Prevalence, associated factors and perinatal outcomes of antepartum depression in Ibadan Nigeria

Adeoye, Ikeola A.; Sogbesan, Abiodun; Esan, Oluyomi

doi:10.1186/s12884-022-04549-7

Cited by 14 publications

(18 citation statements)

References 41 publications

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“…Additionally, we found that a history of induced abortion increased the likelihood of CEATU by fivefold compared with women without a similar history. Studies have reported that a history of induced abortion and other high-risk behaviours increases the risk of depression among pregnant women and, consequently, prenatal substance use [51][52][53].…”

Section: Discussionmentioning

confidence: 99%

Alcohol consumption and tobacco exposure among pregnant women in Ibadan, Nigeria

Adeoye

2022

BMC Psychiatry

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Background Alcohol consumption and tobacco exposure during pregnancy are hazardous behaviours which are increasing significantly in low and middle-income countries, including sub-Saharan Africa. However, they have received little attention in Nigeria’s maternal health research and services. The prevalence, pattern and predictors of alcohol consumption and tobacco exposure among pregnant women in Ibadan, Nigeria, were investigated. Methods This is a part of a prospective cohort study among pregnant women in Ibadan, Nigeria (Ibadan Pregnancy Cohort Study (IbPCS), which investigated the associations between maternal obesity, lifestyle characteristics and perinatal outcomes in Ibadan. Alcohol consumption and tobacco exposure of 1745 pregnant women were assessed during enrollment by self-reports using an interviewer-administered questionnaire. Bivariate and multiple logistic regression analyses examined the associations at a 5% level of statistical significance. Results The prevalence of pre-pregnancy alcohol consumption and alcohol consumption during pregnancy were 551 (31.7%) and 222 (12.7%), respectively, i.e. (one in every eight pregnancies is exposed to alcohol). Palm wine (52%) and beer (12%) were the most common alcohol consumed among pregnant women. The predictors of alcohol consumption during were pre-pregnancy alcohol use [AOR = 10.72, 95% CI: 6.88–16.70) and religion i.e. Muslims were less likely to consume alcohol during pregnancy compared to Christians: [AOR = 0.60, 95% CI: 0.40–0.92). The prevalence of tobacco exposure in the index pregnancy was 64 (3.7%), i.e. one in every 27 pregnancies is exposed to tobacco. In contrast, cigarette smoking, second-hand smoke and smokeless tobacco were 0.4, 1.7 and 1.8%, respectively. Pre-pregnancy cigarette smoking was reported by 33(1.9%) and was the most significant predictor [AOR = 12.95; 95% CI: 4.93, 34.03) of tobacco exposure during pregnancy in our study population. Conclusions Alcohol consumption and tobacco exposure are not uncommon and have been an ongoing but neglected threat to maternal and child health in Nigeria. Alcohol and tobacco control policy and programmes to prevent the use among pregnant and reproductive-age women in Nigeria should be implemented primarily during antenatal care.

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Section: Discussionmentioning

confidence: 99%

Alcohol consumption and tobacco exposure among pregnant women in Ibadan, Nigeria

Adeoye

2022

BMC Psychiatry

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“…This might be explained by the fact. It has been postulated that fetal growth prior to 20-week gestation is predominantly determined by genetic predisposition whereas growth in the third trimester is more likely determined by the intra uterine environment [2]. Maternal distress is reported not to be related to a decrease in estimated fetal weight before the third trimester but all types of maternal distress were negatively associated with fetal weight in late pregnancy [2].…”

Section: Discussionmentioning

confidence: 98%

“…Depression as an illness is known to occur at different phases of the reproductive cycle (premenstrual dysphoric disorder, depression in pregnancy and postpartum depression) [1]. Antenatal (prenatal or antepartum) depression is a nonpsychotic depressive episode that begins during pregnancy and it is the commonest mental health disorder in pregnancy [2].…”

Section: Introductionmentioning

confidence: 99%

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Effect of Antenatal Depression on Fetal Growth Outcomes at the Jos University Teaching Hospital Jos, Plateau State, Nigeria

Gyang¹,

Umar²,

Michael³

et al. 2022

OJPsych

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Background: Depression is the most prevalent psychiatric disorder in pregnancy and it is associated with psychosocial and obstetric factors. Studies have shown that pregnancy does not prevent women from becoming depressed; rather, it may be a time when depression occurs for the first time in some women. Antenatal depression has been identified as a risk factor for post natal depression, adverse obstetric outcomes, poorer neonatal outcomes and higher growth retardation in infants. Purpose: This study aimed to determine the fetal growth outcomes among depressed pregnant women in their third trimester attending antenatal clinic at the Jos University Teaching Hospital (JUTH), Jos, Plateau State, Nigeria. Method: A prospective cohort study design was used to assess 514 women who consented to the study (256 cases and 258 controls). A socio-demographic questionnaire was given to the women to fill out the study entry. Edinburgh Post Natal Depression Scale (EPDS) was used to screen for depression and MINI neuropsychiatric interviews were used to diagnose depression in those women found to be at risk of depression using the EPDS. Ultrasonography was used to determine the fetal weight in the third trimester of pregnancy. The birth weight of the babies born to the women was obtained from the birth register in the labor ward and the fetal growth rate was calculated from the estimated fetal weight on ultrasound scan in late pregnancy and the birth weight of babies. Result: The mean fetal weight in the third trimester for non-depressed women was slightly higher than in depressed women though the difference was not statistically significant (P = 0.431).

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“…Documenting prevalence was a primary objective in a number of the Collection papers [31][32][33], particularly in low and middle income country settings. Where factors were identified which predict poorer perinatal mental health, these were commonly associated with disadvantage and limited access to resources.…”

Section: Incidence Determinants and Factors Associated With Poor And ...mentioning

confidence: 99%

Maternal mental health: Women’s voices and data from across the globe

Redshaw

Wynter

2022

BMC Pregnancy Childbirth

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Prevalence, associated factors and perinatal outcomes of antepartum depression in Ibadan Nigeria

Cited by 14 publications

References 41 publications

Alcohol consumption and tobacco exposure among pregnant women in Ibadan, Nigeria

Alcohol consumption and tobacco exposure among pregnant women in Ibadan, Nigeria

Effect of Antenatal Depression on Fetal Growth Outcomes at the Jos University Teaching Hospital Jos, Plateau State, Nigeria

Maternal mental health: Women’s voices and data from across the globe

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