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A cross-sectional study of depression among women attending antenatal clinics in Blantyre district, Malawi
Chorwe-Sungani, Genesis; Chipps, Jennifer.
  • Chorwe-Sungani, Genesis; s.af
  • Chipps, Jennifer; s.af
Article in English | AIM | ID: biblio-1270867
Responsible library: CG1.1
ABSTRACT

Background:

Pregnancy is a period associated with major psychological and social changes in the life of a woman and can be associated with anxiety and depression.

Aim:

To describe demographic, clinical and risk profile of antenatal depression among pregnant women attending antenatal clinics in Blantyre district, Malawi.

Setting:

The study was conducted in eight antenatal clinics in Blantyre district, Malawi.

Methods:

A cross-sectional study of 480 randomly selected pregnant women attending antenatal clinics was conducted. Prevalence was determined using the Edinburgh Postnatal Depression Scale (EPDS) which was validated against a sub-sample using the Mini International Neuropsychiatric Interview. The risk factors of depression were assessed using the Pregnancy Risk Questionnaire. Data were analysed using descriptive statistics, Pearson chi-square test and binary logistic regression.

Results:

Prevalence of antenatal depression using the EPDS was 19% (95% CI 15.5% ­ 22.5%, n= 91) and was comparable to the Mini International Neuropsychiatric Interview (25.8%[95%CI=17.5­34], n=25). The key risk factors that predicted antenatal depression were 'being distressed by anxiety or depression for more than 2 weeks during this pregnancy'(OR=4.1 [2.1­7.9], p≤ 0.001); 'feeling that a relationship with partner is not an emotionally supportive one' (OR=3.5 [1.4­8.4], p=0.01); 'having major stresses, changes or losses in the course of this pregnancy' (OR=3.2 [1.7­6.2], p=0.01); 'feeling that father was critical of her when growing up' (OR=3.2 [1.4­7.6], p=0.01); and 'having history of feeling miserable or depressed for ≥ 2 weeks before this pregnancy' (OR=2.4 [1.3­4.4], p=0.01).

Conclusion:

This study confirmed the high-prevalence rate of depression in this group and illustrated that antenatal depression was associated with being distressed by anxiety or depression; support from partner; major stresses during pregnancy; and history of feeling miserable or depressed before pregnancy. This study also found a history of poor relationship between pregnant women and their fathers during childhood
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Index: AIM (Africa) Main subject: Anxiety / Pregnancy / Pregnant Women / Depression / Malawi Type of study: Observational study / Prevalence study / Prognostic study / Risk factors Country/Region as subject: Africa Language: English Journal: S. Afr. j. psychiatry (Online) Year: 2018 Type: Article

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Index: AIM (Africa) Main subject: Anxiety / Pregnancy / Pregnant Women / Depression / Malawi Type of study: Observational study / Prevalence study / Prognostic study / Risk factors Country/Region as subject: Africa Language: English Journal: S. Afr. j. psychiatry (Online) Year: 2018 Type: Article