The magnitude and determinants of depressive symptoms amongst women in early pregnancy in Southern Nigeria: A cross-sectional study.

Autor: Oboro OF; Perinatal Mental Health Unit, OMVIAL Medical Group, Benin-City, Nigeria., Ebulue V; Perinatal Mental Health Unit, OMVIAL Medical Group, Benin-City, Nigeria., Oboro VO; Perinatal Mental Health Unit, OMVIAL Medical Group, Benin-City, Nigeria., Ohenhen V; Department of Obstetrics and Gynaecology, Central Hospital Benin, Benin-City, Nigeria., Oyewole A; Department of Psychiatry, Faculty of Clinical Sciences, Ladoke Akintola University, Ogbomoso, Nigeria., Akindele R; Department of Obstetrics and Gynaecology, LAUTECH Teaching Hospital, Osogbo, Nigeria., Ala O; Department of Obstetrics and Gynaecology, LAUTECH Teaching Hospital, Osogbo, Nigeria., Oyeniran O; Department of Obstetrics and Gynaecology, LAUTECH Teaching Hospital, Osogbo, Nigeria., Isawumi A; Department of Obstetrics and Gynaecology, LAUTECH Teaching Hospital, Osogbo, Nigeria., Afolabi B; Department of General Practice, LAUTECH Teaching Hospital, Osogbo, Nigeria.
Jazyk: angličtina
Zdroj: The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa [S Afr J Psychiatr] 2022 May 31; Vol. 28, pp. 1691. Date of Electronic Publication: 2022 May 31 (Print Publication: 2022).
DOI: 10.4102/sajpsychiatry.v28i0.1691
Abstrakt: Background: Antenatal depression (AD) is prevalent and associated with adverse pregnancy, maternal and child outcomes, yet no study has addressed its magnitude and predictors in early pregnancy in Nigeria.
Aim: To determine the prevalence and factors associated with AD in first half of pregnancy.
Setting: Multicentric health facilities in Southern Nigeria.
Methods: A multicentric health-facilities-based cross-sectional study was conducted from January to July 2018. Using pretested structure interviewer-administered questionnaires, antenatal depressive symptoms were assessed amongst 511 pregnant mothers with the Edinburg Postnatal Depressive Scale tool. Socio-demographic, socio-economic, clinical, family and social factors were also measured. Descriptive statistics, bivariate and multivariable logistic regression analyses were employed to describe and identify factors associated with AD.
Results: The prevalence of antenatal depressive symptoms in early pregnancy in this study was 29.4% (95% confidence interval [CI] 26.6-32.9). Factors independently associated with AD were intimate partner violence (adjusted odds ratios [AOR] = 8.10, 95% CI 5.00-13.14), marital dissatisfaction (AOR 5.48, 95% CI 3.48-8.38), poor social support (AOR 4.70; 95% CI 2.99-7.38), past history of depression (AOR 4.67; 95% CI 2.47-8.80), previous pregnancy complication (AOR 2.50, 95% CI 1.57-3.89), low socio-economic status (AOR 2.41, 95% CI 1.61-3.66) and unplanned pregnancy (AOR 2.35, 95% CI 1.47-3.64).
Conclusions: The prevalence of antenatal depression is high with modifiable risk factors requiring context-specific policies such as provision of family, social and economic support for mothers at the earliest possible contact in the antenatal period.
Competing Interests: The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.
(© 2022. The Authors.)
Databáze: MEDLINE
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