Prevalence and associated risk factors of prenatal depression underdiagnosis: A population‐based study

Faisal-Cury, Alexandre; Levy, Renata Bertazzi; Azeredo, Catarina Machado; Matijasevich, Alícia

doi:10.1002/ijgo.13593

Cited by 6 publications

(2 citation statements)

References 26 publications

(38 reference statements)

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“…According to the American College of Obstetricians and Gynecologists one in every seven women is affected by minor or major depressive episodes during pregnancy (3). About 15% of women experience depression during their lifetime and most of them during perinatal period (4,5); and about 11.9% of women have perinatal depression globally, with a range from 10-15% (6). Burden of perinatal depression in the middle east is also high.…”

Section: Introductionmentioning

confidence: 99%

Assessment of The Burden of, and Women’s Experience With Screening For, Maternal Perinatal Depression in Kuwait

Alenezi

Alduosari

Alotaibi

et al. 2021

Preprint

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Background Perinatal depression can have a devastating impact upon the health and lives of the mothers and their children. Although guidelines are in place to properly screen women for perinatal depression in high income countries, there still is a possibility that some women may be missed. Identifying women with or at high risk of perinatal depression is even more important during COVID-19 pandemic. This study was aimed to measure prevalence and associated factors of perinatal depression, and to understand the women’s experience of screening for perinatal depression in Kuwait. Methods Women who had recently attended antenatal and postnatal clinics in Kuwait during COVID-19 pandemic were approached through snowball sampling with the help of physicians in Kuwait in a cross-sectional online survey. They answered an online self-administered questionnaire consisting of Edinburgh postnatal depression scale, sociodemographic characteristics, and items about their experience of screening during antenatal and postnatal checkup. Out of the 158 women who answered this questionnaire, 75.3% were in their third trimester of pregnancy and the rest were in the postpartum period. Results Perinatal depression was possible in 31 (19.6%) highly possible in 23 (14.6%), and probable in 52 (32.9%) women in our study, indicating an alarming prevalence of the condition in the sampled population. A large proportion of the sample (66.5%) said that they were not aware of a screening process for perinatal depression, whereas only 5.7% said that they were screened for it. In the sample, 65.1% who were not screened for perinatal depression had perinatal depression (P<0.05). The mean scores for variables representing family support and help were higher among the normal women than with perinatal depression (P<0.001). Similarly, women with perinatal depression had scores towards disagreement when they were asked if they could easily talk about their problems and thoughts with their friends (P<0.01). Conclusions Maternal perinatal depression was high in Kuwaiti women who were either in their third trimester or had just given birth to a baby. The lack of awareness about the screening process and extremely low levels of screening for perinatal depression indicates the need to improve these women’s access to adequate screening services during and after pregnancy.

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Section: Introductionmentioning

confidence: 99%

Assessment of The Burden of, and Women’s Experience With Screening For, Maternal Perinatal Depression in Kuwait

Alenezi

Alduosari

Alotaibi

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…Perinatal mental disorders increase mortality and morbidity from causes such as suicide or substance misuse but are also associated with increased risks of adverse physical outcomes, such as preterm births and foetal growth impairments, while those with severe mental illness also have increased risks of pre-eclampsia, haemorrhage, placental abruption and stillbirth (Howard and Khalifeh, 2020). However, despite this, they remain underdiagnosed and undertreated (Faisal-Cury et al, 2021;Vesga-Lopez Australian & New Zealand Journal of Psychiatry, 57 (7) et al, 2008), and mental health care is accessed by only a small proportion of women with perinatal mental disorders (Byatt et al, 2016).…”

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confidence: 99%

Perinatal mental health and COVID-19: Navigating a way forward

Smith

Howard

Vigod

et al. 2022

Aust N Z J Psychiatry

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The COVID-19 pandemic and its aftermath have increased pre-existing inequalities and risk factors for mental disorders in general, but perinatal mental disorders are of particular concern. They are already underdiagnosed and undertreated, and this has been magnified by the pandemic. Access to services (both psychiatric and obstetric) has been reduced, and in-person contact has been restricted because of the increased risks. Rates of perinatal anxiety and depressive symptoms have increased. In the face of these challenges, clear guidance in perinatal mental health is needed for patients and clinicians. However, a systematic search of the available resources showed only a small amount of guidance from a few countries, with a focus on the acute phase of the pandemic rather than the challenges of new variants and variable rates of infection. Telepsychiatry offers advantages during times of restricted social contact and also as an additional route for accessing a wide range of digital technologies. While there is a strong evidence base for general telepsychiatry, the particular issues in perinatal mental health need further examination. Clinicians will need expertise and training to navigate a hybrid model, flexibly combining in person and remote assessments according to risk, clinical need and individual patient preferences. There are also wider issues of care planning in the context of varying infection rates, restrictions and vaccination access in different countries. Clinicians will need to focus on prevention, treatment, risk assessment and symptom monitoring, but there will also need to be an urgent and coordinated focus on guidance and planning across all organisations involved in perinatal mental health care.

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Are midwives trained to recognise perinatal depression symptoms? Results of MAMA (MAternal Mood Assessment) cross-sectional survey in Italy

Ravaldi,

Mosconi,

Crescioli

et al. 2024

Arch Womens Ment Health

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Purpose To assess the knowledge, clinical experience, and attitudes of Italian midwives toward perinatal depression (PND) and to explore how these factors impact the quality of care. Methods We conducted a cross-sectional online survey among 152 midwives employed in public hospitals across Italy. The questionnaire covered a range of topics, including demographic data, professional experience, knowledge of PND symptoms, risk factors, and clinical management, as well as communication skills and personal experiences with PND cases. Results A concerning 76.3% of midwives displayed inadequate knowledge of PND based on current scientific literature. Those with a more comprehensive understanding were notably more confident in their practice, expressing significantly fewer apprehensions about communicating with mothers (25.8% vs 74.2%) and lesser concerns about the mothers’ future well-being (38.9% vs 62.95%). The survey results also emphasised the midwives’ call for specialised guidelines and formal training in PND management and underscored the value of communication skills, continuity of care, and family engagement in supporting affected mothers. Conclusion This inaugural study sheds light on the current state of knowledge and attitudes among Italian midwives regarding PND. It pinpoints crucial areas for educational enhancement and practice improvement, suggesting that elevated levels of midwife expertise in PND could significantly elevate the standard of care and expedite early diagnosis and treatment.

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Prevalence and associated risk factors of prenatal depression underdiagnosis: A population‐based study

Cited by 6 publications

References 26 publications

Assessment of The Burden of, and Women’s Experience With Screening For, Maternal Perinatal Depression in Kuwait

Assessment of The Burden of, and Women’s Experience With Screening For, Maternal Perinatal Depression in Kuwait

Perinatal mental health and COVID-19: Navigating a way forward

Are midwives trained to recognise perinatal depression symptoms? Results of MAMA (MAternal Mood Assessment) cross-sectional survey in Italy

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