Predictors of Postpartum Depression in Korean Women: A National Cross-Sectional Study During the COVID-19 Pandemic.

Publication date: May 12, 2025

Postpartum depression (PPD) affects maternal well-being and infant development, with the COVID-19 pandemic exacerbating mental health challenges for new mothers. This study examined the prevalence and predictors of PPD among Korean mothers in the early postpartum period. A nationwide cross-sectional study was conducted in South Korea from 10 September 2021. A two-stage stratified cluster sampling method recruited 3127 mothers who gave birth between January and December 2020. Data collection included the Edinburgh Postnatal Depression Scale (EPDS) and assessments of sociodemographic, pregnancy-related, infant health, and paternal involvement factors. The prevalence of PPD (EPDS score ≥ 13) was 26. 5%. Risk factors included a history of depression during pregnancy (OR = 8. 65, p < 0. 001), multiparity (OR = 1. 03, p = 0. 012), and frequent infant medical treatments (OR = 1. 04, p < 0. 001). Protective factors included better maternal health (OR = 0. 36, p < 0. 001), longer postpartum care (OR = 0. 99, p < 0. 001), enhanced postpartum education (OR = 0. 97, p < 0. 001), positive infant health perception (OR = 0. 44, p < 0. 001), and greater paternal involvement (OR = 0. 97, p < 0. 001). PPD is influenced by multiple factors, including maternal health, infant well-being, and paternal support. Routine screening and tailored interventions are essential to improve maternal mental health. Policies promoting holistic postpartum care and paternal involvement should be prioritized, especially during global crises like COVID-19.

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Concepts Keywords
December COVID-19
Korean postpartum depression
Pandemic risk factors
Pregnancy social isolation
Stage South Korea

Semantics

Type Source Name
disease MESH Postpartum Depression
disease MESH COVID-19 Pandemic
drug DRUGBANK p-Phenylenediamine
disease IDO history
disease MESH depression
drug DRUGBANK Tropicamide
disease MESH complications
disease MESH major depressive disorder
disease MESH infection
disease MESH marital status
disease MESH educational attainment
disease MESH unplanned pregnancies
disease MESH emotional distress
disease MESH anxiety
disease MESH psychological well being
disease MESH insomnia
disease IDO country
disease MESH respiratory infections
disease MESH jaundice
disease MESH tongue tie
disease MESH conjunctivitis

Original Article

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