Display options
Share it on

Front Public Health. 2018 May 02;6:127. doi: 10.3389/fpubh.2018.00127. eCollection 2018.

Sociodemographic and Medical Risk Factors Associated With Antepartum Depression.

Frontiers in public health

Giridhara R Babu, G V S Murthy, Neeru Singh, Anita Nath, Mohanbabu Rathnaiah, Nolita Saldanha, R Deepa, Sanjay Kinra

Affiliations

  1. Indian Institute of Public Health (IIPH) Bangalore, Public Health Foundation of India and Wellcome Trust-DBT India Alliance, Bangalore, India.
  2. Indian Institute of Public Health, Public Health Foundation of India, Madhapur, Hyderabad, India.
  3. International Centre for Eye Health, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
  4. IIPH Bangalore, Public Health Foundation of India, Bangalore, India.
  5. Psychiatry, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.
  6. Clinical Epidemiology, London School of Hygiene and Tropical Medicine and University College London Hospital, London, United Kingdom.

PMID: 29770322 PMCID: PMC5941824 DOI: 10.3389/fpubh.2018.00127

Abstract

BACKGROUND: The 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.

METHODS: Nested 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.

RESULTS: Results 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.

CONCLUSION: Our 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.

Keywords: antenatal; cohort; mental distress; pregnancy; public hospital; stress

References

  1. Bull World Health Organ. 2012 Feb 1;90(2):139G-149G - PubMed
  2. Womens Health Issues. 2010 Mar-Apr;20(2):96-104 - PubMed
  3. Child Dev. 1994 Apr;65(2 Spec No):638-48 - PubMed
  4. Hypertens Pregnancy. 2007;26(2):211-26 - PubMed
  5. BMC Public Health. 2006 Feb 24;6:46 - PubMed
  6. J Affect Disord. 2004 May;80(1):65-73 - PubMed
  7. Arch Womens Ment Health. 2012 Apr;15(2):135-8 - PubMed
  8. Am J Epidemiol. 1989 Jan;129(1):125-37 - PubMed
  9. Scand J Psychol. 2016 Dec;57(6):571-583 - PubMed
  10. Eur J Public Health. 2001 Mar;11(1):23-8 - PubMed
  11. Psychiatr Clin North Am. 2001 Mar;24(1):19-39 - PubMed
  12. Can Fam Physician. 2005 Aug;51:1087-93 - PubMed
  13. PLoS One. 2016 Sep 12;11(9):e0161108 - PubMed
  14. SSM Popul Health. 2017 Oct 31;4:1-9 - PubMed
  15. Obstet Gynecol. 2005 Nov;106(5 Pt 1):1071-83 - PubMed
  16. J Psychosom Obstet Gynaecol. 2009 Sep;30(3):168-74 - PubMed
  17. Br J Psychiatry. 2006 Mar;188:284-5 - PubMed
  18. J Am Acad Child Adolesc Psychiatry. 2002 Dec;41(12):1470-7 - PubMed
  19. J Affect Disord. 2009 Mar;113(3):236-43 - PubMed
  20. PLoS One. 2013;8(2):e57071 - PubMed
  21. Clin Endocrinol (Oxf). 1984 Feb;20(2):221-8 - PubMed
  22. Am J Obstet Gynecol. 2010 Jan;202(1):5-14 - PubMed
  23. Br J Gen Pract. 2012 Oct;62(603):e671-8 - PubMed
  24. Midwifery. 1994 Jun;10(2):77-86 - PubMed
  25. J Psychosom Obstet Gynaecol. 1998 Dec;19(4):202-9 - PubMed
  26. Dev Psychol. 2002 Sep;38(5):659-68 - PubMed
  27. J Clin Endocrinol Metab. 1969 Mar;29(3):352-67 - PubMed
  28. Nurs Res. 2015 Sep-Oct;64(5):331-41 - PubMed
  29. Ind Psychiatry J. 2013 Jan;22(1):37-40 - PubMed
  30. Indian J Psychol Med. 2016 Jan-Feb;38(1):31-5 - PubMed
  31. BMJ. 2005 May 21;330(7501):1190 - PubMed
  32. J Psychosom Obstet Gynaecol. 2000 Dec;21(4):219-24 - PubMed
  33. Acta Obstet Gynecol Scand. 2003 Mar;82(3):201-8 - PubMed
  34. Psychiatr Pol. 2014 Jan-Feb;48(1):173-86 - PubMed
  35. Arch Womens Ment Health. 2009 Oct;12(5):351-8 - PubMed
  36. Arch Womens Ment Health. 2009 Apr;12(2):69-74 - PubMed
  37. BMJ Open. 2014 Jun 27;4(6):e005417 - PubMed
  38. Int J Soc Psychiatry. 2016 Mar;62(2):141-7 - PubMed

Publication Types

Grant support