Izuka E O, Iyidobu T O, Obiora-Izuka C E, Enebe J T, Onyeabochukwu A D, Nkwo P O, Nwagha U I
Departments of Obstetrics and Gynaecology; Palms Medical Consultants, Awkunanaw, Enugu State, Nigeria.
Psychiatry, College of Medicine, University of Nigeria, Nigeria.
Niger J Clin Pract. 2023 Sep;26(9):1368-1376. doi: 10.4103/njcp.njcp_196_23.
Maternal depression and anxiety during pregnancy are public health concerns. They are commonly reported among pregnant women from all over the world. Maternal mental health has not been prioritized, especially in low- and middle-income countries.
To evaluate depression and anxiety among pregnant women who receive antenatal care in four randomly selected hospitals in Enugu, Nigeria.
A multicenter questionnaire-based cross-sectional survey of 434 pregnant women was conducted at four selected health institutions offering antenatal services in Enugu, Enugu State. The prevalence of anxiety and depression was assessed using the hospital anxiety and depression scale (HADS). Factors associated with anxiety and depression were determined using logistic regression. P <0.05 was taken as significant.
The mean age of study participants was 30.09 ± 5.12 years. The proportion of participants with depressive symptoms and borderline depressive symptoms was 9.7% and 11.1%, respectively. The proportion of participants with anxiety symptoms and borderline anxiety symptoms was 10.1% and 15.7%, respectively. Husband's employment status (P = 0.033, odds ratios (OR) =0.354, 95% confidence intervals (CI) =0.137-0.918) and gestational age (P = 0.042, OR = 2.066, 95% CI = 1.028-4.151) were the only factors associated with depressive symptoms, while only educational level (P = 0.001, OR = 3.552, 95% CI = 1.674-7.537) and husband's employment status (P = 0.013, OR = 0.295, 95% CI = 0.113-0.772) were the only factors associated with anxiety symptoms.
Anxiety and depressive symptoms are relatively common in antenatal women in Enugu. The factors associated with depressive and anxiety symptoms were the respondent's educational level, gestational age, and the employment status of the husband.
孕期母亲的抑郁和焦虑是公共卫生问题。世界各地的孕妇中普遍有此类情况报告。母亲的心理健康未得到应有的重视，尤其是在低收入和中等收入国家。
评估在尼日利亚埃努古四家随机选取的医院接受产前护理的孕妇中的抑郁和焦虑情况。
在埃努古州埃努古提供产前服务的四家选定医疗机构，对434名孕妇进行了基于问卷的多中心横断面调查。使用医院焦虑抑郁量表（HADS）评估焦虑和抑郁的患病率。使用逻辑回归确定与焦虑和抑郁相关的因素。P<0.05被视为具有显著性。
研究参与者的平均年龄为30.09±5.12岁。有抑郁症状和边缘性抑郁症状的参与者比例分别为9.7%和11.1%。有焦虑症状和边缘性焦虑症状的参与者比例分别为10.1%和15.7%。丈夫的就业状况（P = 0.033，比值比（OR）=0.354，95%置信区间（CI）=0.137 - 0.918）和孕周（P = 0.042，OR = 2.066，95%CI = 1.028 - 4.151）是与抑郁症状相关的唯一因素，而只有教育程度（P = 0.001，OR = 3.552，95%CI = 1.674 - 7.537）和丈夫的就业状况（P = 0.013，OR = 0.295，95%CI = 0.113 - 0.772）是与焦虑症状相关的唯一因素。
在埃努古，焦虑和抑郁症状在产前女性中相对常见。与抑郁和焦虑症状相关的因素是受访者的教育程度、孕周以及丈夫的就业状况。
