Factors associated with a positive depression screen after a miscarriage.

Autor: Mutiso SK; Department of Obstetrics and Gynaecology, Aga Khan University hospital, Nairobi, Kenya. steve_mutiso@yahoo.com., Murage A; Department of Obstetrics and Gynaecology, Aga Khan University hospital, Nairobi, Kenya., Mwaniki AM; Department of Obstetrics and Gynaecology, Aga Khan University hospital, Nairobi, Kenya.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2019 Jan 07; Vol. 19 (1), pp. 8. Date of Electronic Publication: 2019 Jan 07.
DOI: 10.1186/s12888-018-1991-5
Abstrakt: Introduction: Miscarriages are a common pregnancy complication and positive depression screen after a miscarriage has been shown to be high in our population. Various factors are associated with an increased risk of developing depression after a miscarriage. However, these factors vary across populations studied with no studies existing in our region. We set out to determine the factors associated with a positive depression screen among post-miscarriage women at the Aga Khan University hospital, Nairobi.
Methods: Patients were recruited at the 2 weeks clinic review after a miscarriage in the gynaecological clinics. They were screened using the Edinburgh postnatal depression scale for depression after a miscarriage. Analysis was done using Univariate and multivariate analysis to compare clinical variables between the screen - positive and screen - negative women in order to delineate the potential pattern of association between the two among the study subjects.
Results: Positive depression screen was detected in 34.1% of the patients recruited. Univariate analysis revealed that education level (p = 0.039) and mode of conception (p = 0.005) impacted on the outcome of the depression screen. In multivariate analysis, multiple factors impacted on the depression screen and these included: age (p = 0.009), education level (p = 0.001), gestation at miscarriage (p = 0.04), marital status (p = 0.043), prior miscarriage (p = 0.011) and mode of conception (p = 0.03).
Conclusion: Factors that seem to impact on the positive depression screen include a younger age, low education level, an older gestational age at miscarriage, being single, an assisted mode of conception and prior miscarriage. These factors may be used to triage women after a miscarriage in order to pick up those who may screen positive for depression after a miscarriage.
Databáze: MEDLINE
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