Korean J Women Health Nurs.  2009 Sep;15(3):216-223. 10.4069/kjwhn.2009.15.3.216.

Influencing Factors of Postpartum Depression between 4 to 6 Weeks after Childbirth in the Postpartum Women

  • 1Department of Nursing, Dankook University, Chonan, Korea. songje@dankook.ac.kr


The purpose of this study was to investigate the influencing factors of postpartum depression among parturient women between 4 to 6 weeks after childbirth. METHODS: The participants were 146 healthy postpartum women who delivered at three women's health hospitals in Chungnam province in 2008. Data were collected by a self-report questionnaire. Collected data were analyzed by using the SPSS WIN 14.0 program. RESULTS: There was a significant difference in postpartum depression depending on the educational level. Postpartum depression was significantly correlated with childcare stress, social support, infant fussiness, Sanhujori satisfaction, subjective health condition, and sleep satisfaction. Stepwise multiple regression analysis showed that postpartum depression was significantly predicted by childcare stress, Sanhujori satisfaction and subjective health condition. These variables explained 49.0% of the variance of postpartum depression. CONCLUSION: It is concluded that a nursing intervention for postpartum depression should focus on decreasing childcare stress and improving Sanhujori satisfaction. Further studies are required to verify and substantiate the effect of the developed nursing intervention programs.


Puerperium; Women; Depression

MeSH Terms

Depression, Postpartum
Postpartum Period
Surveys and Questionnaires
Women's Health

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1. Ahn S. Canonical correlation between Korean traditional postpartum care performance and postpartum health status. J Korean Acad Nurs. 2005. 35(1):37–46.
2. Bates J., Freeland C., Lounsbury M. Measurement of infant difficulties. Child Dev. 1979. 50:794–803.
3. Cheon J.A. The effect of postpartum stress and social network on the postpartum depression. 1990. Seoul: Korea University;Unpublished master's thesis.
4. Chon K.K., Rhee M.K. Preliminary development of Korean version of CES-D. Korean J Clin Psychol. 1992. 11(1):65–76.
5. Cutrona C.E. Social support and stress in the transition to parenthood. J Abnorm Psychol. 1984. 93:378–390.
6. Ferrini A.F., Ferrini P.L. Health in the later years. 2000. 3rd ed. Boston: McGraw-Hill Higher Education.
7. Honey K.L., Bennett P., Morgan M. Predicting postnatal depression. J Affect Disord. 2003. 76:201–210.
8. Huang C.M., Carter P.A., Guo J.L. A comparison of sleep and daytime sleepiness in depressed and non-depressed mothers during the early postpartum period. J Nurs Res. 2004. 12(4):287–296.
9. Hung C.H. Women's postpartum stress, social support, and health status. Western J Nurs Res. 2005. 27(2):148–159.
10. Jang E.J. Psychosocial and obstetric factors associated with postpartum depressive symptoms. 2007. Seoul: Dongguk University;Unpublished master's thesis.
11. Jung M.H., Kim J.I. A study on the relationship among prenatal emotional status, preparation for delivery, postpartum social support and postpartum blues. Korean J Women Health Nurs. 2005. 11(1):38–45.
12. Kim J.W., Kim J.H., Eun D.W., Kim H. Psychosocial and obstetric predictors of depressive symptomatology at postpartum 4 weeks. Korean J Obstet Gynecol. 2005. 48(4):901–909.
13. Kim J.Y., Kim J.G. Psycho-social predictors model of postpartum depression. Korean J Health Psychol. 2008. 13(1):111–140.
14. Kwon M., Kim H., Kim N., Jang J. Postpartum depression and maternal role confidence, parenting stress, and infant temperament in mothers of young infants. J Korean Acad Child Health Nurs. 2006. 12(3):314–321.
15. Lee H.K. A structural model of maternal role attainment of primipara in postpartum period. 1992. Seoul: Seoul National University;Unpublished doctoral dissertation.
16. Lee Y.H. Patterns of infant-father attachment in the strange situation. 1993. Seoul: Kyunghee University;Unpublished doctoral dissertation.
17. Lee K.H., Lee Y.S. The women's health nursing. 2004. Seoul: Hyunmoonsa.
18. Leung S., Martinson I., Arthur D. Postpartum depression and related psychosocial variables in Hong Kong Chinese women: Finding from a prospective study. Res Nurs Health. 2005. 28:27–38.
19. Logsdon M.G., Wisner K.L., Pinto-Foltz M.D. The impact of postpartum depression on mothering. J Obstet Gynecol Neonatal Nurs. 2006. 35(5):652–658.
20. McGrath J.M., Records K., Rice M. Maternal depression and infant temperament characteristics. Infant Behav Dev. 2008. 31(1):71–84.
21. Milligan R.A. Maternal fatigue during the first three months of the postpartum period. 1989. Baltimore: University of Maryland;Unpublished doctoral dissertation.
22. Nunnally J.C., Bernstein I.H. Psychometric theory. 1994. 3rd ed. New york: McGraw-Hill.
23. Park Y.H. Transition to motherhood of primipara in postpartum period. 1991. Seoul National University: Seoul;Unpublished doctoral dissertation.
24. Park Y.J., Shin H.J., Ryu H.S., Cheon S.H., Moon S.H. The predictors of postpartum depression. J Korean Acad Nurs. 2004. 34(5):722–728.
25. Radloff L.S. The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurement. 1977. 1:385–401.
26. Ryu J.M. Postpartum depression and its predictors at 1 to 6 months postpartum in Korea. 2008. Seoul: Hanyang University;Unpublished mater's thesis.
27. Song J.E. Predictors of postpartum fatigue between early and late postpartum period in parturient women -Divided by 3/4 weeks of postpartum period-. Korean J Women Health Nurs. 2007. 13(4):299–309.
28. Taylor P.M., Taylor F.H., Cambell S.B., Malino J.A., Cannon M. Extra early physical contact and aspect of the early mother-infant relationship. Acta Paediatr Scand Suppl. 1985. 316:3–14.
29. Troy N.W. A comparison of fatigue and energy levels at 6 weeks and 14 to 19 weeks postpartum. Clin Nurs Res. 1999. 8(2):135–152.
30. Webb D.A., Bloch J.R., Coyne J.C., Chung E.K., Bennett I.M., Culhane J.F. Postpartum physical symptoms in new mothers: Their relationship to functional limitations and emotional well-being. Birth. 2008. 35(3):179–187.
31. Yeo J.H. Postpartum depression and its predictors at six months postpartum. Korean J Women Health Nurs. 2006. 12(4):355–362.
32. Yoo E.K. Health promoting behavior for women's health: An analysis on meanings of Sanhujori, Korean postpartal care. Korean J Nurs Query. 1993. 2(2):37–65.
33. Yoo E.K. A study on functional status sfter childbirth under the Sanhujori. Korean J Women Health Nurs. 1999. 5(3):410–419.
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