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In order to improve the current situation of high burden of PPD, this study explores the factors affecting PPD from the multidimensional perspectives with physiology, family support and social support covering the full-time chain of pre-pregnancy\u2013pregnancy\u2013postpartum.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A follow-up survey was conducted in the Qujing First People\u2019s Hospital of Yunnan Province from 2020 to 2022, and a total of 4838 pregnant women who underwent antenatal checkups in the hospital were enrolled as study subjects. Mothers were assessed for PPD using the Edinburgh Postnatal Depression Scale (EPDS), and logistic regression was used to analyse the level of mothers\u2019 postnatal depression and identify vulnerability characteristics.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The prevalence of mothers\u2019 PPD was 46.05%, with a higher prevalence among those who had poor pre-pregnancy health, had sleep problems during pregnancy, and only had a single female fetus. In the family support dimension, only family care (OR\u2009=\u20090.52, 95% CI 0.42\u20130.64) and only other people care(OR\u2009=\u20090.78, 95% CI 0.64\u20130.96) were the protective factors of PPD. The experience risk of PPD was higher among mothers who did not work or use internet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The PPD level in Yunnan Province was significantly higher than the global and Chinese average levels. Factors affecting mothers\u2019 PPD exist in all time stages throughout pregnancy, and the influence of family support and social support on PPD shouldn\u2019t be ignored. There is an urgent need to extend the time chain of PPD, move its prevention and treatment forward and broaden the dimensions of its intervention.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00127-024-02686-2","type":"journal-article","created":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:02:21Z","timestamp":1716595341000},"page":"2041-2048","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Multidimensional influencing factors of postpartum depression based on the perspective of the entire reproductive cycle: evidence from western province of China"],"prefix":"10.1007","volume":"59","author":[{"given":"Yiyun","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinwei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengmei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guanghong","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingyan","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ye","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dingyun","family":"You","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"key":"2686_CR1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.649972","volume":"12","author":"P Guo","year":"2021","unstructured":"Guo P, Xu D, Liew Z et al (2021) Adherence to traditional Chinese postpartum practices and postpartum depression: a cross-sectional study in Hunan, China. 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