Prevalence and Associated Factors of Postpartum Depression Among Mothers Attending Postnatal Clinics in Katsina State

Background: Postpartum depression is underdiagnosed in Nigerian women due to stigma, limited screening, and restricted mental health literacy among nurses and midwives. Unchecked postpartum depression adversely affects maternal and infant outcomes. Aim: This study determined the prevalence and associated factors of postpartum depression among postnatal clinic attendees in Katsina State, North West Nigeria. Methods: An analytical cross-sectional study recruited 215 postnatal women through systematic sampling at six primary and secondary health facilities. The Edinburgh Postnatal Depression Scale was administered at six to eight weeks postpartum. Binary logistic regression identified associated factors. Results: The prevalence of probable postpartum depression was 31.6%. Significant independent predictors included unplanned pregnancy, lack of spousal support, history of depression, primiparity, and infant illness. Women screened at secondary facilities demonstrated higher disclosure rates. Conclusion: Postpartum depression is prevalent and underaddressed in Katsina State. Universal Edinburgh Postnatal Depression Scale screening, midwife-led psychosocial assessment, and postnatal mental health referral pathways are essential recommendations for Nigerian maternal health services. Keywords: postpartum depression, prevalence, postnatal care, Katsina, maternal mental health.