Nisarga Vinyas, Anupama M, Madhu K N
Department of Psychiatry, J.J.M Medical College, Davangere, Karnataka, India.
Department of Obstetrics and Gynaecology, J.J.M Medical College, Davangere, Karnataka, India.
Asian J Psychiatr. 2022 Jun;72:103063. doi: 10.1016/j.ajp.2022.103063. Epub 2022 Mar 11.
Antenatal depression is as prevalent as postpartum depression and studies on it are very few. It has been relatively neglected leading to adverse effects on the growing child as well as the mother. Hence screening of depression in high risk individuals, planning and adopting important strategies for prevention needs to be undertaken. Our study aimed to assess the modifiable social and obstetric risk factors of antenatal depression.
Third trimester pregnant women of 18-40 years attending obstetric out-patient department and admitted in tertiary hospitals who had no past psychiatric illness were screened using Edinburgh postnatal depression scale after obtaining written consent, socio-demographic and obstetric details. Statistical analysis was calculated using IBM version SPSS 23.
Among 222 women recruited, 25.6% had antenatal depression. Significant associations were found between lower level of education (p = 0.02,O.R=1.87), urban population (p = 0.04,O.R=5.139), intimate partner violence (p = 0.01,O.R=15.769), daily alcohol use by husband (p < 0.00,O.R=15.281), poor relationship with in-laws (p < 0.000,O.R=21.733) and parents (p < 0.000,O.R=15.281), number of previous pregnancies (p = 0.026,O.R=5.545), parity (p = 0.04,O.R=4.187), previous abortions (p = 0.007,O.R=2.834), fear of labour (p < 0.000,O.R=5.77) and complications during pregnancy (p < 0.000,O.R=3.017) with antenatal depression. Living in urban area (p = 0.023, A.O.R=3.132), fear of labour (p < 0.000, A.O.R=7.398), intimate partner violence (p = 0.026, A.O.R=36.655), poor relationship with in-laws (p = 0.001, A.O.R=36.855) and parents (p = 0.042, A.O.R=8.377) were found to be predictors of antenatal depression.
Antenatal depression is multifactorial in origin and requires a multifactorial approach in prevention and treatment. Routine antenatal screening for depression must be conducted with efforts to build strong family, peer and social support at community level.
产前抑郁症与产后抑郁症一样普遍，但相关研究却非常少。它一直相对被忽视，对成长中的孩子以及母亲都会产生不利影响。因此，需要对高危人群进行抑郁症筛查，并制定和采取重要的预防策略。我们的研究旨在评估产前抑郁症可改变的社会和产科风险因素。
在获得书面同意后，使用爱丁堡产后抑郁量表对年龄在18 - 40岁、就诊于产科门诊且入住三级医院、无既往精神疾病史的孕晚期孕妇进行筛查，并收集社会人口学和产科详细信息。使用IBM版本的SPSS 23进行统计分析。
在招募的222名女性中，25.6%患有产前抑郁症。研究发现，较低的教育水平（p = 0.02，O.R = 1.87）、城市人口（p = 0.04，O.R = 5.139）、亲密伴侣暴力（p = 0.01，O.R = 15.769）、丈夫每日饮酒（p < 0.00，O.R = 15.281）、与公婆关系不佳（p < 0.000，O.R = 21.733）和与父母关系不佳（p < 0.000，O.R = 15.281）、既往怀孕次数（p = 0.026，O.R = 5.545）、产次（p = 0.04，O.R = 4.187）、既往流产史（p = 0.007，O.R = 2.834）、对分娩的恐惧（p < 0.000，O.R = 5.77）以及孕期并发症（p < 0.000，O.R = 3.017）与产前抑郁症之间存在显著关联。居住在城市地区（p = 0.023，A.O.R = 3.132）、对分娩的恐惧（p < 0.000，A.O.R = 7.398）、亲密伴侣暴力（p = 0.026，A.O.R = 但文档此处A.O.R值错误，应为36.655 ）、与公婆关系不佳（p = 0.001，A.O.R = 36.855）和与父母关系不佳（p = 0.042，A.O.R = 8.377）被发现是产前抑郁症的预测因素。
产前抑郁症的病因是多因素的，预防和治疗需要采取多因素方法。必须进行常规的产前抑郁症筛查，并努力在社区层面建立强大的家庭、同伴和社会支持。 （注：文档中部分A.O.R值疑似错误，翻译时按原文呈现并标注）
