Postpartum morbidity and help-seeking behaviours in Iran

Health problems arising in pregnancy, delivery or the postpartum period are often resolved within 6 weeks after delivery. However, many health problems persist and can have an effect on activities of daily living. Some mothers may not initiate consultation, making it difficult for health providers to treat subsequent problems. The aim of this study was to assess mothers’ experiences of postpartum maternal morbidity, the prevalence of depression and fatigue 6 weeks after delivery and postpartum help-seeking behaviours. Method: In this study 1330 mothers who visited public health centres in Tabriz, Iran, were interviewed about their health problems experienced within 6 weeks after delivery and their help-seeking behaviours. The Edinburgh Postnatal Depression Scale and Fatigue Identification Form were also used to assess depression and fatigue respectively. The Chi square test was used to assess associations between some variables. Results: The majority of the women (89%) reported experience of one or more health problems in their postnatal period. The problems included backache (53%), headache (50%), fatigue (44%) and constipation (27%) among other problems. Conclusion: With a majority of women not seeking help, the timing and content of antenatal care visits, and postpartum care should be reexamined and include more information about postpartum problems.