Analysis of the Current Status and Influencing Factors of Postpartum Depression in Hospitalized Parturient Women Under the Three-Child Policy

Abstract

[Objective] To investigate the current status of postpartum depression (PPD) among women during their hospital stay under the three-child policy and to analyze its influencing factors. [Methods] Women who gave birth in the obstetrics department of a tertiary hospital between December 2024 and March 2025 were selected as research participants. Data were collected using a general information questionnaire, the Edinburgh Postnatal Depression Scale (EPDS), and the Social Support Rating Scale (SSRS). The incidence of PPD during hospitalization was analyzed, and its influencing factors were explored. [Results] A total of 252 women were included in the study, with 37 cases (14.7%) in the PPD group and 215 cases (85.3%) in the non-PPD group. Univariate analysis showed no significant differences between the two groups in mode of delivery, age, parity, marital status, annual family income, presence of a nanny, postpartum care center attendance, or employment status (P > 0.05). Significant differences were observed in planned pregnancy, feeding method, history of previous PPD, educational level, sleep quality, and social support (P < 0.05). Binary logistic regression analysis identified feeding method, history of previous PPD, educational level, sleep quality, and social support as independent risk factors for PPD (P < 0.05). [Conclusion] Under the three-child policy, the occurrence of PPD is influenced by multiple factors. Targeted interventions should be implemented during hospitalization based on these independent factors. Personalized education for high-risk individuals and continuous nursing services are essential to reduce the risk of PPD and ensure the well-being of both mother and child.