Abstract To examine the status of postpartum worries of women with the second-born or the first-born, and to study its impact on the postpartum depression of the women. Methods: From October to December 2019, 373 women within one year after giving birth were surveyed by the Self-compiled Basic Pregnancy Questionnaire and the Edinburgh Postnatal Depression Scale. Results: Within one year after delivery, the detection rate of postpartum depression of women with the second-born was 66.1%, which was significantly higher than that (44.2%) of women with the first-born (χ2=18.08, P<0.001). Worried about postpartum work (OR=9.04, 95%CI 2.53~32.33) and child education (OR=4.90, 95%CI 1.30~18.39) were the risk factors of postpartum depression of women with the first-born. Worried about postpartum economic (OR=4.63, 95%CI 1.08~19.95) and postpartum physical recovery (OR=11.64, 95%CI 2.45~55.36) were the risk factors of postpartum depression of women with the second-born. Conclusion: Compared with the women with the first-born, the mental health of women after the second childbirth is worse and should be given higher attention.
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