2022 年，在埃塞俄比亚西部奥罗米亚地区吉达阿亚纳区的公立卫生机构接受产前护理的孕妇中，产前抑郁症及相关因素。
Antenatal depression and associated factors among pregnant women attending antenatal care at public health facilities in the Gida Ayana district, Oromia Region, West Ethiopia, in 2022.
机构信息
Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Department of Psychiatry Nursing, School of Nursing, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
出版信息
Front Public Health. 2023 Oct 9;11:1176703. doi: 10.3389/fpubh.2023.1176703. eCollection 2023.
BACKGROUND
Though antenatal depression (AND) has a risk of maternal and fetal morbidity and mortality, it is a neglected component of pregnancy care in Ethiopia. Research evidence is compulsory in different parts of the country to alleviate this problem. Thus, this study was needed to assess antenatal depression and its associated factors, which can help antenatal care (ANC) providers and program coordinators focus on the mental health of pregnant mothers.
OBJECTIVES
This study aimed to assess antenatal depression and associated factors among pregnant women attending ANC at public health facilities in the Gida Ayana district, Oromia Region, West Ethiopia, in 2022.
METHODS
A facility-based cross-sectional study was conducted among 370 pregnant women attending ANC at public health facilities. Systematic random sampling techniques were used to select study participants. A standard (validated) tool, the Edinburgh Postnatal Depression Scale, was also used to assess antenatal depression. The collected data were coded, entered into Epi-data software version 4.6, and analyzed by SPSS version 23. Multivariable logistic regression analyses were used to identify associated factors with a -value <0.05.
RESULTS
In this study, the prevalence of antenatal depression was 62 (16.8%; 95% CI: 13, 20.5). Being single in marital status (AOR = 3, 95% CI: 1.5, 6.2), having an unplanned pregnancy (AOR = 2.7, 95% CI: 1.45, 5.1), and having partner conflict (AOR = 3.49, 95% CI: 1.79, 6.8) were the factors associated with antenatal depression.
CONCLUSION
About one in five pregnant women has antenatal depression. Being single, having an unplanned pregnancy, and having a dissatisfied relationship with a sexual partner were the factors associated with antenatal depression. Therefore, women or partners are expected to plan pregnancy, and the dissemination of health information related to an unplanned pregnancy needs to be intensified by health providers. The partner ought to avoid conflict during the pregnancy, and healthcare providers or families are needed to support the single or widowed pregnant women. Further prospective cohort studies are needed to ascertain the effect of antenatal depression on fetal-maternal outcomes.
背景
尽管产前抑郁症（AND）会增加母婴发病率和死亡率的风险，但它是埃塞俄比亚妊娠护理中被忽视的一个组成部分。该国不同地区都需要研究证据来缓解这个问题。因此，这项研究旨在评估孕妇在参加西埃塞俄比亚奥罗米亚地区吉达阿亚纳区公共卫生设施的产前护理时的产前抑郁症及其相关因素，这可以帮助产前保健（ANC）提供者和计划协调员关注孕妇的心理健康。
目的
本研究旨在评估 2022 年在埃塞俄比亚奥罗米亚地区吉达阿亚纳区公共卫生设施接受产前护理的孕妇中产前抑郁症及其相关因素。
方法
这是一项在接受公共卫生设施产前护理的 370 名孕妇中进行的基于设施的横断面研究。采用系统随机抽样技术选择研究参与者。还使用了一种标准（经过验证）工具，即爱丁堡产后抑郁量表，来评估产前抑郁症。收集的数据经过编码，输入 Epi-data 软件版本 4.6，并由 SPSS 版本 23 进行分析。使用多变量逻辑回归分析来确定与 P<0.05 相关的因素。
结果
在这项研究中，产前抑郁症的患病率为 62 例（16.8%；95%CI：13，20.5）。在婚姻状况中，单身（AOR=3，95%CI：1.5，6.2）、计划外怀孕（AOR=2.7，95%CI：1.45，5.1）和伴侣冲突（AOR=3.49，95%CI：1.79，6.8）是与产前抑郁症相关的因素。
结论
大约五分之一的孕妇患有产前抑郁症。单身、计划外怀孕和与性伴侣关系不满意是与产前抑郁症相关的因素。因此，妇女或伴侣应计划怀孕，并需要由卫生提供者加强与计划外怀孕相关的卫生信息传播。伴侣应在怀孕期间避免冲突，需要卫生保健提供者或家庭支持单身或丧偶的孕妇。需要进一步的前瞻性队列研究来确定产前抑郁症对母婴结局的影响。
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