scholarly journals Prevalence of Antenatal Depression in a Teaching Hospital South/South Nigeria.

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Enyidah Nonyenim Solomon ◽  
Nonye-Enyidah Esther Ijeoma
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Partner Violence ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Demographic Questionnaire ◽  
Chi Squared ◽  
Relevant Variables ◽  
Socio Demographic Factors ◽  
Global Burden Of Diseases

Background: Over 30 million people living in Africa suffer from depression which also contributes to global burden of diseases with a steady rise in prevalence, affecting all groups, including pregnant women. Factors which account for the psychological effects of pregnancy on mothers include; maternal age, planned pregnancy, previous experiences, spouse support, and partner violence. These risk factors may lead to antenatal depression which endangers the mother and the pregnancy. To safeguard mothers from depression during pregnancy, these factors need to be determined. Objective: To determine the prevalence, risk factors and predictors of antenatal depression. Methods: Pregnant women attending antenatal care, who met the study inclusion criteria were interviewed and screened for depression using the risk factor and socio-demographic questionnaire and Edinburgh Postnatal Depression Scale (EPDS). Data obtained was fed into the statistical package for social sciences (SPSS) version 23.0 and cross-tabulation of the relevant variables obtained using chi-squared and t-test. P values <0.05 were statistically significant. Results: Of 500 respondents, 158 (31.6%) had depression. Risk factors of cohabiting with spouse, lack of financial support from spouse, fight with spouse, threat to life, history of still birth and child health challenges were determined, four of which turned out to be predictors of antenatal depression (AD). Conclusion: The high prevalence of 31.6% of antenatal depression calls for a review of obstetrics practice to include screening and diagnosis for antenatal depression. Keywords: Antenatal depression, socio-demographic factors, EPDS, Obstetrics risk factors, social support, predictors.

scholarly journals Predictors of Antenatal Depression in a Tertiary Hospital in Nigeria

2021 ◽  
pp. 59-65
Author(s):  
Enyidah Nonyenim Solomon ◽  
Nonye-Enyidah Esther ◽  
Ibiebelem A. Jumbo
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Depression Scale ◽  
Tertiary Hospital ◽  
Antenatal Depression ◽  
Poor Countries ◽  
Chi Squared ◽  
Depression In Pregnancy ◽  
In Pregnancy

Background: Antenatal depression is very common in pregnant women all over the world. Women in the developing and poor countries are more at risk. Several risk factors have been identified and some of them may lead to unbearable pregnancy situations, that pose a threat to mother and the baby. If pregnancy must be made pleasurable for mothers, then the risk factors which predict depression in pregnancy must be identified and considered in antenatal care. Objective: To identify risk factors which are predictors to antenatal depression in pregnant women. Methods: Within the months of January and February 2021, all the pregnant women who registered for antenatal care in the teaching hospital, who met the study inclusion criteria were assessed for depression using the English version of Edinburgh Postnatal Depression scale (EPDS) and a study designed risk factor questionnaire, which contained socio-demographic variables and other factors. Data obtained were analyzed using the statistical package for social sciences (SPSS) version 23. Variables were compared using chi squared and t-tests and p values < 0. 05 were statistically significant. Results: Five hundred (500) respondents completed the study, 158 (31.6%) were depressed. Risk factors of co-habiting, threats to life, and/or pregnancy, fight with spouse and other forms of abuse, previous abortions and child health challenges, were predictors of antenatal depression. Conclusion:  Depression in pregnancy should be part of routine antenatal care by obstetricians noting the predictors.

scholarly journals Prevalence of Antenatal Depression and Associated Risk Factors among Pregnant Women Attending Antenatal Clinics in Abeokuta North Local Government Area, Nigeria

2016 ◽  
Vol 2016 ◽  
pp. 1-15 ◽  
Author(s):  
Okechukwu Thompson ◽  
IkeOluwapo Ajayi
Keyword(s):  
Risk Factors ◽  
Local Government ◽  
Pregnant Women ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Local Government Area ◽  
Cross Sectional Survey ◽  
Antenatal Clinics ◽  
And Gender ◽  
Associated Risk Factors

Objective. The prevalence of antenatal depression (AD) and associated risk factors among pregnant women attending antenatal clinics in Abeokuta North Local Government Area, Nigeria, was determined.Methods. A descriptive cross-sectional survey was conducted, interviewing 314 pregnant women selected by multistage sampling technique from among those attending antenatal clinics. Information was collected using structured questionnaire and a screening tool, Edinburgh Postnatal Depression Scale (EPDS), to assess probable depression.Results. The prevalence of antenatal depression was 24.5%. There were significant associations between antenatal depression and attending public health facility (P=0.000), young maternal age (P=0.012), single marital status (P=0.010), not having formal education (P=0.022), large family size (P=0.029), planned pregnancy (P=0.014), coexisting medical conditions (P=0.034), history of previous caesarian section (P=0.032), drinking alcohol during pregnancy (P=0.004), and gender based abuse (P=0.001). On health seeking behaviour for antenatal depression among depressed pregnant women, most, 68.9%, consulted their husbands about their symptoms; 57.3% took the decision to get treatment from doctors, and 52% sought prayer in the church.Conclusion. Antenatal depression is prevalent in this study population. Interventions to address its risk factors should be carried out and physicians should suspect depression in pregnant women reporting alcohol use and gender abuse.

scholarly journals A cross-sectional study of depression among women attending antenatal clinics in Blantyre district, Malawi

2018 ◽  
Vol 24 ◽  
Author(s):  
Genesis Chorwe-Sungani ◽  
Jennifer Chipps
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mini International Neuropsychiatric Interview ◽  
History Of ◽  
Antenatal Clinics

Background: Pregnancy is a period associated with major psychological and social changes in the life of a woman and can be associated with anxiety and depression.Aim: To describe demographic, clinical and risk profile of antenatal depression among pregnant women attending antenatal clinics in Blantyre district, Malawi.Setting: The study was conducted in eight antenatal clinics in Blantyre district, Malawi.Methods: A cross-sectional study of 480 randomly selected pregnant women attending antenatal clinics was conducted. Prevalence was determined using the Edinburgh Postnatal Depression Scale (EPDS) which was validated against a sub-sample using the Mini International Neuropsychiatric Interview. The risk factors of depression were assessed using the Pregnancy Risk Questionnaire. Data were analysed using descriptive statistics, Pearson chi-square test and binary logistic regression.Results: Prevalence of antenatal depression using the EPDS was 19% (95% CI 15.5% – 22.5%, n = 91) and was comparable to the Mini International Neuropsychiatric Interview (25.8% [95% CI = 17.5–34], n = 25). The key risk factors that predicted antenatal depression were: ‘being distressed by anxiety or depression for more than 2 weeks during this pregnancy’ (OR = 4.1 [2.1–7.9], p≤ 0.001); ‘feeling that a relationship with partner is not an emotionally supportive one’ (OR = 3.5 [1.4–8.4], p = 0.01); ‘having major stresses, changes or losses in the course of this pregnancy’ (OR = 3.2 [1.7–6.2], p = 0.01); ‘feeling that father was critical of her when growing up’ (OR = 3.2 [1.4–7.6], p = 0.01); and ‘having history of feeling miserable or depressed for ≥2 weeks before this pregnancy’ (OR = 2.4 [1.3–4.4], p = 0.01).Conclusion: This study confirmed the high-prevalence rate of depression in this group and illustrated that antenatal depression was associated with being distressed by anxiety or depression; support from partner; major stresses during pregnancy; and history of feeling miserable or depressed before pregnancy. This study also found a history of poor relationship between pregnant women and their fathers during childhood.

Antenatal Depression; its Prevalence of Positive Screen and the Associating Risk Factors Including Labor and Neonatal Outcome

2020 ◽  
Vol 16 (2) ◽  
pp. 107-115
Author(s):  
Nurezwana Elias ◽  
Sofiah Sulaiman
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Neonatal Outcome ◽  
Health Assessment ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Neonatal Outcomes ◽  
Medical Illness ◽  
Positive Screen ◽  
Adverse Pregnancy

Background: Antenatal depression is often neglected and unrecognized. It is known to be associated with various unwanted outcomes for both mothers and babies. Objective: This study aims to assess the prevalence of a positive screen for antenatal depression and its risk factors as well as the labour and neonatal outcomes. Method: 265 pregnant women who received care from University Malaya Medical Centre were recruited in this study. They completed the Edinburgh Postnatal Depression Scale (EPDS) questionnaires twice; once during the antenatal period and once again during the postnatal period. Only 235 out of 265 data were analysed for the association between risk factors, labour and neonatal outcome. Postnatal data that were collected after 4-6 weeks of delivery were completed in 90 women. Results: 41 women (17%) were found to have a positive screen and it has a significant positive correlation with postnatal EDPS score (r=0.919, p=0.00). After adjustment for confounders, preexisting medical illness is the only risk factor found to be associated with the positive screen group (OR 3.0, 95% CI1.11-8.46). The positive screen group is also associated with reduced neonatal birth weight (0R=0.998; 95%CI0.997-0.999), reduced cord pH (OR=0.000; 95%CI0.000-0.202) and increased blood loss at birth (0R=1.005; 95%CI1.001-1.009). Conclusions: The positive screen group of antenatal depression is associated with few adverse pregnancy and neonatal outcomes. Therefore, a formal mental health assessment should be offered to all pregnant women who are found to have a positive screen of antenatal depression.

scholarly journals Prevalence and Correlates of Prenatal Depression, Anxiety and Suicidal Behaviours in the Volta Region of Ghana

2021 ◽  
Vol 18 (11) ◽  
pp. 5857
Author(s):  
Nuworza Kugbey ◽  
Martin Ayanore ◽  
Phidelia Doegah ◽  
Masauso Chirwa ◽  
Susan A. Bartels ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Suicidal Behavior ◽  
Partner Violence ◽  
Severity Index ◽  
Healthcare Services ◽  
Prenatal Depression ◽  
Suicidal Behaviors ◽  
Chi Squared ◽  
Volta Region

Pregnancy is associated with several physical and psychosocial challenges that influence women’s health and wellbeing. However, prenatal mental health has received little attention. Therefore, this study examined the prevalence and correlates of prenatal depression, anxiety and current suicidal behaviors among pregnant women in the Volta Region of Ghana. Two hundred and fourteen (n = 214) pregnant women recruited from two hospitals responded to the hospital depression and anxiety scale (HADS), the insomnia severity index, and a set of psycho-behavioral, socioenvironmental and demographic characteristic questions. Chi-squared, bivariate and multivariate logistic regression were used for data analysis. Prevalence of prenatal depression, anxiety and current suicidal behaviors was 50.5%, 35.5% and 3.3%, respectively. After controlling for other variables, average monthly income, insomnia, non-nutritious food consumption (pica), and body image satisfaction were significantly associated with depression. Marital status, insomnia, lifetime suicidal behavior and partner support were significantly associated with anxiety. Current partner abuse was the only factor significantly associated with current suicidal behavior. The high prevalence rates of anxiety and depression among pregnant women and intimate partner violence remain important maternal health issues in the region. Therefore, brief mental health screening and counseling services should be integrated into prenatal healthcare services.

Prevalence of intimate partner violence among pregnant women attending a public sector hospital in Bengaluru, southern India

2021 ◽  
Vol 34 ◽  
pp. 132-137
Author(s):  
ANITA NATH ◽  
SHUBHASHREE VENKATESH ◽  
J. VINDHYA ◽  
SHEEBA BALAN ◽  
CHANDRA S. METGUD
Keyword(s):  
Risk Factors ◽  
Intimate Partner Violence ◽  
Public Sector ◽  
Pregnant Women ◽  
Partner Violence ◽  
Unplanned Pregnancy ◽  
Public Health Problem ◽  
Intimate Partner ◽  
Southern India ◽  
Public Sector Hospital

Background Intimate partner violence (IPV) is recognized as an important public health problem globally as well as in India. It may result in adverse physical and mental health consequences for the victim or unfavourable pregnancy outcomes if it happens during pregnancy. The possible risk factors for IPV can be explained by four levels of ecological factors: individual, partner, household and community. We estimated the prevalence of IPV and its association with selected ecological risk factors among pregnant women availing of antenatal care at a public sector hospital in Bengaluru, southern India. Methods We included 350 women above the age of 18 years with a confirmed pregnancy of less than 24 weeks and having no obstetric complication. We used the Conflict Tactics Scale to determine the presence of IPV. The risk factors measured were—individual level: respondent’s age, education, occupation, gravidity, planned or unplanned pregnancy, substance abuse, presence of depression and anxiety; partner-related: spouse’s education, occupation and marital discord; household/community-related: socioeconomic status, social support, religion and consanguinity. Results The prevalence of IPV was 3.7%. Factors that were significantly associated on multivariate analysis were higher age (above 20 years) (adjusted odds ratio [AOR] 1.82 [1.12–2.97], p=0.016) and presence of depression (AOR 6.84 [1.76–26.61], p=0.005). Conclusion The prevalence of IPV was less in our study population compared to figures reported from other Indian study settings.

Profile of depression in women attending antenatal clinics in Blantyre District, Malawi

2017 ◽  
Vol 41 (S1) ◽  
pp. S419-S419
Author(s):  
G. Chorwe-Sungani ◽  
J. Chipps
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Psychosocial Support ◽  
Psychosocial Interventions ◽  
Antenatal Depression ◽  
Ethical Approval ◽  
History Of ◽  
Antenatal Clinics ◽  
Competing Interest ◽  
Associated Risk Factors

IntroductionDepression is one of major health problems affecting pregnant women in low resource settings. It can lead to poor uptake of antenatal services. Data about prevalence of antenatal depression and associated risk factors remain scanty in Malawi. The study settings were eight selected antenatal clinics in Blantyre district, Malawi. The aim of this study was to assess prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Blantyre district, Malawi.MethodsThis was a quantitative study which used a random sample of 97 pregnant women. Ethical approval was granted by relevant bodies. Descriptive and inferential statistics were used to analyse data.ResultsPrevalence of antenatal depression in Blantyre district was 25.8% (n = 25). Risk factors associated with antenatal depression included: “being distressed by anxiety or depression for more than two weeks during this pregnancy”; “feeling that pregnancy has been a positive experience”; “having a history of feeling miserable or depressed for two weeks or more before this pregnancy”; “relationship with partner is an emotionally supportive one”; “experiencing major stresses, changes or losses in the course of this pregnancy”; “having history of physical abuse when growing up”, and “having concerns about being or becoming a mother”.ConclusionThis study has shown that antenatal depression is prevalent in Malawi. It suggests that psychosocial interventions targeting pregnant women may be necessary to reduce antenatal depression and associated risk factors. However, further research regarding ways for assisting pregnant women to build and strengthen their psychosocial support structures is needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The prevalence of and factors associated with antenatal depression among all pregnant women first attending antenatal care: a cross-sectional study in a comprehensive teaching hospital

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jiamei Guo ◽  
Anhai Zheng ◽  
Jinglan He ◽  
Ming Ai ◽  
Yao Gan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Teaching Hospital ◽  
Somatic Symptoms ◽  
Antenatal Depression ◽  
Anxiety Symptoms ◽  
Health Questionnaire ◽  
Psychological Assessments ◽  
Patient Health

Abstract Background Antenatal depression has become a common and serious problem, significantly affecting maternal and fetal health. However, evaluation and intervention methods for pregnant women in obstetric clinics are inadequate. This study aimed to determine the prevalence of and risk factors for depression among all pregnant women at their first attending antenatal care in the obstetrics clinic, a comprehensive teaching hospital, southwest of China. Methods From June to December 2019, 5780 pregnant women completed online psychological assessments, and data from 5728 of the women were analyzed. The women were categorized into two groups according to the presence or absence of depression. Depression was assessed by the Patient Health Questionnaire-9 (PHQ-9), with a cutoff point of 10 for depression. Anxiety and somatic symptoms were measured by the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-15 (PHQ-15), respectively. Univariate analysis and binary logistic regression analysis were used to determine the association among antenatal depression, anxiety, somatic symptoms and participants’ characteristics. Results The prevalence of antenatal depression among all the pregnant women at their first attending antenatal care was 16.3%, higher in the first trimester (18.1%). Anxiety symptoms (Mild anxiety AOR = 2.937; 95% CI: 2.448–3.524) and somatic symptoms (Mild somatic symptoms AOR = 3.938; 95% CI: 2.888–3.368) were major risk factors for antenatal depression among women and the risk increased more with the anxiety level or somatic symptoms level. Gestational weeks (second trimester AOR = 0.611; 95% CI: 0.483–0.773; third trimester AOR = 0.337; 95% CI: 0.228–0.498) and urban residence (AOR = 0.786; 95% CI: 0.652–0.947) were protective factors for antenatal depression among women. Conclusions About one in six pregnant women would experience depression, and special attention should be paid to some risk factors (i.e., early pregnancy, anxiety symptoms, somatic symptoms, rural residence). Online psychological assessments might be a time-saving and convenient screening method for pregnant women in obstetric clinics.

scholarly journals Prevalence of Depression among Antenatal Women in Sriperumbudur, Chennai

2021 ◽  
pp. 347-354
Author(s):  
Jayashree Kannappan ◽  
Abhilash Kannappan ◽  
V. S. Prema Subathiraa ◽  
Shanthi Dinakaran ◽  
P. S. Jikki Kalaselvi
Keyword(s):  
Pregnant Women ◽  
Economic Status ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
P Value ◽  
Hamilton Depression Scale ◽  
Cross Sectional ◽  
Exact Test ◽  
Prevalence Of Depression

Background: Women are twice as likely as males to suffer from mood disorders, which tend to cluster around the childbearing years. Depression negatively influences maternal and neonatal outcomes. Objective: The objective of the study is to estimate the prevalence of depression in pregnant women aged 18 – 35 yrs and to identify predictors accounting for variability across estimates during pandemic. Methodology: This is a cross sectional study, conducted among 74 pregnant women coming for antenatal checkups in the Sriperumbudur, Chennai. Using height and weight values obtained from the sample, Body Mass Index (weight in kg/height in metre squares) was calculated. Hamilton – Depression Scale (HAM-d) was applied after initial psychiatry work up to all women who were selected for the interview. Mean of parameters were assessed and correlation value were calculated by Fisher’s exact test. The statistically significant P value was less than 0.05. Results: The sociodemographic variables have been found as significant contributors in explaining the variability of the prevalence rates of antenatal depression. It showed positive correlation between economic status and depression (p<0.05) and a negative correlation between obesity and depression (p>0.05). According to the findings, fewer than 1/3rd of pregnant women experience depression as a result of life circumstances such as economic crises in order to support their families. These were identified as significant associate variables (P>0.05). And also, this study identified insufficient socioeconomic assistance were more likely to experience multiple psychological discomfort [atleast 1] than women who got appropriate economic support. (r = -0.118, P < 0.001) Conclusion: In rural Tamilnadu, the prevalence of antenatal depression among women is significant. Antenatal Depression is caused by a number of circumstances, including physical, obstetric, economic, and family-related issues. To treat these antenatal depression risk factors, comprehensive therapies are required.

scholarly journals Prevalence of antenatal depression and associated factors among pregnant women in Aneded woreda, North West Ethiopia: a community based cross-sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Abebe Habtamu Belete ◽  
Mulunesh Alemayehu Assega ◽  
Amanuel Alemu Abajobir ◽  
Yihalem Abebe Belay ◽  
Mengistie Kassahun Tariku
Keyword(s):  
Pregnant Women ◽  
Partner Violence ◽  
Unplanned Pregnancy ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
North West ◽  
North West Ethiopia

Abstract Objectives To assess the prevalence of antenatal depression and factors associated with antenatal depression among pregnant women in Aneded woreda, Northwest Ethiopia, 2019. A community based- cross sectional study was conducted in Aneded woreda among 7 kebles’ of North-West, Ethiopia from March 16 to April 23, 2019. A total of 342 pregnant women were recruited using simple random sampling. Result The prevalence of antenatal depression was 15.20%. Urban residence [AOR = 6.8; 95% CI (1.97, 23.32)], marital status of being unmarried [AOR = 5.1; 95% CI (1.79, 14.63)], occupation of being government employee [AOR = 8.8; 95% CI (2.06, 37.12)] and merchant [AOR = 3.7; 95% CI (1.27, 10.91)], prim gravid [AOR = 5.3; 95% CI (2.03, 13.82)], not attend ANC follow up [AOR = 8.7; 95% CI (3.46, 21.79)], intimate partner violence [AOR = 4.5; 95% CI (1.28, 15.52)], unplanned pregnancy [AOR = 6.2; 95% CI (2.37, 16.06)], and substance use [AOR = 5.6; 95% CI (2.12, 14.92)] were significantly factors. Strengthen the risk prevention activities so important to tackle the problem of antenatal depression.

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