Risk Factors for Antenatal Depression among Women Attending Tertiary Care Hospitals in Coastal Part of South India
Keywords:
Antenatal, Depression, Rsik factor, Preganancy, stress, EPDSAbstract
Introduction: Antenatal depression has often been overlooked and under-diagnosed throughout the world, especially in developing nations like India. The study was conducted to assess the prevalence of antenatal depression among pregnant women in South India and to identify associated risk factors.
Methods: A cross sectional study was conducted over seven months on 201 pregnant women in Mangalore. A semi structured questionnaire using Edinburgh Postnatal Depression Scale (EPDS) was used. Data was analyzed using SPSS version 11.5.
Results: 201 pregnant ladies were evaluated for antenatal depression. Majority women (52.7%) belonged to the age group of 26-30 years. Using EPDS we found that 10.9% women were progressing towards antenatal depression. The risk of developing antenatal depression was statistically significant among the women (21.1%) who were married before 20 years of age (p= 0.027), who were multi-gravida (p=0.002) and who were facing pressure from in-laws (p<0.05).
Conclusion: Need for clinical efforts to focus on early recognition and effectively managing antenatal depression by screening, thus preventing progression to postpartum depression and its ill effects.
References
Srinivasan N, Murthy S, Singh AK, Upadhyay V, Mohan KS, Joshi A. Assessment of Burden of Depression During Preg-nancy Among Pregnant Women Residing in Rural Setting of Chennai. Journal of Clinical and Diagnostic Research 2015; 9(4):08-12.
Fisher J, Cabral de Mello, M, Patel V, Rahman A,Tran T et al. Prevalence and determinants of common perinatal men-tal disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Or-gan. 2012; 90: 139G–149G
Rich-Edwards JW, Kleinman K, Abrams A, Harlow BL, Mclaughlin TJ, Joffe H et al. Socio-demographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice. J Epidemiol Communi-ty Health 2006;60(3):221-7.
Roomruangwong C, Epperson CN. Perinatal depression in Asian women: prevalence, associated factors, and cultural aspects. Asian Biomedicine [serial online] 2011 Apr 2 [cited 2014 Apr 26]; 5:179-93. Available from: http://abm.digital journals.org/index.php/abm/article/viewFile/576/422
Chandran M, Tharyan P, Mullyll J, Abraham S. Post-partum depression in cohort of women from a rural area of Tamil Nadu, India. Incidence and risk factors. Br J Psychiatry 2002; 181: 499-04.
Mina S, Balhara YPS, Verma R, Mathur S.Anxiety and De-pression amongst the urbanfemales of Delhi in Ante-partum andPost-partum period. Delhi psychiatry journal 2012; 15(2),347-51
Leigh B, Milgrom J. Risk factors for antenatal depression, postnatal depression andparenting stress. BMC Psychia-try2008;8:24.
Cankorur VS, Abas M, Berksun O, Stewart R. Social support and the incidenceand persistence of depression be-tweenantenatal and postnatal examinationsin Turkey: a co-hort study. BMJ 2015;5:e006456.
Jaju S, Kharusi LA, V. Antenatal prevalence of fear associat-ed with childbirth and depressed mood in primi-gravida women. Indian J Psychiatry 2015; 57(2): 158–61.
Choi SK, Kim JJ, Park YG, Ko HS, Park IY, Shin JC. The Simplified Edinburgh Postnatal Depression: Is It a Valid Measure for Pre-Screening? Int. J. Med. Sci. 2012; 9(1):40-6.
Rochat TJ, Tomilinson M, Barnighausen T, Newell ML, Stein A. The prevalence and clinical presentation of antena-tal depression in rural South Africa. J Affect Disord. 2011;135(1-3):362-73.
Pereira PK, Lovisi GM, Pilowsky DL, Lima LA, Legay LF. Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil. Cad SaudePublica 2009;25(12):2725-36.
Ajinkya S, Jadhav PR, Srivastava NN. Depression during pregnancy: Prevalence and obstetric risk factors among pregnant women attending a tertiary care hospital in Navi Mumbai. Ind Psychiatry J 2013;22(1):37-40.
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