Prevalence and Predictors of Depression among Pregnant Women in Debretabor Town, Northwest Ethiopia.

Journal: PloS one

Volume: 11

Issue: 9

Year of Publication: 2017

Affiliated Institutions:  Department of Health Education and Behavioral Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.

Abstract summary 

Depression during pregnancy is a major health problem because it is prevalent and chronic, and its impact on birth outcome and child health is serious. Several psychosocial and obstetric factors have been identified as predictors. Evidence on the prevalence and predictors of antenatal depression is very limited in Ethiopia. This study aims to determine prevalence and associated factors with antenatal depression.Community based cross-sectional study was conducted among 527 pregnant women recruited in a cluster sampling method. Data were collected by face-to-face interviews on socio-demographic, obstetric, and psychosocial characteristics. Depression symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS). The List of Threatening Experiences questionnaire (LTE-Q) and the Oslo Social Support Scale (OSS-3) were used to assess stressful events and social support, respectively. Data were entered into Epi-info and analyzed using SPSS-20. Descriptive and logistic regression analyses were carried out.The prevalence of antenatal depression was found to be 11.8%. Having debt (OR = 2.79, 95% CI = 1.33, 5.85), unplanned pregnancy (OR = 2.39, 95% CI = (1.20, 4.76), history of stillbirth (OR = 3.97, 95% CI = (1.67,9.41), history of abortion (OR = 2.57, 95% CI = 1.005, 6.61), being in the third trimester of pregnancy (OR = 1.70, 95% CI = 1.07,2.72), presence of a complication in the current pregnancy (OR = 3.29, 95% CI = 1.66,6.53), and previous history of depression (OR = 3.48, 95% CI = 1.71,7.06) were factors significantly associated with antenatal depression.The prevalence of antenatal depression was high, especially in the third trimester. Poverty, unmet reproductive health needs, and obstetric complications are the main determinants of antenatal depression. For early detection and appropriate intervention, screening for depression during the routine antenatal care should be promoted.

Authors & Co-authors:  Bisetegn Telake Azale TA Mihretie Getnet G Muche Tefera T

Study Outcome 

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Statistics
Citations :  Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Depression during Pregnancy: Overview of Clinical Factors. Clin Drug Investig 24: 157–179.
Authors :  3
Identifiers
Doi : e0161108
SSN : 1932-6203
Study Population
Women
Mesh Terms
Adult
Other Terms
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
United States