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Reproductive Health
Published in: Reproductive Health 1/2019

Open Access 01-12-2019 | Still Birth | Research

Depression among pregnant women and associated factors in Hawassa city, Ethiopia: an institution-based cross-sectional study

Authors: Bereket Duko, Getinet Ayano, Asres Bedaso

Published in: Reproductive Health | Issue 1/2019

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Abstract

Background

Depression is the most prevalent psychiatric disorder during pregnancy. It is not only common and chronic among women throughout the world but also principal source of disability in pregnant women. The scarce information and limited attention to the problem might aggravate the consequence of the problem and can limit the intervention to be taken. The objective of the study was to assess the prevalence and factors associated with depression among pregnant women in public health institutions, Hawassa, Ethiopia.

Methods

Institution based cross sectional study was conducted in May to July 2017. Pregnant women were selected by using systematic sampling technique. Data were collected through face-to-face interviews on socio-demographic, obstetric, psychosocial characteristics and depressive symptoms. Edinburgh Postnatal Depression Scale (EPDS) and Oslo Social Support Scale (OSS-3) were used to asses’ depressive symptoms and social support respectively. Descriptive and logistic regression analyses were carried out.

Results

The mean age of the respondents was 23.82 ± (SD = 6.65) years. The prevalence of antenatal depression was 21.5%. When we adjusted for the effect of potential confounding variables, being in age group of 20–30 years [AOR = 5.85 (95% CI: (3.70, 10.14)], current pregnancy complication [AOR = 4.98 (95% CI: (3.01, 10.37)], unplanned pregnancy [AOR = 7.12, (95% CI: (3.12, 9.63)], categories of stressors (LTE) Health risk [AOR = 1.76, (95% CI: (1.01, 3.22)], previous history of depression [AOR = 2.76 (95% CI: (1.94, 6.75)], history of abortion [AOR = 1.52, (95% CI:1.04, 5.09)], history of still birth [AOR = 1.18, (95% CI: 1.08, 2.91)], poor social support [AOR = 2.14, (95% CI: 1.49, 3.11)] and poor baby father support [AOR = 3.21 (95% CI:1.93, 6.71)] were significantly associated with antenatal depression.

Conclusion

For early detection and appropriate intervention, antenatal clinics should develop screening tools for depression during the routine antenatal care.
Literature
1.
Gotlib IH, Whiffen VE, Mount JH, Milne K, Cordy NI. Prevalence rates and demographic characteristics associated with depression in pregnancy and the postpartum. J Consult Clin Psychol. 1989;57(2):269–74.CrossRefPubMed
2.
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 Saude Publica. 2009;25:2725–36.CrossRefPubMed
3.
Fisher J, Cabral de Mello M, Patel V, Rahman A, Tran T, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ. 2012;90:139G–49G.CrossRefPubMed
4.
Prince M, Patel V, Saxena S, Maj M, Maselko J, et al. No health without mental health. Lancet. 2007;370:859–77.CrossRefPubMed
5.
D M C., D L (2006) Projections of Global Mortality and Burden of Disease PLoS Med 3.
6.
Alder J, Fink N, Bitzer J, Hosli I, Holzgreve W. Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. J Matern Fetal Neonatal Med. 2007;20:189–209.CrossRefPubMed
7.
World Health organization (WHO). Mental health aspect of women’s reproductive health, a global review of literature. Geneva: 2009.
8.
PHC RONDO, FERREIRA RF, NOGUEIRA F, RIBEIRO MCN. Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr. 2003;57:266–72.CrossRef
9.
Biratu A, Haile D. Prevalence of antenatal depression and associated factors among pregnant women in Addis Ababa, Ethiopia: a cross-sectional study. Reprod Health. 2015;12:99.CrossRefPubMedPubMedCentral
10.
Vesga-López O, Blanco C, Keyes K, Olfson M, Grant BF, Hasin DS. Psychiatric disorders inpregnant and postpartum women in the United States. Arch Gen Psychiatry. 2008;65(7):805–15.
11.
Sawyer A, Ayers S, Smith H. Pre-and postnatal psychological wellbeing in Africa: a systematic review. J Affec Disord. 2010;123(1):17–29.CrossRef
12.
13.
Tesfaye M, Hanlon C, Wondimagegn D, Alem A. Detecting postnatal common mental disorders in Addis Ababa, Ethiopia: validation of the Edinburgh postnatal depression scale and Kessler scales. J Affect Disord. 2010;122(1–2):102–8.CrossRefPubMed
14.
Gibson J, McKenzie-McHarg K, Shakespeare J, Price J, Gray R. A systematic review of studies validating the Edinburgh postnatal depression scale in antepartum and postpartum women. Acta Psychiatr Scand. 2009;119:350–64.CrossRefPubMed
15.
Dibaba Y, Fantahun M, Hindin MJ. The association of unwanted pregnancy and social support with depressive symptoms in pregnancy: evidence from rural southwestern Ethiopia. BMC Pregnancy Childbirth. 2013;13:135.CrossRefPubMedPubMedCentral
16.
Senturk V, Abas M, Berksun O, Stewart R. Social support and antenatal depression in extended and nuclear family environments in Turkey: a cross-sectional survey. BMC Psychiatry. 2011;11:48.CrossRefPubMedPubMedCentral
17.
Brugha T, Bebbington P, Tennant C, Hurry J. The list of threatening experiences: a subset of 12 life event categories with considerable long-termcontextual threat. Psychol Med. 1985;15:189–94.CrossRefPubMed
18.
Jenkins R, Mbatia J, Singleton N, White B. Common mental disorders and risk factors in UrbanTanzania. Int J Environ Res Public Health. 2010;7:2543–58.CrossRefPubMedPubMedCentral
19.
Montón-Franco C, Josefa G, Gómez-Barragán M, Sánchez-Celaya M, Ángel Díaz-Barreiros M, et al. Psychometric propertiesof the list of threatening experiences—LTE and its association with psychosocial factors and mental disorders according to different scoring methods. J Affect Disord. 2013;150:931–40.CrossRefPubMed
20.
Dalgard OS, Dowrick C, Lehtinen V, Vazquez-Barquero JL, Casey P, et al. Negative life events, social supportand gender difference in depression: a multinational community survey with data from the ODIN study. Soc Psychiatry Psychiatr Epidemiol. 2006;41:444–51.CrossRefPubMed
21.
Thompson O, Ajayi IO. Prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Abeokuta north local government area, Nigeria. Depress Res Treat. 2016;2016:4518979 15 pages.PubMedPubMedCentral
22.
Mina S, Balhara Y, Verma R, Mathur S. Anxiety and Depression amongst the urban females of Delhi in ante-partum and post-partum period. Delhi Psychiatry Journal. 2012;15:2.
23.
Faisal-Cury A, Menezes P, Araya R, Zugaib M. Common mental disorders during pregnancy: prevalence and associated factors among low-income women in São Paulo, Brazil. Arch Women Ment Health. 2009;120:335–43.CrossRef
24.
Nasreen HE, Kabir ZN, Forsell Y, Edhborg M. Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: a population based study in rural Bangladesh. BMC Womens Health. 2011;11:22.CrossRefPubMedPubMedCentral
25.
Hartley M, Tomlinson M, Greco E, Comulada WS, Stewart J, Roux I, et al. Depressed mood in pregnancy: prevalence and correlates in two Cape Town peri-urban settlements. Reprod Health. 2011;8:9.CrossRefPubMedPubMedCentral
26.
27.
Plant DT, Pariante CM, Sharp D, Pawlby S. Maternal depression during pregnancy and offspring depression in adulthood: role of child maltreatment. Br J Psychiatry. 2015;207:213–20.CrossRefPubMedPubMedCentral
28.
Benute GRG, Nomura RMY, Reis JS, Junior RF, de Lucia MCS, Zugaib M. Depression during pregnancy in women with a medical disorder: risk factors and perinatal outcomes. Clinics. 2010;65(11):1127–31.CrossRefPubMedPubMedCentral
29.
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.CrossRefPubMedPubMedCentral
30.
Bisetegn TA, Mihretie G, Muche T. Prevalence and predictors of depression among pregnant women in Debretabor town, Northwest Ethiopia. Dang Y, ed. PLoS One. 2016;11(9):e0161108.CrossRefPubMedPubMedCentral
31.
Rallis S, Skouteris H, McCabe M, Milgrom J. A prospective examination of depression, anxiety and stress throughout pregnancy. Women Birth. 2014;27:e36–42.CrossRefPubMed
32.
Manikkam L, Burns JK. Antenatal depression and its risk factors: an urban prevalence study in KwaZulu-Natal. S Afr Med J. 2012;102(12):940–4.CrossRefPubMed
33.
Dayan J, Creveuil C, Dreyfus M, Herlicoviez M, Baleyte J-M, O'Keane V. Developmental model of depression apply to prenatal depression: role of present and past life events, past emotional disorders and pregnancy stress. PLoS One. 2010;5(9):e12942.CrossRefPubMedPubMedCentral
34.
Rahman A, Fisher J, Bower P, Luchters S, Tran T, Yasamy MT, et al. Interventions for common perinatal mental disorders in women in low-and middle-income countries: a systematic review and meta-analysis. Bull World Health Organ. 2013;91:593–601.CrossRefPubMedPubMedCentral
35.
Pereira PK, Vieira CL, Santos JF, Lima LA, Legay LF, et al. Adverse perinatal and infant outcomes among children born to mothers with major mental disorders in a psychiatric hospital in Rio de Janeiro, Brazil. Cad Saude Publica. 2014;30:1654–66.CrossRefPubMed
36.
Adewuya AO, Ola BA, Aloba OO, Dada AO, Fasoto OO. Prevalence and correlates of depression in late pregnancy among Nigerian women. Depress Anxiety. 2007;24:15–21.CrossRefPubMed
37.
Metadata
Title
Depression among pregnant women and associated factors in Hawassa city, Ethiopia: an institution-based cross-sectional study
Authors
Bereket Duko
Getinet Ayano
Asres Bedaso
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2019
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-019-0685-x

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