Belay Yihalem Abebe, Moges Nurilign Abebe, Hiksa Fetuma Feyera, Arado Kassahun Ketema, Liben Misgan Legesse
Department of Public Health, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Department of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Depress Res Treat. 2018 Oct 2;2018:1659089. doi: 10.1155/2018/1659089. eCollection 2018.
Globally, depression affects an estimated 10 % to 20% of women during pregnancy. There is limited evidence on antenatal depression in Northeast Ethiopia. This study aimed to assess prevalence of antenatal depression and associated factors among Dubti Hospital Antenatal care attendants.
Institution based cross-sectional study was conducted among 363 Antenatal care attendants at Dubti Hospital from March 07 to May 07, 2016. Beck's Depression Inventory tool was used to collect data. Data were entered into Epi-Data 3.1 and analyzed using SPSS 20. Bivariable and multivariable logistic regression analyses were fitted. Variables having < 0.05 were considered as statistically significant.
A total of 357 pregnant women were interviewed. The prevalence of antenatal depression was 17.9% [95% CI (14.0, 22.0%). Pregnancy planning [AOR: 0.04; 95% CI (0.014, 0.114), social support [AOR: 0.21; 95% CI (0.07, 0.66), and marital conflict [AOR: 6.45; 95% CI (2.1, 17.9)] were significantly associated with antenatal depression.
Nearly one in five pregnant women had depression. Marital conflict, pregnancy planning, and social support were significant predictors of antenatal depression. Dubti Hospital should strengthen its effort on prevention of unplanned pregnancy. Healthcare workers in antenatal care unit have to deal with marital conflict and social support as part of their routine investigation to avoid complications through early detection of antenatal depression.
在全球范围内，估计有10%至20%的孕期女性受抑郁症影响。在埃塞俄比亚东北部，关于产前抑郁症的证据有限。本研究旨在评估杜比医院产前护理就诊者中产前抑郁症的患病率及相关因素。
2016年3月7日至5月7日，在杜比医院对363名产前护理就诊者进行了基于机构的横断面研究。使用贝克抑郁量表工具收集数据。数据录入Epi-Data 3.1并使用SPSS 20进行分析。进行了双变量和多变量逻辑回归分析。P<0.05的变量被认为具有统计学意义。
共采访了357名孕妇。产前抑郁症的患病率为17.9%[95%置信区间(14.0, 22.0%)]。妊娠计划[AOR: 0.04; 95%置信区间(0.014, 0.114)]、社会支持[AOR: 0.21; 95%置信区间(0.07, 0.66)]和婚姻冲突[AOR: 6.45; 95%置信区间(2.1, 17.9)]与产前抑郁症显著相关。
近五分之一的孕妇患有抑郁症。婚姻冲突、妊娠计划和社会支持是产前抑郁症的重要预测因素。杜比医院应加强预防意外怀孕的工作。产前护理单位的医护人员必须将处理婚姻冲突和社会支持作为其常规调查的一部分，以便通过早期发现产前抑郁症来避免并发症。
