Objective To understand the occurrence of postpartum depression among puerperae in six communities in Xuhui District， Shanghai， and to analyze the related influencing factors of postpartum depression， so as to provide evidence for corresponding intervention measures.
Methods A total of 476 puerperae who gave birth from August 1， 2021 to February 28， 2022 in 6 communities in Xuhui District were selected as the survey subjects. They filled out a general situation questionnaire， Edinburgh Postpartum Depression Scale （EPDS） and a questionnaire on related influencing factors. Univariate and multivariate unconditional logistic regression analysis was conducted on the related influencing factors of postpartum depression.
Results According to the EPDS score， 72 of the 476 puerperae in Xuhui District developed postpartum depression， and the incidence of postpartum depression was 15.13%. Multivariate unconditional logistic regression analysis showed that maternal introversion （OR=2.845， 95%CI：1.033‒7.842）， artificial feeding （OR=11.448，95%CI：2.438‒53.767）， postpartum insomnia （OR=2.559， 95%CI：1.244‒5.262）， lack of postpartum parenting experience （OR=2.324，95%CI：1.121‒4.820）， and family members caring about the gender of the child （OR=4.415， 95%CI：1.500‒12.994） were independent risk factors of postpartum depression， while the spouse being an only child （OR=0.434， 95%CI：0.224‒0.840） was a protective factor for postpartum depression.
Conclusion Postpartum depression in Xuhui District is affected by many factors. Screening and intervention of high-risk groups should be strengthened to reduce the incidence of postpartum depression.
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