A cross-sectional study of depression among women attending antenatal clinics in Blantyre district, Malawi
S. Afr. j. psychiatry (Online)
; 24: 1-6, 2018. tab
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| ID: biblio-1270867
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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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Índice:
AIM
Asunto principal:
Ansiedad
/
Embarazo
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Mujeres Embarazadas
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Depresión
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Malaui
Tipo de estudio:
Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
País/Región como asunto:
Africa
Idioma:
En
Revista:
S. Afr. j. psychiatry (Online)
Año:
2018
Tipo del documento:
Article