeria.


A sample of 252 women was studied for postpartum depression (PPD) in a 68-bed maternity hospital in Lagos, Nigeria. After obtaining consent, they were assessed using: (1) a questionnaire on socio-demographic profile and risk factors of PPD; (2) the Edinburgh Postnatal Depression Scale (EPDS), and when necessary with (3) the depressive module of International Classification of Diseases, 10th edition (ICD-10). The cohort was predominantly young (mean age 28.5 +/- 5.26 years). About one-quarter (23%) scored > or =12, (the cut-off score) on EPDS assessment; with majority of these depressed on further evaluation with ICD-10. The risk factors for PPD were found to be mainly psychosocial, including unwanted pregnancy, unemployment and marital conflict. It is concluded that PPD is a major complication of childbirth in Nigeria, which can be minimized by improving both the citizens' socioeconomic condition and providing cheaper and more efficient health-care services.

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