Dese

Postpartum depression (PPD) is a common mental health condition that can occur after childbirth, particularly affecting teenage mothers in low-income settings. This trial focuses on Ethiopian first-time teenage mothers aged 13 to 19 years to evaluate the feasibility and preliminary effectiveness of a childbirth education program based on salutogenic and self-efficacy theories. The study aims to improve mothers' psychological well-being and reduce the risk of postpartum depression, which is notably higher among teenage mothers in Ethiopia compared to the global average. The intervention includes six sessions: three during pregnancy and three after birth. These sessions consist of two individual face-to-face education meetings lasting 60 to 90 minutes each, two phone calls of 30 minutes each, and two group discussions lasting 90 to 120 minutes. The control group will receive the usual maternity care available at the selected hospitals. The education program is designed to strengthen mothers' ability to cope with the challenges of new motherhood through enhancing their sense of coherence and parenting self-efficacy. Participants will be assessed using the Edinburgh Postnatal Depression Scale at six weeks postpartum to measure depression symptoms. The study involves follow-up for at least 12 weeks after delivery. Throughout the trial, data on mothers' mental health, social support, and parenting confidence will be collected. This trial seeks to inform future large-scale interventions that integrate mental health support into maternity care services in similar low-income settings.