Antenatal depression status and related factors for second-child pregnant women

Abstract

Objective To describe the incidence of antenatal depression among a second-child pregnant sample and explore its risk factors. Methods A total of 601 pregnant women were recruited by convenience sampling between July 2014 and January 2015 from five Obstetrics and Gynecology Hospitals in Chengdu. Edinburgh postnatal depression scale(EPDS) was used to assess their antenatal depression. A self-developed questionnaire, pregnancy-related stress scale(PRSS), and social support rating scale (SSRS) were applied to assess its risk factors. Results Among the 601 women recruited, incidence of antenatal depression was 29.7%. Logistic regression analysis showed that: pregnancy stress factor 1(OR: 8.71, 95%CI: 2.73-77.84), family income monthly 3 001-5 000 RMB(OR: 3.52, 95%CI: 1.58-7.84), pregnancy stress factor 4(OR: 2.31, 95%CI: 1.28-4.17), objective social support(OR: 0.88, 95%CI: 0.81-0.96), father-in-law′s gender preference(OR: 0.44, 95%CI: 0.26-0.75), occupation-authorities and enterprises management personnel(OR: 0.05, 95%CI: 0.01-0.51). Conclusions The status of antenatal depression among second-child pregnant women is not optimistic with many influencing factors. Therefore, more attention should be paid to their pregnancy-related stress and social support risk factors should be found out timely and improved to prevent antenatal depression. Key words: Prenatal care; Depression; Second-child pregnant women; Influencing factor