Prevalence and risk factors of prenatal and postnatal depressive symptoms in Babol City

Articles in Press

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, School of Medicine, Babol University of Medical Sciences, Babol Iran

2 Behshahr Branch, Islamic Azad University, Behshahr, Iran.

3 Student Research Committee, Health research Center, Baol University of Medical Scineces, Babol, Iran

4 Psychiatry Department, Babol University of Medical Sciences

5 Obstetrics and Gynecology, Babol University of Medical Siences, Babol, Iran

6 Statistics, Babol University of Medical Sciences, Baobol, Iran

7 Psychiatry, Babol University of medical Sciences, Babol, Iran

8 Department of Psychiatry, Babol University of Medical Sciences, Babol, Iran

9 Department of Obstetrics and Gynecology, Babol University of Medical Sciences, Babol, Iran

10 Obstetrics and Gynecology, Babol University of Medical Sciences, Babol, Iran

11 Department of Obstetrics and Gynecology, School of Medicine, Babol University of Medical Sciences, Babol, Iran.

12 Obstetrics &Gynecology Department, Babol of University of Medical Science, Babol, Iran

13 Obstetrics and Gynecology, Babol University of Medical Sciences

14 Rouhani Hospital, Babol University of Medical Sciences, Babol,

15 Psychiatry Department, School of Medicine, Babol University of Medicine, Babol, Iran

16 Psychiatry Department, Medical School,Babol University of Medical Sciences, Babol,

17 Midwifery Department, Nursing and Midwifery School. Babol University of Medical Sciences, Babol, Iran

18 Rouhani Hospital, Babol University of Medical Sciences, Babol

19 Clinical Research Development Unit of Shahid Yahya Nejad Hospital, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

20 Student Research Committee, Babol University of Medical Sciences, Babol, Iran

21 BabolUniversity of Medical Sciences

10.22074/ijfs.2023.1983056.1412

Abstract

Background: Prenatal and postnatal depression is associated with adverse outcomes for mother, fetus, and child. This study examined the prevalence and risk factors of prenatal and postnatal depressive symptoms.

Materials and Methods: This was a cross-sectional and hospital-based survey on 2305 pregnant women was included in Babol Pregnancy Mental Health Registry (BPMHR) database from June 2020 to March 2021. Information of two patients’ questionnaires, including demographics and depression, were analyzed in this study. Also, Edinburg Postnatal Depression Scale (EPDS) was used to assess the depressive symptoms. Independent t-test and the analysis of variance were used to compare the means. Multiple logistic regressions were used to determine risk factors for depressive symptoms.

Results: According to EPDS>10, the prevalence of depressive symptoms were 19.8% for pregnant women and 11.6% the for postpartum period. Risk factors for antenatal depressive symptoms were women with parity ≥ 4 vs 1 parity (ß=1.808, P=0.020), gestational age ≤12 weeks vs 28 weeks (ß=1.562 P=0.030), gestational age 21-27 weeks vs 28 weeks (ß=1.586, P=0.033), and high-risk vs low-risk pregnancy (ß=1.457, P=0.003). For postnatal depressive symptoms, none of the factors were a significant risk.

Conclusion: The study recommended screening of prenatal and postnatal depressive symptoms, especially for women in first and second trimesters, with high parity, and women with a high-risk pregnancy.

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Main Subjects

International Journal of Fertility and Sterility

Articles in Press, Accepted Manuscript
Available Online from 15 October 2023

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