Prevalence and correlates of depression in late pregnancy among Nigerian women

Abstract

The objectives of this study were to estimate the prevalence of depressive disorder in late pregnancy in a group of Nigerian women and to examine the associated factors. One hundred and eighty women in late pregnancy completed a questionnaire on sociodemographic and obstetrical details. They also completed the Edinburgh Postnatal Depression Scale (EPDS). A proportion of them were then assessed for the DSM-IV diagnosis of depressive disorder. Fifteen (8.3%) women met the current (2 weeks) DSM-IV diagnosis of depressive disorder. The factors independently associated with depression included being single [odds ratio (OR) 5 16.67, 95% confidence interval (CI) 5 3.17-87.76], divorced /separated (OR 5 11.11, 95% CI 5 1.55-19.65), polygamous (OR 5 3.92, 95% CI 5 0.94-16.33), and having a previous history of stillbirth (OR 5 8.00, 95% CI 5 1.70-37.57) and perceived lack of social support (OR 5 6.08, 95% CI 5 1.42-26.04). Depression is common in late pregnancy among Nigerian women, with the significant correlates including mainly social and family factors. Such factors should be considered when planning health care services or formulating a predictive model. Interventions aimed at reducing the occurrence of antenatal depression need further research. Depression and Anxiety 24: 15-21, 2007.

Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review

“…For example, some studies excluded women who were illiterate 34 or unable to speak the researchers' language 11,12,14,20,40,41,46,[52][53][54] or who had a personal or family history of psychiatric problems. 15,21,22,26,41,49,52,55 Such studies may have underestimated prevalence.…”

“…Eleven studies 9,10,14,18,[25][26][27][28]38,45,48 investigated the risks associated with difficult interpersonal relationships other than with the spouse. They focused in particular on conflicts between a woman and her in-laws in settings where women move into the in-laws' household after marriage.…”

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

“…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 .…”

Psychiatric Disorders during Pregnancy and Postpartum

“…It has also been reported that multigravidas, women with current and past obstetric complications and history of previous abortions can also attribute to depression. Many studies support these facts [3,4,6,7,9].…”

“…Others can be age, marital status, parity, unwanted pregnancy, lack of social support, etc. [3][4][5][6][7][8][9][10]. Obese woman are more likely to experience elevated antenatal and postpartum depression [11].…”