Department of Obstetrics and Gynaecology, Aga Khan University hospital, Nairobi, Kenya.
BMC Psychiatry. 2018 Feb 5;18(1):32. doi: 10.1186/s12888-018-1619-9.
Miscarriages are a common pregnancy complication affecting about 10-15% of pregnancies. Miscarriages may be associated with a myriad of psychiatric morbidity at various timelines after the event. Depression has been shown to affect about 10-20% of all women following a miscarriage. However, no data exists in the local setting informing on the prevalence of post-miscarriage depression. We set out to determine the prevalence of positive depression screen among women who have experienced a miscarriage at the Aga Khan University hospital, Nairobi.
The study was cross-sectional in design. Patients who had a miscarriage were recruited at the post-miscarriage clinic review at the gynecology clinics at Aga Khan University Hospital, Nairobi. The Edinburgh postpartum depression scale was used to screen for depression in the patients. Prevalence was calculated from the percentage of patients achieving the cut -off score of 13 over the total number of patients.
A total of 182 patients were recruited for the study. The prevalence of positive depression screen was 34.1% since 62 of the 182 patients had a positive depression screen. Moreover, of the patients who had a positive depression screen, 21(33.1%) had thoughts of self-harm.
A positive depression screen is present in 34.1% of women in our population two weeks after a miscarriage. Thoughts of self-harm are present in about a third of these women (33.1%) hence pointing out the importance of screening these women using the EPDS after a miscarriage.
流产是一种常见的妊娠并发症，影响约 10-15%的妊娠。流产后，各种精神疾病的发病率可能会随之增加。研究表明，流产后约有 10-20%的女性会出现抑郁。然而，当地尚无数据显示流产后抑郁的流行情况。我们旨在确定在内罗毕 Aga Khan 大学医院经历流产的女性中，抑郁筛查阳性的比例。
该研究采用横断面设计。在 Aga Khan 大学医院妇产科流产后诊所复查时，招募经历流产的患者。使用爱丁堡产后抑郁量表对患者进行抑郁筛查。通过将达到 13 分的患者百分比除以总患者数来计算患病率。
共有 182 名患者入组研究。抑郁筛查阳性的患病率为 34.1%，因为 182 名患者中有 62 名出现抑郁筛查阳性。此外，在出现抑郁筛查阳性的患者中，有 21 名（33.1%）有自杀念头。
在我们的人群中，流产后两周有 34.1%的女性出现抑郁筛查阳性。这些女性中有近三分之一（33.1%）有自杀念头，因此指出在流产后使用 EPDS 对这些女性进行筛查的重要性。
