Factors associated with postpartum depression among women with birth complications in Ghana

Background/Aims Globally, postpartum depression affects approximately 17% of women and can lead to severe consequences. This study aimed to determine the prevalence and factors associated with postpartum depression among women with birth complications in the Central Region of Ghana. Methods This cross-sectional study collected data from 1695 purposively sampled postpartum women. A structured questionnaire and the Patient Health Questionnaire depression scale were used to collect data. Multiple logistic regression was used to analyse factors associated with depression scores. Results The prevalence of postpartum depression was 11%. Women aged 25–34 years (P=0.001) and those living in peri-urban (P<0.001) and urban areas (P<0.001) were less likely to have postpartum depression. Those in tertiary education (P=0.049) and who had a moderate income were more likely to have postpartum depression (P=0.029). Conclusions Approximately one in 10 women with birth complications experienced postpartum depression. Age, education, income and place of residence influenced its prevalence. These findings should be used to inform targeted interventions. Implications for practice Continuity of care that integrates routine screening for postpartum depression and interventions to manage this condition among women with birth complications is needed.