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Published on: June 13, 2021
Antenatal depression: Prevalence and risk factor patterns across the gestational period
T Castro e Couto1, M Nogueira Cardoso1, M Y Martins Brancaglion1
1Postgraduate Program in Molecular Medicine, School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Antenatal depression (AD) affects pregnant women, with lifetime major depression and intimate partner abuse identified as key risk factors. Prevalence rates in Brazil are comparable to global figures.
Area of Science:
- Obstetrics and Gynecology
- Psychiatry
- Public Health
Background:
- Antenatal depression (AD) prevalence varies globally.
- Understanding AD risk factors is crucial for maternal health.
- This study focuses on a Brazilian pregnant population.
Purpose of the Study:
- To investigate antenatal depression prevalence in Brazilian pregnant women.
- To identify significant risk factors associated with AD.
- To analyze AD patterns across the second and third trimesters.
Main Methods:
- 148 pregnant women were assessed using semi-structured interviews and standardized depression scales (Edinburgh Postnatal Depression Scale, Beck Depression Inventory, MINI-Plus).
- Data were analyzed using bivariate and multivariate statistical methods.
- Prevalence and risk factors were examined in the second and third trimesters.
Main Results:
- Antenatal depression prevalence was 13.5% (second trimester) and 10.1% (third trimester) using the MINI-Plus.
- Lifetime major depression and intimate partner abuse were identified as independent risk factors for AD.
- No significant differences in AD prevalence or risk factors were observed between trimesters.
Conclusions:
- AD prevalence in this Brazilian sample aligns with worldwide rates.
- Lifetime major depression is the primary risk factor for antenatal depression.
- Limitations include potential selection bias and participant attrition.
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