The magnitude and determinants of depressive symptoms amongst women in early pregnancy in Southern Nigeria: A cross-sectional study.

Journal: The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa

Volume: 28

Issue: 

Year of Publication: 

Affiliated Institutions:  Perinatal Mental Health Unit, OMVIAL Medical Group, Benin-City, Nigeria. Department of Obstetrics and Gynaecology, Central Hospital Benin, Benin-City, Nigeria. Department of Psychiatry, Faculty of Clinical Sciences, Ladoke Akintola University, Ogbomoso, Nigeria. Department of Obstetrics and Gynaecology, LAUTECH Teaching Hospital, Osogbo, Nigeria. Department of General Practice, LAUTECH Teaching Hospital, Osogbo, Nigeria.

Abstract summary 

Antenatal depression (AD) is prevalent and associated with adverse pregnancy, maternal and child outcomes, yet no study has addressed its magnitude and predictors in early pregnancy in Nigeria.To determine the prevalence and factors associated with AD in first half of pregnancy.Multicentric health facilities in Southern Nigeria.A multicentric health-facilities-based cross-sectional study was conducted from January to July 2018. Using pretested structure interviewer-administered questionnaires, antenatal depressive symptoms were assessed amongst 511 pregnant mothers with the Edinburg Postnatal Depressive Scale tool. Socio-demographic, socio-economic, clinical, family and social factors were also measured. Descriptive statistics, bivariate and multivariable logistic regression analyses were employed to describe and identify factors associated with AD.The prevalence of antenatal depressive symptoms in early pregnancy in this study was 29.4% (95% confidence interval [CI] 26.6-32.9). Factors independently associated with AD were intimate partner violence (adjusted odds ratios [AOR] = 8.10, 95% CI 5.00-13.14), marital dissatisfaction (AOR 5.48, 95% CI 3.48-8.38), poor social support (AOR 4.70; 95% CI 2.99-7.38), past history of depression (AOR 4.67; 95% CI 2.47-8.80), previous pregnancy complication (AOR 2.50, 95% CI 1.57-3.89), low socio-economic status (AOR 2.41, 95% CI 1.61-3.66) and unplanned pregnancy (AOR 2.35, 95% CI 1.47-3.64).The prevalence of antenatal depression is high with modifiable risk factors requiring context-specific policies such as provision of family, social and economic support for mothers at the earliest possible contact in the antenatal period.

Authors & Co-authors:  Oboro Omolola F OF Ebulue Vincent V Oboro Victor O VO Ohenhen Victor V Oyewole Adeoye A Akindele Rasaq R Ala Olufemi O Oyeniran Olaolu O Isawumi Adegboye A Afolabi Babatunde B

Study Outcome 

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Statistics
Citations :  Ayano G, Tesfaw G, Shumet S. Prevalence and determinants of antenatal depression in Ethiopia: A systematic review and meta-analysis. PLoS One. 2019;14(2):e0211764. 10.1371/journal.pone.0211764
Authors :  10
Identifiers
Doi : 1691
SSN : 1608-9685
Study Population
Women,Mothers
Mesh Terms
Other Terms
antenatal;depression;determinants;magnitude;pregnancy
Study Design
Study Approach
Country of Study
Niger
Publication Country
South Africa