Sabir Mahrukh, Nagi Muhammad Luqman Farrukh, Kazmi Tahseen Haider
Dr. Mahrukh Sabir, MBBS, Department of Community Medicine, Shalamar Institute of Health Sciences, Lahore, Pakistan.
Dr. Muhammad Luqman Farrukh Nagi, MBBS, MPH(Australia), Department of Community Medicine, Shalamar Institute of Health Sciences, Lahore, Pakistan.
Pak J Med Sci. 2019 Mar-Apr;35(2):527-531. doi: 10.12669/pjms.35.2.649.
Pregnancy and depression affect each other. The main objective of our study was to find out frequency of antenatal depression during last trimester and associated risk factors among pregnant female visiting a tertiary care private institution of Lahore, Pakistan.
This study was conducted at Shalamar Hospital a private tertiary care institution of Lahore during May 2017 to June 2018. Assuming 18% prevalence with design effect 1.5 and 97% confidence interval the calculated sample size was 417. To avoid dropouts the questionnaire was administered to 450 pregnant females in their last trimester that is with gestational age above 28 weeks. In this study we used a modified version of Goldberg's depression scale in Urdu language for data collection. Wherever needed the data collection team read out aloud the questionnaire to the participants who did not know how to read and write. Informed consent in a written form (in Urdu language) was taken from every study participant after explaining the participants about the research. If the participant did not know how to read and write, the interviewers narrated out aloud the script of informed consent for them and got it signed later by the participants. The confidentiality, anonymity and privacy of the study participants were preserved. Ethical approval of this study was obtained from Institutional Review Board of Shalamar Institute of Health Sciences. Data entry and analysis was finalized by using SPSS version 20.
The prevalence of depression among women seeking antenatal care during their last trimester according to Goldberg Depression Scale was 40.89% (n=184).Whereas, 30.4% (n=137), 8.67% (n=39) and 1.78% (n=8) suffered from mild, moderate and severe depression respectively. The associations between passive smoking (p < 0.01), family history of preeclampsia (p < 0.05) and depression among family members (p < 0.05) with antenatal depression during last trimester were significant.
According to Goldberg Depression Scale, 40.89% (n=184) of pregnant women seeking antenatal care in private tertiary care institution of Lahore suffered from depression.
妊娠与抑郁症相互影响。我们研究的主要目的是找出在巴基斯坦拉合尔一家三级私立医疗机构就诊的孕妇在妊娠晚期产前抑郁症的发生率及相关危险因素。
本研究于2017年5月至2018年6月在拉合尔的一家私立三级医疗机构沙勒马尔医院进行。假设患病率为18%，设计效应为1.5，置信区间为97%，计算出的样本量为417。为避免失访，对450名妊娠晚期（即孕周超过28周）的孕妇进行了问卷调查。在本研究中，我们使用了乌尔都语版的改良版戈德堡抑郁量表进行数据收集。在需要时，数据收集团队会向不识字的参与者大声朗读问卷。在向每位研究参与者解释研究内容后，以书面形式（乌尔都语）获得知情同意。如果参与者不识字，访谈者会为他们大声朗读知情同意书的内容，之后让参与者签字。研究参与者的保密性、匿名性和隐私得到了保护。本研究获得了沙勒马尔健康科学研究所机构审查委员会的伦理批准。使用SPSS 20版完成数据录入和分析。
根据戈德堡抑郁量表，在妊娠晚期寻求产前护理的女性中，抑郁症的患病率为40.89%（n = 184）。其中，分别有30.4%（n = 137）、8.67%（n = 39）和1.78%（n = 8）的女性患有轻度、中度和重度抑郁症。被动吸烟（p < 0.01）、子痫前期家族史（p < 0.05）以及家庭成员中的抑郁症（p < 0.05）与妊娠晚期产前抑郁症之间的关联具有显著性。
根据戈德堡抑郁量表，在拉合尔私立三级医疗机构寻求产前护理的孕妇中，40.89%（n = 184）患有抑郁症。
