Sociodemographic and Medical Risk Factors Associated With Antepartum Depression

BackgroundThe increasing recognition of antenatal depression is an emerging area of concern in developing countries. We conducted a study to estimate the prevalence of antenatal mental distress and its relation with sociodemographic factors, obstetric factors, and physiological wellbeing in pregnant...

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Main Authors: Giridhara R. Babu, G. V. S. Murthy, Neeru Singh, Anita Nath, Mohanbabu Rathnaiah, Nolita Saldanha, R. Deepa, Sanjay Kinra
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-05-01
Series:Frontiers in Public Health
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fpubh.2018.00127/full
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author Giridhara R. Babu
G. V. S. Murthy
G. V. S. Murthy
Neeru Singh
Anita Nath
Mohanbabu Rathnaiah
Nolita Saldanha
R. Deepa
Sanjay Kinra
author_facet Giridhara R. Babu
G. V. S. Murthy
G. V. S. Murthy
Neeru Singh
Anita Nath
Mohanbabu Rathnaiah
Nolita Saldanha
R. Deepa
Sanjay Kinra
author_sort Giridhara R. Babu
collection DOAJ
description BackgroundThe increasing recognition of antenatal depression is an emerging area of concern in developing countries. We conducted a study to estimate the prevalence of antenatal mental distress and its relation with sociodemographic factors, obstetric factors, and physiological wellbeing in pregnant women attending public health facilities in Bengaluru, South India.MethodsNested within a cohort study, we assessed the mental status in 823 pregnant women in two public referral hospitals. Kessler Psychological Distress Scale (K-10 scale) was used to assess maternal depression. We collected information related to social-demographic characteristics and recent medical complaints. Descriptive statistics and odds ratios were calculated using SPSS version 20.ResultsResults show that 8.7% of the women exhibited symptoms of antenatal depression. Sociodemographic characteristics, such as respondent occupation, husband education, husband’s occupation, total family income showed significance. First time pregnancy, anemia, and high blood pressure were also associated with mental distress.ConclusionOur study has demonstrated feasibility of screening for mental health problems in public hospitals. Early detection of mental distress during pregnancy is crucial as it has a direct impact on the fetus. The public health facilities in low- and middle-income countries such as India should consider piloting and scaling up screening services for mental health conditions for pregnant women.
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spelling doaj.art-1e56542b4cbe485985f74bfce3acb4c92022-12-22T00:40:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652018-05-01610.3389/fpubh.2018.00127342095Sociodemographic and Medical Risk Factors Associated With Antepartum DepressionGiridhara R. Babu0G. V. S. Murthy1G. V. S. Murthy2Neeru Singh3Anita Nath4Mohanbabu Rathnaiah5Nolita Saldanha6R. Deepa7Sanjay Kinra8Indian Institute of Public Health (IIPH) Bangalore, Public Health Foundation of India and Wellcome Trust-DBT India Alliance, Bangalore, IndiaIndian Institute of Public Health, Public Health Foundation of India, Madhapur, Hyderabad, IndiaInternational Centre for Eye Health, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United KingdomIIPH Bangalore, Public Health Foundation of India, Bangalore, IndiaIndian Institute of Public Health (IIPH) Bangalore, Public Health Foundation of India and Wellcome Trust-DBT India Alliance, Bangalore, IndiaPsychiatry, Institute of Mental Health, University of Nottingham, Nottingham, United KingdomIndian Institute of Public Health (IIPH) Bangalore, Public Health Foundation of India and Wellcome Trust-DBT India Alliance, Bangalore, IndiaIndian Institute of Public Health (IIPH) Bangalore, Public Health Foundation of India and Wellcome Trust-DBT India Alliance, Bangalore, IndiaClinical Epidemiology, London School of Hygiene and Tropical Medicine and University College London Hospital, London, United KingdomBackgroundThe increasing recognition of antenatal depression is an emerging area of concern in developing countries. We conducted a study to estimate the prevalence of antenatal mental distress and its relation with sociodemographic factors, obstetric factors, and physiological wellbeing in pregnant women attending public health facilities in Bengaluru, South India.MethodsNested within a cohort study, we assessed the mental status in 823 pregnant women in two public referral hospitals. Kessler Psychological Distress Scale (K-10 scale) was used to assess maternal depression. We collected information related to social-demographic characteristics and recent medical complaints. Descriptive statistics and odds ratios were calculated using SPSS version 20.ResultsResults show that 8.7% of the women exhibited symptoms of antenatal depression. Sociodemographic characteristics, such as respondent occupation, husband education, husband’s occupation, total family income showed significance. First time pregnancy, anemia, and high blood pressure were also associated with mental distress.ConclusionOur study has demonstrated feasibility of screening for mental health problems in public hospitals. Early detection of mental distress during pregnancy is crucial as it has a direct impact on the fetus. The public health facilities in low- and middle-income countries such as India should consider piloting and scaling up screening services for mental health conditions for pregnant women.http://journal.frontiersin.org/article/10.3389/fpubh.2018.00127/fullpregnancymental distressantenatalstresscohortpublic hospital
spellingShingle Giridhara R. Babu
G. V. S. Murthy
G. V. S. Murthy
Neeru Singh
Anita Nath
Mohanbabu Rathnaiah
Nolita Saldanha
R. Deepa
Sanjay Kinra
Sociodemographic and Medical Risk Factors Associated With Antepartum Depression
Frontiers in Public Health
pregnancy
mental distress
antenatal
stress
cohort
public hospital
title Sociodemographic and Medical Risk Factors Associated With Antepartum Depression
title_full Sociodemographic and Medical Risk Factors Associated With Antepartum Depression
title_fullStr Sociodemographic and Medical Risk Factors Associated With Antepartum Depression
title_full_unstemmed Sociodemographic and Medical Risk Factors Associated With Antepartum Depression
title_short Sociodemographic and Medical Risk Factors Associated With Antepartum Depression
title_sort sociodemographic and medical risk factors associated with antepartum depression
topic pregnancy
mental distress
antenatal
stress
cohort
public hospital
url http://journal.frontiersin.org/article/10.3389/fpubh.2018.00127/full
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