Abstract
BackgroundDepression is the most prevalent psychiatric disorder during pregnancy. It is not only common and chronic among women throughout the world but also principal source of disability in pregnant women. The scarce information and limited attention to the problem might aggravate the consequence of the problem and can limit the intervention to be taken. The objective of the study was to assess the prevalence and factors associated with depression among pregnant women in public health institutions, Hawassa, Ethiopia.MethodsInstitution based cross sectional study was conducted in May to July 2017. Pregnant women were selected by using systematic sampling technique. Data were collected through face-to-face interviews on socio-demographic, obstetric, psychosocial characteristics and depressive symptoms. Edinburgh Postnatal Depression Scale (EPDS) and Oslo Social Support Scale (OSS-3) were used to asses’ depressive symptoms and social support respectively. Descriptive and logistic regression analyses were carried out.ResultsThe mean age of the respondents was 23.82 ± (SD = 6.65) years. The prevalence of antenatal depression was 21.5%. When we adjusted for the effect of potential confounding variables, being in age group of 20–30 years [AOR = 5.85 (95% CI: (3.70, 10.14)], current pregnancy complication [AOR = 4.98 (95% CI: (3.01, 10.37)], unplanned pregnancy [AOR = 7.12, (95% CI: (3.12, 9.63)], categories of stressors (LTE) Health risk [AOR = 1.76, (95% CI: (1.01, 3.22)], previous history of depression [AOR = 2.76 (95% CI: (1.94, 6.75)], history of abortion [AOR = 1.52, (95% CI:1.04, 5.09)], history of still birth [AOR = 1.18, (95% CI: 1.08, 2.91)], poor social support [AOR = 2.14, (95% CI: 1.49, 3.11)] and poor baby father support [AOR = 3.21 (95% CI:1.93, 6.71)] were significantly associated with antenatal depression.ConclusionFor early detection and appropriate intervention, antenatal clinics should develop screening tools for depression during the routine antenatal care.
Highlights
Depression is the most prevalent psychiatric disorder during pregnancy
Plain English summary Among mental disorders that occur in pregnancy, depression has been recognized as a global public health problem owing to its severity, chronic nature and recurrence as well as its negative impact on the general health of women and development of children
It is highly important to study the determinants of antenatal depression in pregnant mothers
Summary
Depression is the most prevalent psychiatric disorder during pregnancy. It is common and chronic among women throughout the world and principal source of disability in pregnant women. Among psychiatric problems that occur in pregnancy, depression is a prevalent mental health problem affecting about one in five women worldwide [2, 3]. It has been recognized as a global public health problem owing to its severity, chronic nature and recurrence as well as its negative impact on the general health of women and development of children [4, 5]. Depression during the prenatal period in associated with a range of fetal and obstetric problem and adverse developmental child outcome [6], and in low and middle income countries evidence suggests that its impact extend beyond psycho-social developmental delay to child health outcome [7]. Pregnant women with depression were more likely suffer from obstetrical complication such as pre -eclampsia, uterine irritability& pregnancy induced hypertension [9]
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