Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil.
Health Sciences Center, State University of the Tocantina Region of Maranhão, Campus Imperatriz, Imperatriz 65900-000, Maranhão, Brazil.
Int J Environ Res Public Health. 2022 Dec 30;20(1):652. doi: 10.3390/ijerph20010652.
This is a cross-sectional study conducted with pregnant women who underwent prenatal care at basic health units in São Luís City, Maranhão State, Brazil. The authors used a semistructured questionnaire to assess the socioeconomic, demographic, and clinical characteristics of pregnant women as well as the Edinburgh Scale to investigate depressive symptoms. In order to assess the association between the explanatory variable and the outcome variable, Poisson logistic regression was performed with statistical significance at p < 0.05. A total of 205 women were interviewed, most aged between 18 and 29 years (66.83%). Of this total, 74.63% had not planned their pregnancy and 26.67% had depressive symptoms. The variables unplanned pregnancy (PR = 1.41; CI = 0.99−2.00; p = 0.05) and not undergoing psychological counseling (PR = 1.42; CI = 0.51−0.83; p ≤ 0.01) correlated with depressive symptoms during pregnancy. It is thus possible to link the variables unplanned pregnancy (p > 0.05) and not undergoing psychological counseling (p = 0.001) to depression. Therefore, it is important to monitor the mental health of pregnant women, especially in situations of vulnerability.
这是一项在巴西马拉尼昂州圣路易斯市的基本保健单位接受产前护理的孕妇进行的横断面研究。作者使用半结构式问卷评估了孕妇的社会经济、人口和临床特征以及爱丁堡量表来调查抑郁症状。为了评估解释变量与结果变量之间的关联，使用泊松逻辑回归进行了分析，具有统计学意义的 p 值为 < 0.05。共对 205 名妇女进行了访谈，大多数年龄在 18 至 29 岁之间（66.83%）。在这其中，74.63%的孕妇没有计划怀孕，26.67%的孕妇有抑郁症状。无计划怀孕（PR = 1.41；CI = 0.99−2.00；p = 0.05）和未进行心理咨询（PR = 1.42；CI = 0.51−0.83；p ≤ 0.01）与孕妇怀孕期间的抑郁症状相关。因此，可以将无计划怀孕（p > 0.05）和未进行心理咨询（p = 0.001）这两个变量与抑郁联系起来。因此，监测孕妇的心理健康非常重要，特别是在脆弱的情况下。
