Shitu Ayen Solomon, Alemayehu Selamawit, Tamene Fentahun
Department of Midwifery, Wolkite University College of Health and Medical Sciences, Wolkite University, Wolkite, Ethiopia.
Psychol Res Behav Manag. 2021 Jan 5;13:1365-1372. doi: 10.2147/PRBM.S289636. eCollection 2020.
Antepartum depression is a form of clinical depression that can be caused by the stress and worry that pregnancy can bring a more severe level. It can be triggered by an unplanned pregnancy, a history of substance abuse, and low economic status. Antepartum depression is critical and has an intergenerational impact on children in the developing world and it can have negative effects on fetal development. Therefore, this study aimed to assess its magnitude and associated factors among pregnant women attending antenatal clinics in Gurage zone public health institutions, SNNPR, Ethiopia, 2019.
Intuition-based cross-sectional study was employed in Gurage zone public health institutions from February 14 to April 14/2019. A systematic random sampling technique was used. The data were collected and then entered into EpiData and processed by SPSS version 24.0 for analysis. P values <0.05 with 95% confidence level were used to declare statistical significance.
In this study, a total of 343 pregnant mothers were participated by making a response rate of 96%. The magnitude of antepartum depression among pregnant women was 27.6% (95% CI: 22.4-33.2). The multivariable analysis showed that respondents who had unplanned pregnancy [AOR=2.11 (95% CI: 1.05-4.44)], having complications during their previous labor and delivery [AOR=4.42 (95% CI: 2.06-9.48)], previous history of child hospitalization [AOR=3.34 (95% CI: 1.48-7.51)], and satisfaction in their marriage [AOR=3.9 (95% CI: 1.15-13.21)] were associated with antepartum depression.
In this study, about one in four women during pregnancy develop antepartum depression. Unplanned pregnancy, complications during labor and delivery of the last baby, women having a history of child hospitalization, and maternal satisfaction with marriage were statistically associated factors with APD. To prevent further consequences, all concerned bodies need to take action by making targeted intervention and early screening of all pregnant mothers for depression.
产前抑郁症是临床抑郁症的一种形式，可能由怀孕带来的压力和担忧引发，且程度更为严重。它可能由意外怀孕、药物滥用史和经济地位低下引发。产前抑郁症至关重要，在发展中国家对儿童有代际影响，并且会对胎儿发育产生负面影响。因此，本研究旨在评估2019年埃塞俄比亚南方各族州古尔格地区公共卫生机构产前诊所孕妇中产前抑郁症的严重程度及其相关因素。
2019年2月14日至4月14日在古尔格地区公共卫生机构采用基于直觉的横断面研究。使用系统随机抽样技术。收集数据后录入EpiData，并使用SPSS 24.0版本进行处理以进行分析。使用95%置信水平下P值<0.05来判定统计学显著性。
在本研究中，共有343名孕妇参与，回复率为96%。孕妇中产前抑郁症的严重程度为27.6%（95%置信区间：22.4 - 33.2）。多变量分析显示，意外怀孕的受访者[AOR = 2.11（95%置信区间：1.05 - 4.44）]、上次分娩时有并发症[AOR = 4.42（95%置信区间：2.06 - 9.48）]、孩子有住院史[AOR = 3.34（95%置信区间：1.48 - 7.51）]以及对婚姻的满意度[AOR = 3.9（95%置信区间：1.15 - 13.21）]与产前抑郁症相关。
在本研究中，约四分之一的孕期女性会患上产前抑郁症。意外怀孕、上次分娩时的并发症、孩子有住院史以及母亲对婚姻的满意度是与产前抑郁症有统计学关联的因素。为防止进一步的后果，所有相关机构需要采取行动，对所有孕妇进行有针对性的干预和抑郁症早期筛查。
