O-385 Postpartum Depression Among Women Returning to Work One Year After Delivery: A Follow-Up Study in Beijing, China

Introduction Postpartum depression (PPD) is a critical public health concern with detrimental effects on maternal well-being and child development. This study aimed to examine the depression status and related factors among working postpartum women. Methods A cohort of 424 postpartum women from ten community health service centers in six Beijing districts was investigated. Sociodemographic, occupational, and childbirth information was collected from Maternal Health Manuals and Community Maternal and Child Health Records. One year after childbirth, data on breastfeeding, maternity care, and depression status using the Edinburgh Postnatal Depression Scale (EPDS) were obtained. Prevalence of PPD was assessed in relation to occupational characteristics, and influencing factors were analyzed through logistic regression. Results 27.83% of postpartum women met the criteria for depression (EPDS score ≥ 13). PPD prevalence was significantly higher among women employed in business and enterprise management (35.80%) compared to unemployed individuals, physical workers, and professionals, government office & public institution employees (20.78%, 20.75%, 25.00%, respectively). Among women employed in business and enterprise management, receiving care from relatives (OR=0.389, 95%CI: 0.185-0.815) is negatively associated with PPD. Conversely, middle-income status (OR=5.774, 95%CI: 2.092-15.940), shorter maternity leave (OR=2.099, 95%CI: 1.005-4.385), having a baby with poor health (OR=2.392, 95%CI: 1.067-5.361), and mixed feeding (OR=2.461, 95%CI: 1.172-5.169) were positively associated with PPD. Discussion and conclusion PPD prevalence is notably elevated among women employed in business and enterprise management, and specific risk factors contribute to its occurrence. These findings highlight the need for targeted interventions to address these risk factors and prevent PPD in this population.