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A Retrospective Study on Postpartum Depression: Unpacking Maternal Age-Related Risk Factors in China's Capital

Yafan Lin1, Xiangming Che2, Tianzuo Li1*

Background: With the rising trend of advanced maternal age childbirth in urban China, the mental health of this demographic has become a focus of contemporary medical research. This study examines the incidence of postpartum depression (PPD) and its influencing factors among women aged over 35 in Beijing.

Methods: We conducted a retrospective study involving 443 women, utilizing the Edinburgh Postnatal Depression Scale (EPDS) to assess PPD. Demographic data, socioeconomic status, and lifestyle habits were analyzed. Multivariate logistic regression was applied to determine the factors significantly associated with PPD.

Results: The mean EPDS score was 8.06±4.14, with 23.82% of participants scoring above the threshold for PPD. High educational attainment and income levels appeared to confer a protective effect, while indicators such as unplanned pregnancies, compromised sleep quality, and postpartum physical discomfort significantly increased the risk of PPD.

Conclusion: The prevalence of PPD in Beijing's advanced maternal age group is influenced by a complex interplay of socioeconomic and lifestyle factors. The findings advocate for a multidisciplinary approach to prenatal and postnatal care, emphasizing the need for policies that support mental health in late maternal age, potentially benefiting both mother and child.