Antenatal Depression in a Tertiary Care Hospital

Bavle, Amar; Chandahalli, Asha S; Phatak, Akshay S; Rangaiah, Nagarathnamma; Kuthandahalli, Shashikala M; Nagendra, Prasad N

doi:10.4103/0253-7176.175101

Cited by 32 publications

(43 citation statements)

References 30 publications

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“…Systematic reviews of studies conducted in developed countries reported prevalence in the range of 5-30%, with variation by socio-demographic, obstetric, and measurement related factors [7][8][9]. Using the Edinburgh Postnatal Depression Scale (EPDS) as a screening tool, antenatal depression prevalence ranged from 10.4 to 57% in lower income Asian countries [10][11][12][13][14][15][16][17][18][19][20] and between 22.7 and 38.5% amongst African countries [21][22][23][24]. In Ethiopia, prevalence ranges from 11.8 to 31.12% with variation according to the type of screening tool and study setting [25].…”

Section: Introductionmentioning

confidence: 99%

Antenatal depression and its potential causal mechanisms among pregnant mothers in Gondar town: application of structural equation model

Dadi

Miller

Woodman³

et al. 2020

BMC Pregnancy Childbirth

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Background: Various forms of life stressors have been implicated as causes of antenatal depression. However, there is a lack of understanding of which forms of stress lead to antenatal depression and through what mechanisms. Modeling stress processes within a theoretical model framework can enhance an understanding of the mechanisms underlying relationships between stressors and stress outcomes. This study used the stress process model framework to explore the causal mechanisms underlying antenatal depression in Gondar, Ethiopia. Methods: Questionnaires, using an Online Data collection Kit (ODK) tool were administered face-to-face in 916 pregnant women in their second and third trimesters. Pregnant women were included from six randomly selected urban districts in Gondar, Ethiopia during June and August 2018. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for antenatal depression. A Structural Equation Model (SEM) was employed to explore the direct, indirect, and total effect of stressors and mediators of antenatal depression. Result: Sixty-three participants (6.9%) reported symptoms of depression. Of these, 16 (4.7%) and 47 (8.1%) were in their second and third trimesters, respectively. The SEM demonstrated several direct effects on antenatal depression scores including unplanned pregnancy (standardized β = 0.15), having a history of common mental health disorder (standardized β = 0.18) and fear of giving birth to the current pregnancy (standardized β = 0.29), all of which were associated with a higher depression score. Adequate food access for the last 3 months (standardized β = − 0.11) was associated with decreased depression score. Social support (β = − 0.21), marital agreement (β = − 0.28), and partner support (β = −.18) appeared to partially mediate the link between the identified stressors and the risk of antenatal depression.

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Section: Introductionmentioning

confidence: 99%

Antenatal depression and its potential causal mechanisms among pregnant mothers in Gondar town: application of structural equation model

Dadi

Miller

Woodman³

et al. 2020

BMC Pregnancy Childbirth

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“…This scale is also validated for screening pregnant women for depression. 13 The 10 question self-report scale (EPDS) is a valuable and efficient way of identifying patient's risk for antenatal depression. 13 The EPDS is easy to administer and has proven to be an efficient screening tool.…”

Section: Methodsmentioning

confidence: 99%

“…13 The 10 question self-report scale (EPDS) is a valuable and efficient way of identifying patient's risk for antenatal depression. 13 The EPDS is easy to administer and has proven to be an efficient screening tool. The Edinburgh Postnatal Depression Scale (EPDS) is the most widely used screening questionnaire for PPD (10).…”

Section: Methodsmentioning

confidence: 99%

“…There are some studies where EPDS is used for screening of antepartum depression also. 13 In this scale women are asked to rate how they have felt in the previous 7 days. Maximum score of EPDS is 30.…”

Section: Methodsmentioning

confidence: 99%

“…2 Depressive illness of varying severity: Mothers who scored 14 and above on the scale are likely to be suffering from depressive illness of varying severity. 13 b) Proforma developed by investigators: The proforma was developed for collecting information on various risk factors with the help of experts and published literature. It was validated and pilot tested before using in the actual study.…”

Section: Case Definitionmentioning

confidence: 99%

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A Cross Sectional Hospital Based Study of Antepartum Depression and its’ Risk Factors

Suresh¹,

Ramesh²,

Dilip³

et al. 2018

IJMEDPH

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Context and Aims: Antepartum depression in women is common and is of immense public health importance, as it can adversely affect both the mother and child; therefore it is necessary to identify women suffering from antepartum depression. The associated risk factors can be used for the screening to identify and manage the problem in time. This study was planned to evaluate women attending the hospital for Antepartum depression and to identify the probable risk factors. Methods and Materials: Pregnant mothers in second and third trimester coming for antenatal checkup Inclusion-criteria: All Antenatal women willing to participate in study. Exclusion-criteria-H/O any psychotic disorder, diabetes,any obstetric complication. Sample-size: 665, Sampling-Technique: Two stage sampling: Hospitals selected randomly. Purposive sampling for Study-subject. Study-duration: 6 months Study-tools: i. Edinburgh Postnatal Depression Scale [EPDS]. ii.Pre designed, pilot tested questionnaire. Results: There were 665 mothers with age ranging from 18 to38 years, mean 25.42± SD 3.57. Possible depression (EPDS score ≥ 10) was present in 71 (10.7%) of mothers. Possible Depressionwas significantly high in age 34-38yrs (33.3%, x²=59.02, p=0.00), third gravida (42.9%, x 2 =83.516, p=0.000), mothers with 5-10std education (20%, x²=7.723, p=0.02), in employed women (33.9%, x²=42.62, p=0.00), in mothers whose husbands with 5-10 std education (18.2%, x²=16.98, p=0.000), in joint family type (14.5%, x²=6.917, p=0.009), having previous female child (92.9%, x²=71.626, p=0.000), financial constrains (50%, x²=6.52, p=0.011) and stressful life events (71.4%, x²=27.37, p=0.00). Strong Predictors of antenatal depression were employed mothers and female sex of previous child. Conclusion: Possible antepartum depression was common as nearly 11% of mothers were having EPDS score above or equal to 10. Risk factors were previous female child and mother working as a employee.

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Depression prevalence based on the Edinburgh Postnatal Depression Scale compared to Structured Clinical Interview for DSM DIsorders classification: Systematic review and individual participant data meta‐analysis

Lyubenova

Neupane

Levis

et al. 2020

Int J Methods Psych Res

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Antenatal Depression in a Tertiary Care Hospital

Cited by 32 publications

References 30 publications

Antenatal depression and its potential causal mechanisms among pregnant mothers in Gondar town: application of structural equation model

Antenatal depression and its potential causal mechanisms among pregnant mothers in Gondar town: application of structural equation model

A Cross Sectional Hospital Based Study of Antepartum Depression and its’ Risk Factors

Depression prevalence based on the Edinburgh Postnatal Depression Scale compared to Structured Clinical Interview for DSM DIsorders classification: Systematic review and individual participant data meta‐analysis

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