Prevalence and Clinical Presentations of Postpartum Obsessive-Compulsive Disorder in Iranian Pregnant Women

Introduction: Pregnancy, childbirth, and maternity are correlated with the heightened risk of the evolvement of postpartum obsessive-compulsive symptoms. This study aimed to inquire about the prevalence rate, clinical presentations, and relevant factors of postpartum Obsessive-Compulsive Symptoms (OCS). Method: This cross-sectional study evaluated OCD in the postpartum period of women referred to the Imam Hospital in Sari, Mazandaran province, Iran. The sample population included ۳۵۹ pregnant women who delivered their babies during the first half of ۲۰۱۸. The samples were taken using the convenience sampling method. Patients who scored ۱۲ or higher in the Maudsley Obsessive-Compulsive Inventory completed the Yale-Browne Obsessive-Compulsive Scale self-report, and the Life Event Checklist were included in the study. Finally, data were analyzed using IBM SPSS version ۲۴. Results: The ۳۵۹ mothers were in the range of ۱۴ to ۳۵ years old. Accordingly, ۶۲.۱% (۲۲۳) were urban women while ۳۷.۹% (۱۳۶) were rural, ۲۰.۶% (۷۴) had preterm infants, ۵۶.۸% (۲۰۴) term infants, and ۲۲.۳% (۸۰) were post-term. Maudsley’s test showed that ۴۸.۵% (۱۷۴) of the mothers had a positive OCD result. The total scorein Yale-Brown was significant, and had a reverse correlation with the mother’s residency (t = -۱۷۳, p = ۰.۰۲) and significant correlation with the age of a pregnancy (t = ۲۶۹, p= ۰.۰۰۱(. Conclusion: According to the results of the Maudsley test, women are at risk of OCD during the postpartum period. Actually, OCD affects the mother-baby relation, mother’s anxiety, and depression and should be addressed during womens’ postpartum clinical care.

کلیدواژه ها:

clinical presentations ، Obsessive-compulsive disorder ، Postpartum ، Prevalence