Predictors of Maternal Blouse in the Postpartum Period Based on Social Determinants of Health of the World Health Organization Model: A Path Analysis

Objective The aim of this study was to determine the Predictors of maternal blouse in the postpartum period based on social determinants of health of the World Health Organization model: a path analysis Methods This cohort study was conducted on 449 women have given birth who were referred to health care centers of Shahid Beheshti University of Medical Sciences. The sampling method was a multi-stage random method. The tools used in this research were questionnaires on demographic characteristics and gynecology and obstetrics, socio-economic status, and psychosocial factors, perceived social support, stressful life events and behavioral factors questionnaire. Postpartum mother's blouse postpartum was also measured based on Stein's questionnaire. The data was analyzed using SPSS version 24 software. Results The information of 449 pregnant women participating in the study was examined. According to the findings, the mean age of women was 26.96±4.46 years and their husbands’ mean age was 32.17±5.6 years. The path analysis results demonstrated that among the variables related to maternal blouse through one path, in the indirect path analysis, socio-economic status had the most negative effect on maternal blouse and also in the direct path analysis, DASS21 showed the most negative effect on maternal blouse (B=-0.19) and unfortunate event had the most positive effect (B=0.18). Violence has the most positive effect on maternal blouse in both path analyses (B=0). Discussion Considering the importance of the role and the high prevalence of maternal blouse in the mental health of women after childbirth, it seems necessary to pay attention to these factors for prevention and screening in terms of timely diagnosis and necessary measures.