الفهرس 
Postpartum periodOnly 14 pages are availabe for public view
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Abstract
Mental health problems are a major public health issue for women of reproductive age (18–40 years) in both high and low-income countries. About 7% of the global burden of diseases among women is contributed to mental health problems, especially among women of reproductive age.The term postpartum depression (PPD) refers to a non-psychotic depressive state that begins in the post-partum period, after the childbirth. PPD is a mood disorder that can occur at any time during the first year after delivery.Approximately 10-15% of women in the childbearing age experience this common complication of PPD. PPD affects the health of not only the mother, but also of her children, especially mother-child bonding and the relationships among family members.Postpartum depression (PPD) has been associated with tragic outcomes, such as maternal suicide and infanticide. Economic deprivations, gender of the infant, marital violence, smoking durin pregnancy and hunger have also been associated with PPD.A range of prevalence rates of postpartum depressive symptoms among post-partum women has also been found in developing countries,including India and Pakistan from 11 to 40%. Earlier studies have found that risk factors for depressive symptoms are clustered into five major groups: biological, including changes in hormone levels and the age of mother; physical, including chronic health problems and antenatal depression; psychological, including prenatal anxiety, stress, lack of social support and stressful life; obstetrics/pediatrics, including unwanted pregnancy, history of loss of pregnancy and severely ill infants; and socio-cultural, including status of mother and poverty In the current study we aimed to assess the prevalence of postpartum depression, this cross-sectional study was conducted on 500females who attends inpatients and outpatient’s clinic of Obstetric and Neuro-psychiatric Departments, Tanta Hospitals most of them from neuropsychatric clinic (about 350 females).During the period of the study, thirty patients didn’t complete the questionnaire accurately and Twenty patients developed suicida thoughts. All were excluded from the data analysis. So, the number of participating women were 450 cases. In the current study we found that according to Edinburg postnatal depression scale (EPDS), it was found that (57.3%) of patients had postpartum depression (PPD)(cases) and (42.7%) of patients had negative score(control). In this study we found that the control group age ranges from 21 to 36 with median age 31and the participant’s age range from 20 to 38 with median age 30. Their parity range from0 to 4 with median 2 and the body mass index range from 26 to 29 with median 28 in control group and from 26 to 29 with median 28 in cases and it shows no statistically significant difference between both groups.In the present study we found that comparison between both groups according to different history, There were significant difference between both groups according to occupation of the mother , residence and socioeconomic ststus We found that as regard events occurring during delivary there was a significant difference according to mode of delivary , gender of the baby and complicated delivary. Also there was a significant difference according to events occurring during peurpurium such as breast feeding status of females , complicated puerpuium and fetal incubation.As regard fetal incubation higher percentage was found in cases rather than control with percent 32.9% and 4.7% respectively