Department of Obstetrics and Gynecology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Environmental and Occupational Health and Safety, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Biomed Res Int. 2021 Jun 3;2021:9965289. doi: 10.1155/2021/9965289. eCollection 2021.
Antenatal depression is the major obstetric problem that led to significant maternal and perinatal morbidity and mortality worldwide, especially in the third world. However, in Ethiopia this prevalence and association were not studied, as result, this study investigated the prevalence and associated factors of antenatal depression among pregnant mothers who had intimate partner violence during pregnancy. . An institution-based cross-sectional study was done among 409 pregnant mothers who had intimate partner violence during pregnancy from May to July 2019 at Gondar University Hospital. All pregnant mothers who came for ANC follow-up during the study period approached for screening of intimate partner violence during pregnancy using standard and validated screening method and instrument of the WHO multicountry study on women's health and domestic violence to evaluate intimate partner violence, and we use EPDS for the evaluation of antenatal depression validated in Ethiopia with a cut point of 13.
Prevalence of depression among pregnant mothers who had any form of intimate partner violence during pregnancy was 35%: physical abuse (AOR = 1.8; 95% CI: 1.19, 3.30), more than one type of abuse (AOR = 10.18; 95% CI: 7.10, 16.18), poor social support (AOR = 5.81; 95% CI: 1.12, 13.12), and pregnant mothers whose partner drunk for the past twelve months (AOR = 7.16; 95% CI: 183, 8.00) were significantly associated with antenatal depression.
High prevalence of antenatal depression among pregnant mothers who had intimate partner violence during pregnancy was highly associated with physical abuse, more than one type of abuse, lack of social support, and partner of pregnant mothers who is a drunk. Hence, this is important to create a screening program and prevention strategy of intimate partner violence during pregnancy at the time of antenatal follow-up to prevent and early identify its morbidity and mortality.
产前抑郁症是全球主要的产科问题，导致产妇和围产期发病率和死亡率显著增加，尤其是在第三世界国家。然而，在埃塞俄比亚，尚未对此类疾病的流行情况和关联进行研究。因此，本研究旨在调查在怀孕期间遭受亲密伴侣暴力的孕妇中，产前抑郁症的流行情况及其相关因素。
本研究为 2019 年 5 月至 7 月期间在贡德尔大学医院接受产前检查的 409 名怀孕期间遭受亲密伴侣暴力的孕妇进行了一项基于机构的横断面研究。所有在研究期间前来接受 ANC 随访的孕妇均通过世卫组织多国妇女健康和家庭暴力研究的标准和经过验证的筛查方法和工具接受了怀孕期间亲密伴侣暴力的筛查，以评估亲密伴侣暴力，我们使用 EPDS 评估产前抑郁症，该工具在埃塞俄比亚经过验证，截断值为 13。
在怀孕期间遭受任何形式亲密伴侣暴力的孕妇中，抑郁的患病率为 35%：身体虐待（AOR=1.8；95%CI：1.19，3.30）、多种虐待类型（AOR=10.18；95%CI：7.10，16.18）、社会支持不足（AOR=5.81；95%CI：1.12，13.12）和伴侣在过去 12 个月内饮酒（AOR=7.16；95%CI：183，8.00）与产前抑郁症显著相关。
在怀孕期间遭受亲密伴侣暴力的孕妇中，产前抑郁症的高患病率与身体虐待、多种虐待类型、缺乏社会支持以及孕妇伴侣酗酒高度相关。因此，在进行产前检查时，有必要制定针对怀孕期间亲密伴侣暴力的筛查方案和预防策略，以预防和早期发现其发病率和死亡率。
