Prevalence and Risk Factors of Prenatal and Postnatal Depressive Symptoms in Babol Pregnancy Mental Health Registry:

Shahnaz Barat1, Shirin Shahrokhi2, Seyyedeh Mahboubeh Mirtabar3

  • 1Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Insights

Prenatal and postnatal depression (PND) affects maternal and child health. High parity, early pregnancy, and high-risk pregnancies are key risk factors for antenatal depression.

Area of Science:

  • Perinatal mental health
  • Reproductive health
  • Clinical psychology

Background:

  • Prenatal and postnatal depression (PND) is linked to adverse outcomes for mothers, fetuses, and children.
  • Identifying prevalence and risk factors for PND is crucial for timely intervention.

Purpose of the Study:

  • To determine the prevalence of depressive symptoms during pregnancy and postpartum.
  • To identify risk factors associated with prenatal and postnatal depressive symptoms.

Main Methods:

  • A cross-sectional, hospital-based survey of 2305 women (18-48 years) was conducted.
  • Data collected via demographics and depression questionnaires, including the Edinburg Postnatal Depression Scale (EPDS).
  • Statistical analyses included t-tests, ANOVA, and multiple logistic regressions.

Main Results:

  • The prevalence of depressive symptoms was 19.8% in pregnant women versus 11.6% in postpartum women.
  • Risk factors for antenatal depression included high parity (≥4), early gestational age (≤12 weeks or 21-27 weeks), and high-risk pregnancy.
  • No significant risk factors were identified for postnatal depressive symptoms in this study.

Conclusions:

  • Screening for prenatal and postnatal depressive symptoms is recommended.
  • Particular attention should be given to women in the first and second trimesters, those with high parity, and high-risk pregnancies.
Abstract

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