A survey of postpartum depression and health care needs among Chinese postpartum women during the pandemic of COVID-19.
BACKGROUND
The COVID-19 pandemic seriously endangers the public's mental health, especially to pregnant and postpartum women. But little is known about postpartum depression and health care needs among Chinese postpartum women.


AIM
To investigate the status and risk factors of postpartum depression and health care needs among Chinese postpartum women during the COVID-19 pandemic.


METHODS
In this cross-sectional study, 209 Chinese postpartum women were recruited from May to July 2020 by convenience sampling and assessed online with self-designed Maternal General Information Questionnaire, Edinburgh Postpartum Depression Scale (EPDS) and Chinese Version of the Perceived Stress Scale (CPSS). Descriptive statistics, chi-square test, independent samples t-test, one-way ANOVA, Pearson correlation and multiple linear regression were used for data analysis.


RESULTS
With the EPDS cut-off value of 10, the incidence of postpartum depressive symptoms was 56.9%. Age, history of abortion and perceived stress were the influencing factors of postpartum depression (adjusted R2 = 0.432, F = 23.611, p < .001). The top three health care needs were infant rearing guidance (78.0%), maternal and infant protection guidance (60.3%) and dietary guidance (45.0%). The proportion of psychological rehabilitation guidance needs in the depressed group was significantly higher than that in the non-depressed group (34.5% vs. 20.0%, p < .05).


CONCLUSIONS
Maternal postpartum depression in China was at a high level during the COVID-19 pandemic. Women aged 25-34, with a history of abortion and high stress levels were at higher risk for postpartum depression. Timely psychological counselling, intervention and COVID-19-related health education are in great need for postpartum women.
['An|Ran|R|', 'Chen|Xiaoli|X|', 'Wu|Yuanyuan|Y|', 'Liu|Juan|J|', 'Deng|Che|C|', 'Liu|Yanqun|Y|', 'Guo|Hongxia|H|']
D000328:Adult D000086382:COVID-19 D002681:China D003430:Cross-Sectional Studies D019052:Depression, Postpartum D005260:Female D006301:Health Services Needs and Demand D006801:Humans D015994:Incidence D011247:Pregnancy D011248:Pregnancy Complications D011569:Psychiatric Status Rating Scales D012307:Risk Factors D000086402:SARS-CoV-2 D011795:Surveys and Questionnaires
Postpartum depression Health care needs COVID-19 Perceived stress Influencing factors