Postpartum depression associated with sex preference among rural Bangladeshi mothers

Tanjida Chowdhury; M. Nazrul Islam

doi:10.18203/2320-6012.ijrms20244095

Authors

Tanjida Chowdhury Department of Reproductive and Child Health, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka, Bangladesh
M. Nazrul Islam Department of Reproductive and Child Health, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2320-6012.ijrms20244095

Keywords:

Child development, Maternal mental health, Postpartum depression, Rural Bangladesh, Sex preference

Abstract

Background: Maternal depression, particularly postpartum depression (PPD), significantly impacts women’s well-being and can have long-term effects on child health, development, and behavior. The purpose of this study was to evaluate the association between postpartum depression and sex preference among rural Bangladeshi mothers. The aim of the study was to evaluate the association between postpartum depression and sex preference among rural Bangladeshi mothers.

Methods: This cross-sectional study, conducted in Banchanagar village, Laxmipur District, Bangladesh, from January to December 2014, focused on postpartum depression among rural mothers with children aged 0-12 months and its association with sex preference. A total of 219 postpartum women, aged 15-49 years, participated. Data were collected using a pre-tested, semi-structured questionnaire, including the Edinburgh postnatal depression scale (EPDS), with double data entry and analysis in SPSS.

Results: Of the 219 mothers, most had a wanted pregnancy (87.20%), with 60% experiencing complications during pregnancy. Most had no family history of depression, and a majority showed a low probability of depression. Over half considered the sex of the child, with most satisfied with it. Logistic regression showed that the sex of the child, the husband's views, and the mother’s satisfaction were significant factors influencing postpartum depression.

Conclusions: In rural Bangladesh, postpartum depression is notably higher among mothers who give birth to female children, driven by strong cultural preferences for male offspring and negative family reactions toward daughters.

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References

Wachs TD, Black MM, Engle PL. Maternal depression: a global threat to children’s health, development, and behavior and to human rights. Child Develop Perspect. 2009;3(1):51-9.

Anderson CA. Using the Edinburgh postnatal depression scale to screen for symptoms of depression among Latina, African American and Caucasian Adolescents. South Online J Nurs Res. 2008;10(1):Art-03.

Thurgood S, Avery DM, Williamson L. Postpartum depression (PPD). Am J Clin Med. 2009;6(2):17.

Jose D. Comparison of postpartum depression among primi and multi para mothers in a view to develop self-instructional module for family members on prevention of postpartum depression. Rajiv Gandhi University of Health Science. 2009.

Cox JL, Murray D, Chapman G. A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatr. 1993;163(1):27-31.

Kar SK, Kumar R, Jyrwa S. Unmet expectations from pregnancy attributing to post-partum depression: an impact of gender discrimination. Indian J Appl Res. 2013;3(5):504-5.

Tortajada S, García-Gomez JM, Vicente J, Sanjuán J, de Frutos R, Martín-Santos R, et al. Prediction of postpartum depression using multilayer perceptrons and pruning. Methods Inform Med. 2009;48(03):291-8.

Crist NG. Women’s perceptions of postpartum stress: A narrative analysis. University of South Florida; 2010.

Hank K, Kohler HP. Gender preferences for children in Europe: Empirical results from 17 FFS countries. Demogr Res. 2000;2.

Tsivos Z, Wittkowski A, Calam R, Sanders M. Postnatal depression- the impact for women and children and interventions to enhance the mother-infant relationship. Perspective. 2011:16-20.

Dennis CL, McQueen K. The relationship between infant-feeding outcomes and postpartum depression: a qualitative systematic review. Pediatrics. 2009;123(4):e736-51.

Sawyer A, Ayers S, Smith H, Sidibeh L, Nyan O, Dale J. Women’s experiences of pregnancy, childbirth, and the postnatal period in the Gambia: a qualitative study. British J Health Psychol. 2011;16(3):528-41.

Tranmer AS. Barriers to care for women with postpartum depression: an integrative review of the qualitative literature. Montana State University; 2013.

Pope S, Pope S. Postnatal depression: a systematic review of published scientific literature to 1999: an information paper. National Health and Medical Research Council; 2000.

Coates R, Ayers S, De Visser R. Women’s experiences of postnatal distress: a qualitative study. BMC Pregnancy Childbirth. 2014;14:1-4.

Nag A, Singhal P. Gender preference towards male child among Uttar Pradesh migrants in Ludhiana, Punjab, India. Anthropologist. 2013;15(2):219-23.

Fagan J, Lee Y. Perceptions and satisfaction with father involvement and adolescent mothers’ postpartum depressive symptoms. J Youth Adolesc. 2010;39:1109-21.

Patel V, Rodrigues M, DeSouza N. Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatr. 2002;159(1):43-7.

Edhborg M, Hogg B, Nasreen HE, Kabir ZN. Impact of postnatal maternal depressive symptoms and infant’s sex on mother-infant interaction among Bangladeshi women. Health. 2013;5(02):237.

Gupta S, Kishore J, Mala YM, Ramji S, Aggarwal R. Postpartum depression in north Indian women: prevalence and risk factors. J Obstet Gynecol India. 2013;63:223-9.