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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2019

Open Access 01-12-2019 | Affective Disorder | Research article

Association between social and family support and antenatal depression: a hospital-based study in Chengdu, China

Authors: Ying Hu, Ying Wang, Shu Wen, Xiujing Guo, Liangzhi Xu, Baohong Chen, Pengfan Chen, Xiaoxia Xu, Yuqiong Wang

Published in: BMC Pregnancy and Childbirth | Issue 1/2019

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Abstract

Background

Antenatal depression (AD) is considered as one of the major health burdens and has adverse effects on the outcome of expectant mothers and newborns. The present study aims to investigate the prevalence of antenatal depression (AD), and to explore the potential risk factors of AD among pregnant women in Chengdu, including personal background, related social factors, family factors and cognitive factors.

Methods

The prospective nested case-control study included pregnant women who were in their second pregnancy and attended prenatal care at three tertiary hospitals and one regional hospital in Chengdu, China, between March 2015 and May 2016. Self-designed questionnaires were given to participants in their second and third trimesters to collect information on clinical and demographic characteristics, and a modified edition of Edinburgh Postnatal Depression Scale (EPDS) were used to measure AD. The logistic regression was applicated in analyses.

Results

A total of 996 pregnant women were included in analysis. Ninety-three women suffered from AD symptoms only in their second trimester, 96 only in their third trimester, and 107 displayed persistent depression in both trimesters. In the univariate analyses, age and marital relationships were linked with AD occurrence in both second and third trimester. In addition, increasing age, full-time job, higher education level, and no gender preference of spouse were associated with reduced persistent depression. Multivariate analysis showed that gender preference and marital relationship were the potential risk factors of persistent depression.

Conclusions

Age, marital relationship relationships, with parents-in-law, the negative recognition of this pregnancy and husband’s gender preference were found as risk factors of AD occurrence in some specific trimester. Gender preference of husbands and marital relationships were independently associated with persistent depression. These findings suggest that stronger family support can help improve mental health of pregnant women.
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Metadata
Title
Association between social and family support and antenatal depression: a hospital-based study in Chengdu, China
Authors
Ying Hu
Ying Wang
Shu Wen
Xiujing Guo
Liangzhi Xu
Baohong Chen
Pengfan Chen
Xiaoxia Xu
Yuqiong Wang
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2019
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-019-2510-5

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