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 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 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 Anxiety and depression in pregnancy: prevalence and associated risk factors among pregnant women attending antenatal clinic in Aminu Kano Teaching Hospital Kano, Nigeria

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Muktar Ahmed Gadanya ◽  
Aisha Aliyu Abulfathi ◽  
Fatima Adam Ahmad
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Teaching Hospital ◽  
Medical Condition ◽  
Antenatal Clinic ◽  
Anxiety And Depression ◽  
Pathological State ◽  
Associated Risk Factors ◽  
Depression In Pregnancy ◽  
In Pregnancy

Pregnancy is not considered as a pathological state, however pregnancy heightens the vulnerability to emotional and psychological condition such as anxiety and depression. Untreated depression and anxiety during pregnancy may have negative effects on both the mother and the fetus. The objective of this study was to estimate the prevalence and associated risk factors of anxiety and depression during pregnancy. Cross sectional descriptive study using systematic sampling technique was used to collect data among 297 pregnant women attending antenatal clinic in Aminu Kano Teaching Hospital, Kano. Data was collected using a structured questionnaire, Mini International Neuropsychiatric Interview (MINI 6.0). About one-third of the respondents were in the age group 20- 25 years. The prevalence of anxiety and depression during pregnancy were found to be 23.2% and 26.6% respectively. Risk factors that were significantly associated with anxiety during pregnancy were co-morbid depression during pregnancy (P=0.01), and partner abuse (P=0.04), with 37.5% anxious among those abused compared to 21.5% among those not abused. Risk factors associated with depression during pregnancy were co-existing medical condition (P=0.04) with 45.7% of respondents with coexisting medical condition found to be depressed compared to 24.0% without co-existing medical condition. Anxiety and depression in pregnancy were found to be prevalent among the study subjects. Measures to detect anxiety and depression during pregnancy especially in those with risk factors should be introduced during routine antenatal care.

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 Depression among pregnant women: A hospital based study

2017 ◽  
Vol 5 (2) ◽  
pp. 61-64
Author(s):  
Dipty Shrestha
Keyword(s):  
Pregnant Women ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Age Group ◽  
Inclusion Criteria ◽  
Medical College ◽  
Prevalence Of Depression ◽  
The Relationship ◽  
Depression In Pregnancy ◽  
In Pregnancy

Background: Being a mother for every woman is of great pride. But this moment of happiness and pride is associated with depression that might affect the health of both the mother and the baby. So this matter has to be looked into and taken care of but is not being done especially in our context.Objective: To identify the prevalence of depression and its severity in pregnant women from 14 weeks to 36 weeks of gestation at Kathmandu Medical College and Teaching Hospital.Methods: This is a descriptive and prospective study where 195 pregnant women from 14 weeks to 36 weeks of gestation were enrolled. The study was conducted at Kathmandu Medical College and Teaching Hospital from 1st October 2015 to 1st February 2016. The Centre For Epidemiologic Studies Depression Scale was used in this study to identify depression in pregnancy. This is a structured scale used worldwide to study the relationship between depression and pregnancy. It consists of 20 items; each given a score of 0, 1,2 and 3. A total score of 16 or more is considered depression. After taking informed consent, cases fulfilling the inclusion criteria were asked questions as per the scale and scoring were done.Results: Among the total 195 cases, eight (4.1%) had CESD scale scoring above 16 indicating depression and among these eight cases, five were in the age group of 18 – 25 years, two in the age group of 26 – 30 years and one in the age group of more than 30 years.Conclusion: This study did not show definite relationship between depression and pregnancy. Journal of Kathmandu Medical College Vol. 5, No. 2, Issue 16, Apr.-Jun., 2016

scholarly journals The Association Between the Use of Antenatal Care Smartphone Apps in Pregnant Women and Antenatal Depression: Cross-Sectional Study (Preprint)

2018 ◽  
Author(s):  
Yushi Mo ◽  
Wenjie Gong ◽  
Joyce Wang ◽  
Xiaoqi Sheng ◽  
Dong R Xu
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Protective Factor ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Cutoff Score ◽  
Smartphone Apps ◽  
Cross Sectional

BACKGROUND Antenatal care smartphone apps are increasingly used by pregnant women, but studies on their use and impact are scarce. OBJECTIVE This study investigates the use of antenatal care apps in pregnant women and explores the association between the use of these apps and antenatal depression. METHODS This study used a convenient sample of pregnant women recruited from Hunan Provincial Maternal and Child Health Hospital in November 2015. The participants were surveyed for their demographic characteristics, use of antenatal care apps, and antenatal depression. Factors that influenced antenatal pregnancy were analyzed using logistic regression. RESULTS Of the 1304 pregnant women, 71.31% (930/1304) used antenatal care apps. Higher usage of apps was associated with urban residency, nonmigrant status, first pregnancy, planned pregnancy, having no previous children, and opportunity to communicate with peer pregnant women. The cutoff score of the Edinburgh Postnatal Depression Scale was 10, and 46.11% (601/1304) of the pregnant women had depression. Logistic regression showed that depression was associated with the availability of disease-screening functions in the apps (odds ratio (OR) 1.78, 95% CI 1.03-3.06) and spending 30 minutes or more using the app (OR 2.05, 95% CI 1.19-3.52). Using apps with social media features was a protective factor for antenatal depression (OR 0.33, 95% CI 0.12-0.89). CONCLUSIONS The prevalence of the use of prenatal care apps in pregnant women is high. The functions and time spent on these apps are associated with the incidence of antenatal depression.

scholarly journals KARAKTERISTIK IBU YANG MENGALAMI DEPRESI DALAM KEHAMILAN

2019 ◽  
Vol 8 (1) ◽  
pp. 99
Author(s):  
Ratu Kusuma
Keyword(s):  
Pregnant Women ◽  
Sleep Disturbances ◽  
Unwanted Pregnancy ◽  
Depression Scale ◽  
Sampling Technique ◽  
Impaired Memory ◽  
Living Children ◽  
Not At Risk ◽  
Depression In Pregnancy ◽  
In Pregnancy

Depression in pregnancy is a mood disorder with symptoms of feeling sad, more sensitive so easily irritated even to crying, anxiety, lack of hope for the future, sleep disturbances in the form of nightmares or insomnia, decreased appetite, decreased libido, impaired social interaction, tired easily so that they experience interference in carrying out daily activities, impaired memory or difficulty concentrating, even some mothers experience hallucinations that risk the injury to themselves and others around them. Events in the world reached 23%, Asia 15-20%, Indonesia 25%, while in Riau Province around 20%. The purpose of this study is to identify the characteristics of mothers who experience depression during their pregnancy. It is a descriptive study, with consecutive sampling technique, conducted on 32 trimester II pregnant women (20-27 weeks) in Kecamatan Bangkinangand 22 pregnant women in Kecamatan Tapung I. The measurement of depression was done using Edinburgh postpartum depression scale (EPDS) which was declared valid and reliably used to measure depression in pregnancy. The results showed that the majority of pregnant women who experience depression are at the age of not at risk (20-35 years) as much as 60%, secondary education (80%), depression occurs in working mothers and not working each 50%, multigravida (70.00%), having 0-3 children, never experiencing abortion (90.00%), unwanted pregnancy (30.00%) and there are 10 (18.52%) trimester II pregnant women who experience depression during pregnancy. Depression experienced by pregnant women in Kecamatan Bangkinang  and KecamatanTapung I is quite high, this is thought to be caused by maternal age, education, frequency of pregnancy, number of living children and unwanted pregnancy factors because some mothers do not want their pregnancy.

Sign in / Sign up

Export Citation Format

Share Document