Chuma Bekalu Thomas, Sagaro Getu Gamo, Astawesegn Feleke Hailemichael
Sodo Christian General Hospital, Wolaita Sodo, Ethiopia.
School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Depress Res Treat. 2020 Apr 1;2020:6718342. doi: 10.1155/2020/6718342. eCollection 2020.
Depression affects approximately 10 to 20% of pregnant women globally, and one in ten and two in five women in developed and developing countries develop depression during pregnancy, respectively. However, evidence regarding its magnitude and predictors in Southern Ethiopia is limited. The present study is aimed at assessing the magnitude and predictors of antenatal depression among pregnant women attending antenatal care in Sodo town.
A facility-based cross-sectional study was conducted among 403 antenatal care attendants in Sodo town from November 2 to January 30, 2017. Systematic random sampling was used to select the study population, and data were collected by using a pretested and structured questionnaire. Data were entered using Epi-data 4.2 and then exported and analyzed using SPSS version 20. Bivariate and multivariable logistic regression analyses were used to assess the association between the dependent variable and independent variables. Variables with value less than 0.05 were considered as statistically significant.
A total of 400 pregnant women were interviewed. The magnitude of antenatal depression was 16.3% (95% CI (12.8%, 19.9%)). Husband's educational status, at the college and above (AOR: 0.09; 95% CI (0.03, 0.34), regular exercise (AOR: 0.16; 95% CI (0.07, 0.36)), planned pregnancy (AOR: 0.16; 95% CI (0.06, 0.44)), use of family planning (AOR: 0.31; 95% CI (0.14, 0.66)), previous history of anxiety (AOR: 2.96; 95% CI (1.30, 6.74)), previous history of obstetric complications (AOR: 19.03; 95% CI (5.89, 61.47)), and current obstetric complications (AOR: 30.38; 95% CI (3.14, 294.19)) were significant predictors of antenatal depression.
Nearly one in six pregnant women had antenatal depression. The husband's educational status, regular exercise, planned pregnancy, use of family planning, previous history of anxiety, previous history of obstetric complications, and current history of obstetric complications were significant predictors of antenatal depression. Screening for depression during routine antenatal care could be essential and recommended to identify early and prevent further morbidities and mortalities due to antenatal depression.
全球约10%至20%的孕妇受抑郁症影响，在发达国家和发展中国家，分别有十分之一和五分之二的女性在孕期患上抑郁症。然而，关于埃塞俄比亚南部抑郁症的严重程度及其预测因素的证据有限。本研究旨在评估索多镇接受产前护理的孕妇中产前抑郁症的严重程度及其预测因素。
2017年11月2日至1月30日，在索多镇对403名产前护理人员进行了一项基于机构的横断面研究。采用系统随机抽样方法选取研究对象，通过使用预先测试和结构化的问卷收集数据。数据使用Epi-data 4.2录入，然后导出并使用SPSS 20版进行分析。采用双变量和多变量逻辑回归分析来评估因变量和自变量之间的关联。P值小于0.05的变量被认为具有统计学意义。
共采访了400名孕妇。产前抑郁症的严重程度为16.3%（95%可信区间（12.8%，19.9%））。丈夫的教育程度为大专及以上（比值比：0.09；95%可信区间（0.03，0.34））、经常锻炼（比值比：0.16；95%可信区间（0.07，0.36））、计划妊娠（比值比：0.16；95%可信区间（0.06，0.44））、使用计划生育（比值比：0.31；95%可信区间（0.14，0.66））、既往焦虑史（比值比：2.96；95%可信区间（1.30，6.74））、既往产科并发症史（比值比：19.03；95%可信区间（5.89，61.47））以及当前产科并发症（比值比：30.38；95%可信区间（3.14，294.19））是产前抑郁症的显著预测因素。
近六分之一的孕妇患有产前抑郁症。丈夫的教育程度、经常锻炼、计划妊娠、使用计划生育、既往焦虑史、既往产科并发症史以及当前产科并发症史是产前抑郁症的显著预测因素。在常规产前护理期间筛查抑郁症可能至关重要，建议进行筛查以早期识别并预防因产前抑郁症导致的更多发病和死亡情况。
