Depression In Pregnancy: Prevalence And Clinical Correlates

Abstract

Introduction: Pregnancy increases the risk of various psychiatric illness including depression. Such illness can result in prematurity, low birth weight and mother-child bonding. Depression is more common in women who have had negative experiences in previous pregnancies, have prior history of psychiatric disorder or are experiencing stressful life events. Unfortunately, psychiatric disorders among pregnant women are still undiagnosed and untreated, especially in developing country like Nepal. The aim of this study was to find out the prevalence and correlates of depression in pregnancy. 
 Material and Method: A cross-sectional, hospital based, descriptive study was conducted among 135 pregnant women attending Manipal Teaching Hospital’s antenatal clinic. Sociodemographic data and relevant clinical variables were collected using a predesigned proforma after obtaining informed written consent. The subjects were interviewed with Beck’s Depression Inventory (BDI). For the assessment of correlates, regression analysis was carried out. All statistical analyses were done using SPSS v 20.0. P values < 0.05 were considered significant. 
 Results: The prevalence of depression was 13.3 % according to BDI with additional 19% fulfilling criteria of mild mood disturbance. Factors such as history of sub fertility, pregnancy-induced illness and presence of domestic violence were found to be statistically significant predictors of depression during pregnancy. 
 Conclusion: Depression can occur frequently among pregnant women. Certain factors can be identified, which further increase the risk of such mental illnesses. Thus, pregnant women who are at high risk such as with pregnancy induced illness, have history of sub fertility, exposed to domestic violence etc., must be identified and diagnosed so that they can be treated timely.

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

“…Experience of intimate partner violence is found to be associated with mental distress among pregnant women. In line with this study, a study from Pokhara, Nepal, noted that women suffering from intimate partner violence could be 11 times more at odds of experiencing depressive symptoms 44. Similar findings were also shared by a study from India 42.…”

“…In line with this study, a study from Pokhara, Nepal, noted that women suffering from intimate partner violence could be 11 times more at odds of experiencing depressive symptoms. 44 Similar findings were also shared by a study from India. 42 Likewise, in Ethiopia, pregnant women with a history of intimate partner violence had nearly five times (AOR: 4.5, 95% CI: 1.28 to 15.52) more odds of depression during their pregnancy as compared with those without any history.…”

Depresi Ibu Hamil setelah Intervensi Guided Imagery

“…2 Di Indonesia terdapat penelitian yang menunjukan bahwa prevalensi depresi antenatal sebesar 13,3%. 3 Depresi selama kehamilan sering tidak mendapat pengobatan yang memadai dan ada bukti yang berkembang bahwa hasil perinatal yang tidak diinginkan dapat terjadi. Dampak depresi antepartum dapat berupa persalinan prematur dan penurunan inisiasi menyusui secara bermakna, berat badan lahir rendah, menerima unit perawatan intensif neonatal (NICU), preeklampsia, usia kehamilan lebih pendek, dan skor Apgar pada 1 dan 5 menit yang rendah.…”

Gestantes internadas no hospital psiquiátrico: um retrato da vulnerabilidade

“…| Página 2 de 23 Introdução Embora a gestação em si não seja um fator de risco para o surgimento ou recorrência de transtornos mentais, diversos estudos apontam prevalências altas para a população gestante. A prevalência de transtornos mentais em gestantes, em estudos nacionais e internacionais, varia em média entre 12,9% e 25,77% (AYANO; TESFAW; SHUMET, 2019;SATIE KASSADA et al, 2015;SHARMA et al, 2019).…”