Postpartum Depression among Mothers in a Maternity Hospital Kathmandu, Nepal: A Mixed Method Approach

Area of Science:

• Obstetrics and Gynecology
• Maternal Mental Health
• Public Health

Background:

• Postpartum depression (PPD) is a significant global health issue with severe consequences for mothers and infants.
• PPD remains a neglected area in maternal healthcare, necessitating further research and intervention.

Purpose of the Study:

• To determine the prevalence of postpartum depression among mothers at Paropakar Maternity and Women's Hospital.
• To explore the lived experiences of women during pregnancy and the postpartum period, focusing on mental health challenges.

Main Methods:

• A mixed-methods, cross-sectional descriptive study was conducted from July to December 2023.
• Data were collected using in-depth interviews for qualitative insights and self-administered questionnaires for quantitative data from 271 participants.

Main Results:

• The prevalence of postpartum depression was found to be 12.24% among the 271 respondents.
• Participants reported complex physical and mental challenges during pregnancy and postpartum, including lack of social support and adherence to traditional beliefs over medical advice.
• Despite difficulties, some mothers developed coping mechanisms, emphasizing the need for accessible support systems.

Conclusions:

• Pre-pregnancy assessment and routine depression screening are vital components of postpartum care.
• Enhanced social support, mental health services, and destigmatization efforts are essential to address postpartum mental health struggles effectively.