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Published on: June 13, 2021
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.
Background:
Prenatal and postnatal depression (PND) is associated with adverse outcomes for mother, fetus, and child. The aim of study was to examine the prevalence and risk factors of prenatal and postnatal depressive symptoms.
Materials And Methods:
This was a cross-sectional and hospital-based survey of 2305 pregnant women and post-partum women (18-48 years) that was registered in the Babol Pregnancy Mental Health Registry (BPMHR) database from June 2020 to March 2021. Two questionnaires, including demographics and depression, were analyzed in this study. Also, the Edinburg Postnatal Depression Scale (EPDS) was used to assess the depressive symptoms. Independent t test and the analysis of variance were used to compare the means. Multiple logistic regressions were used to determine risk factors for depressive symptoms.
Results:
According to the EPDS scale, the prevalence of depressive symptoms was 19.8% in the pregnant woman group in comparison with the postpartum period (11.6%). Risk factors for antenatal depressive symptoms were parity (women with parity ≥ 4 vs. 1 parity, ß=1.808, P=0.020), two groups of gestational age (gestational age ≤12 weeks vs. 28 weeks, ß=1.562 P=0.030) as well as (gestational age 21-27 weeks vs. 28 weeks (ß=1.586, P=0.033), and high-risk pregnancy (high-risk vs. low-risk pregnancy, ß=1.457, P=0.003). For postnatal depressive symptoms, none of the factors were a significant risk.
Conclusion:
Prenatal and postnatal depressive symptoms should be screened, particularly for women in the first and second trimesters, with high parity, and those with a high-risk pregnancy, as recommended by the present study.
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