Antenatal depression and its associated factors among women of Godawari Municipality, Lalitpur, Nepal: a cross-sectional study

Chalise, Anisha; Shrestha, Gambhir; Paudel, Shishir; Poudyal, Amod Kumar

doi:10.1136/bmjopen-2022-063513

Cited by 5 publications

(3 citation statements)

References 46 publications

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“…The majority of studies included in this review were conducted in East Asia and Pacific Area Countries, and in the Middle East. Consistently with the recent literature (Chalise et al, 2022; Prom et al, 2022; Simkhada & van Teijlingen, 2018), our results highlight an imbalance in the geographical distribution of research outputs. The identified gap may help to orient the research agenda for the next years, in order to prioritize critical geographical areas that are still neglected.…”

Section: Discussionsupporting

confidence: 92%

Task-sharing psychosocial interventions for the prevention of common mental disorders in the perinatal period in low- and middle-income countries: A systematic review and meta-analysis

Prina

Ceccarelli

Abdulmalik

et al. 2023

Int J Soc Psychiatry

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Aim: to assess the efficacy of psychosocial interventions delivered through task-sharing approaches for preventing perinatal common mental disorders among women in low- and middle-income countries. Methods: We conducted a systematic review of randomized controlled trials following a prespecified protocol registered in the Open Science Framework (osf.io/qt4y3). We searched MEDLINE, Web of Science, PsycINFO, and Cochrane Central Register of Controlled Trials (CENTRAL) through June 2022. Two reviewers independently extracted the data and evaluated the risk of bias of included studies using the Cochrane risk of bias tool. We performed random-effects meta-analyses and rated the certainty of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Results: We included 23 studies with 24,442 participants. At post-intervention, task-shared psychosocial interventions, were effective in preventing the development of mental disorders in general (RR 0.57, 95% CI [0.35, 0.91]), and specifically depression (RR 0.51, 95% CI [0.35, 0.75]), but not anxiety disorders (RR 0.46, 95% CI [0.06, 3.33]). Similarly, psychosocial interventions reduced psychological distress (SMD −1.32, 95% CI [−2.28, −0.35]), and depressive symptoms (SMD −0.50, 95% CI [−0.80, −0.16]), and increased parenting self-efficacy (SMD −0.76, 95% CI [−1.13, −0.38]) and social support (SMD −0.72, 95% CI [−1.22, −0.22]). No effect was detected for anxiety symptoms at post-intervention. At follow-up the beneficial effects of interventions progressively decreased. Conclusions: Psychosocial interventions delivered through the task-sharing modality are effective in preventing perinatal common mental disorders and fostering positive mental health among women in low- and middle-income countries. However, our findings are tentative, due to the low number of preventative intervention strategies considering outcomes as the incidence of mental disorders, especially in the long-term. This evidence supports calls to implement and scale up psychosocial prevention interventions for perinatal common mental disorders in low- and middle-income countries.

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Section: Discussionsupporting

confidence: 92%

Task-sharing psychosocial interventions for the prevention of common mental disorders in the perinatal period in low- and middle-income countries: A systematic review and meta-analysis

Prina

Ceccarelli

Abdulmalik

et al. 2023

Int J Soc Psychiatry

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“…Maternal age [34][35][36] Body Mass Index [37][38][39] Marital status [40,41] Socioeconomic status, maternal leave, partner maternal leave [35,[41][42][43][44][45][46][47][48] Level of physical activity during pregnancy and postpartum [49,50] Smoking status, alcohol consumption, recreational drug use [35,51,52] Personal and family medical history (incl. Current partner abuse [25,43,48,53,[62][63][64]82] Antenatal depression [41,53] -Symptoms of stress and anxiety [43,55,56] Stressful life events [42,55,62] -COVID-19 stress and psychological impact of pandemic [20,83] Sleep quality [84,85] Social media use [86,87] Feeding plans and outcome [88,89] Contraception [80,...…”

Section: Social Support Osss-3mentioning

confidence: 99%

Maternal Antibiotic Exposure and the Risk of Developing Antenatal or Postpartum Depressive Symptoms: The Maternal Experience Study Protocol

Pouranayatihosseinabad,

Taylor,

Hawrelak

et al. 2023

MPs

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Limited epidemiological evidence suggests a link between antibiotic use and developing depression. This study seeks to investigate this association in depth, using a cohort of pregnant individuals. The primary aim is to explore any association between the use of antibiotics during pregnancy and the development of antenatal depressive symptoms up to the third trimester, as well as the use of antibiotics during pregnancy and within 12 months postpartum and the development of postpartum depressive symptoms. A national prospective, observational, longitudinal cohort study has been designed to examine these relationships. A sample size of 1500 pregnant individuals has been sought for this study, assuming 10 potential predictor variables (including antibiotic use) in the final multiple logistic regression model and allowing for a 30% drop-out rate. The development of depressive symptoms is considered either a diagnosis by a medical doctor and/or a scoring 13 or higher on the Edinburgh Postnatal Depression Scale. Data will be collected during the third trimester and at 6 weeks, 6 months, and 12 months postpartum. These surveys include variables previously identified as associated with antenatal and postpartum depression (e.g., level of social support, experience of intimate partner abuse, and obstetric complications), as well as antibiotic and probiotic use. This study will provide an update on the prevalence of the symptoms of depression during pregnancy and postpartum and its associated risk factors. It will also, for the first time, comprehensively explore the potential association between antibiotic use during pregnancy and up to 12 months postpartum and the development of depressive symptoms.

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“…In developed countries, a meta-analysis study found that the prevalence rates of depression were 7.4% (2.2–12.6%), 12.8% (10.7–14.8%), and 12.0% (7.4–16.7%) during the first, second, and third trimesters, respectively ( 10 ). A high prevalence of depressive symptoms or probable depression during pregnancy has been reported from developing countries, i.e., 18% in Bangladesh ( 29 ), 24.8% in Nepal ( 30 ), 25 % in Pakistan ( 22 ), 20.2 % in Brazil ( 19 ), 39 % in South Africa Cape Town ( 20 ), 38.5 % in South Africa KwaZulu-Natal ( 21 ), 31% in Limpopo Province South Africa ( 31 ), 39.5 % in Tanzania ( 28 ), 26.9% in Ghana ( 32 ), 29.4% in Nigeria ( 33 ), and 15.2 %−35.4% in Ethiopia ( 9 , 34 – 36 ).…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms and associated factors among pregnant women attending antenatal care at Comprehensive Specialized Hospitals in Northwest Ethiopia, 2022: an institution-based cross-sectional study

et al. 2023

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BackgroundDepression during pregnancy has a significant impact on public health as it can adversely affect both the mother's and the child's health. These can have devastating effects on the mother, the unborn child, and the entire family.ObjectiveThis study aimed to determine the prevalence of depressive symptoms and associated factors among pregnant women in Ethiopia.MethodAn institutional-based cross-sectional study was conducted among pregnant women attending antenatal care services at comprehensive specialized hospitals in Northwest Ethiopia from May to June 2022.MeasurementThe desired data were collected through face-to-face interview techniques by using validated questionnaires such as the Edinburgh Postnatal Depression Scale, the Oslo-3 social support scale, and the Abuse Assessment Screen tools. The data were analyzed by using SPSS Version 25. Logistic regression analysis was used to identify factors associated with antenatal depressive symptoms. Variables having a p-value of <0.2 in the bivariate analysis were entered into the multivariable logistic regression. A p-value of <0.05 was considered statistically significant, at 95% CI.ResultsThis study revealed that 91 (19.2%) pregnant women screened positive for depressive symptoms. According to multivariable logistic regression, living in rural areas (adjusted odds ratio (AOR) = 2.58, 95% CI: 1.267, 5.256), being in the second or third trimesters of gestational phase (AOR = 4.40, 95% CI: 1.949, 9.966 and AOR = 5.42, 95% CI: 2.438, 12.028, respectively), having a history of alcohol use (AOR = 2.41, 95% CI: 1.099, 5.260), having moderate or poor social support (AOR = 2.55, 95% CI: 1.220, 5.338 and AOR = 2.41, 95% CI: 1.106, 5.268), and having a history of intimate partner violence (AOR = 2.67, 95% CI: 1.416, 5.016) were the factors significantly associated with depressive symptoms at a p-value of ≤ 0.05.Conclusion and recommendationThe prevalence of depressive symptoms among pregnant women was high. Living in rural areas, second and third trimesters, use of alcohol, having moderate to poor social support, and having a history of intimate partner violence were variables significantly associated with depressive symptoms during pregnancy.

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Antenatal depression and its associated factors among women of Godawari Municipality, Lalitpur, Nepal: a cross-sectional study

Cited by 5 publications

References 46 publications

Task-sharing psychosocial interventions for the prevention of common mental disorders in the perinatal period in low- and middle-income countries: A systematic review and meta-analysis

Task-sharing psychosocial interventions for the prevention of common mental disorders in the perinatal period in low- and middle-income countries: A systematic review and meta-analysis

Maternal Antibiotic Exposure and the Risk of Developing Antenatal or Postpartum Depressive Symptoms: The Maternal Experience Study Protocol

Depressive symptoms and associated factors among pregnant women attending antenatal care at Comprehensive Specialized Hospitals in Northwest Ethiopia, 2022: an institution-based cross-sectional study

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