Transtornos mentais na gravidez, parto e puerpério, na região de Ribeirão Preto-SP-Brasil

Abstract

The present study have found out the number of patients assisted at the sector of Psychiatric Urgencies (SUP) and at the Midwifery Clinic of the University Hospital at Ribeirão Preto (HC), with the diagnosis 648.4 (Mental Disorders in Pregnancy, Childbirth and Puerperium), according to CID-9, from 1988 to 1993. Authors searched for reports containing informations on the care provided in these services. The sample was formed by women from 15 to 29 old years, whose disorders include psychotic disorders, depressive cases with or without attempts of suicide and non-specified mental disorders. Some of this disorders showed in comorbidity with others diagnostics. Resulting showed the need of nurses paying more attention to manifestations of these disorders and search for means to enable the identifications in the care provided at emergencies.

Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil

“…Consistent with the extant literature, we found an association between antenatal major depression and a previous history of depression 5,6,7,14,18,19,27 as well as previous psychiatric treatment 10, 23,24 . Since major depressive disorder is often a recurrent condition, it is not surprising that a prior depressive episode is a significant risk factor for depression during pregnancy.…”

“…The following risk factors were associated with increased odds of antenatal depression: (1) having a casual job (i.e., occasional employment doing low-paying work); (2) history of a previous self-reported depression or of any prior psychiatric treatment; (3) an unplanned pregnancy; and (4) several recent (past-year) stressful life events (loss of a confidant, serious physical illness and financial difficulties). The prevalence of major depression during pregnancy (14.2%) was not remarkably different from most previous reports based on studies conducted in Brazil 4,7,13,14,26,29,37 . In these studies the antenatal major depressive disorder prevalence ranged from 13% to 20.8%.…”

“…a study that reported an antenatal depression prevalence of 37.9%) reported prevalence rates ranging from 13% to 20.8% 4,7,12,14,26,29,37 . The validity of these findings still needs to be established as the majority of these studies focused on pregnant adolescents 4,26,29,37 and women receiving prenatal care in obstetric out-patient clinics in hospital settings 7,12,14,26,29 . These samples are likely to be biased because women with high-risk pregnancies are more likely to seek prenatal care in hospitals.…”

“…Thus, prevalence rates of depression during pregnancy were significantly higher in low-income countries. The main risk factors associated with these differences are past history of psychiatric disorders, poor antenatal care, poor nutrition, stressful life events, economic deprivation and gender based violence, which are more prevalent in developing countries 4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29 .…”

“…These samples are likely to be biased because women with high-risk pregnancies are more likely to seek prenatal care in hospitals. Furthermore, one of these studies used a small sample 13 and several used depression screenings rather than diagnostic instruments 4,12,14,37 .…”