الفهرس 
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Abstract
Postpartum depression is a major public health problem affects women during the first year after child birth. Having a new baby is a source of great joy, happiness and satisfaction for most women. However, it is associated with emotional and psychological disorders such as PPD. Hundreds of researches took place all over the world by the end of the last century to investigate this global burden and to detect its prevalence, risk factors and impaction on the mother, baby, family and the society.
This study was a cross sectional study that was conducted on 257 women attending the vaccination sessions of their babies at two, four and six months postpartum in three primary health care centres at Asyut city (Kedwany Primary Health Care Centre (KPHCC), Walidea Primary Health Care Centre (WPHCC) and Qlta Primary Health Care Centre (QPHCC) during the period from June 2013 to January 2014. The study aimed to detect the prevalence of PPD in the studied sample and to detect the association between PPD and socio-economic status as a major risk factor and other associated risk factors.
By using EPDS with a cut-off point ≥ 13, about one third of the study population (33.5%) scored above the threshold for possible PPD. husband’s occupation, socioeconomic status, parity, stressful life events, familial support, unwanted pregnancy and male preference were significantly associated with PPD in the univariate analysis, while age, mother’s education, mother’s occupation, husband’s education, infant age, history of depression, history of PPD, family history of depression, breast feeding and pregnancy related obesity were not associated PPD. Independently associated risk factors detected by final multivariate regression analysis were SES (AOR =0.4, 95% CI 0.1 - 0.8), history of depression (AOR =3.3, 95% CI 1.3 – 4.9), history of PPD (AOR =2.1, 95% CI 1.4 – 5.2), history of stressful conditions (AOR =1.9, 95% CI 1.2 – 3.8), familial support (AOR =0. 91, 95% CI 0.3 – 0.97), unwanted pregnancy (AOR =1.4, 95% CI 1.1 – 2.6) and male preference (AOR =1.5, 95% CI 1.1 – 3.1).
High risk group must be detected during the antenatal routine examination and educational programs for the high risk group is suggested to be added. Postpartum assessment should be done during the postpartum routine examination to overcome this problem.