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Antenatal depressive symptoms and perinatal complications: a prospective study in rural Ethiopia
BACKGROUND: Antenatal depressive symptoms affect around 12.3% of women in in low and middle income countries (LMICs) and data are accumulating about associations with adverse outcomes for mother and child. Studies from rural, low-income country community samples are limited. This paper aims to inves...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568236/ https://www.ncbi.nlm.nih.gov/pubmed/28830395 http://dx.doi.org/10.1186/s12888-017-1462-4 |
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author | Bitew, Tesera Hanlon, Charlotte Kebede, Eskinder Honikman, Simone Fekadu, Abebaw |
author_facet | Bitew, Tesera Hanlon, Charlotte Kebede, Eskinder Honikman, Simone Fekadu, Abebaw |
author_sort | Bitew, Tesera |
collection | PubMed |
description | BACKGROUND: Antenatal depressive symptoms affect around 12.3% of women in in low and middle income countries (LMICs) and data are accumulating about associations with adverse outcomes for mother and child. Studies from rural, low-income country community samples are limited. This paper aims to investigate whether antenatal depressive symptoms predict perinatal complications in a rural Ethiopia setting. METHODS: A population-based prospective study was conducted in Sodo district, southern Ethiopia. A total of 1240 women recruited in the second and third trimesters of pregnancy were followed up until 4 to 12 weeks postpartum. Antenatal depressive symptoms were assessed using a locally validated version of the Patient Health Questionnaire (PHQ-9) that at a cut-off score of five or more indicates probable depression. Self-report of perinatal complications, categorised as maternal and neonatal were collected by using structured interviewer administered questionnaires at a median of eight weeks post-partum. Multivariate analysis was conducted to examine the association between antenatal depressive symptoms and self-reported perinatal complications. RESULT: A total of 28.7% of women had antenatal depressive symptoms (PHQ-9 score ≥ 5). Women with antenatal depressive symptoms had more than twice the odds of self-reported complications in pregnancy (OR=2.44, 95% CI: 1.84, 3.23), labour (OR= 1.84 95% CI: 1.34, 2.53) and the postpartum period (OR=1.70, 95% CI: 1.23, 2.35) compared to women without these symptoms. There was no association between antenatal depressive symptoms and pregnancy loss or neonatal death. CONCLUSION: Antenatal depressive symptoms are associated prospectively with self-reports of perinatal complications. Further research is necessary to further confirm these findings in a rural and poor context using objective measures of complications and investigating whether early detection and treatment of depressive symptoms reduces these complications. |
format | Online Article Text |
id | pubmed-5568236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-55682362017-08-29 Antenatal depressive symptoms and perinatal complications: a prospective study in rural Ethiopia Bitew, Tesera Hanlon, Charlotte Kebede, Eskinder Honikman, Simone Fekadu, Abebaw BMC Psychiatry Research Article BACKGROUND: Antenatal depressive symptoms affect around 12.3% of women in in low and middle income countries (LMICs) and data are accumulating about associations with adverse outcomes for mother and child. Studies from rural, low-income country community samples are limited. This paper aims to investigate whether antenatal depressive symptoms predict perinatal complications in a rural Ethiopia setting. METHODS: A population-based prospective study was conducted in Sodo district, southern Ethiopia. A total of 1240 women recruited in the second and third trimesters of pregnancy were followed up until 4 to 12 weeks postpartum. Antenatal depressive symptoms were assessed using a locally validated version of the Patient Health Questionnaire (PHQ-9) that at a cut-off score of five or more indicates probable depression. Self-report of perinatal complications, categorised as maternal and neonatal were collected by using structured interviewer administered questionnaires at a median of eight weeks post-partum. Multivariate analysis was conducted to examine the association between antenatal depressive symptoms and self-reported perinatal complications. RESULT: A total of 28.7% of women had antenatal depressive symptoms (PHQ-9 score ≥ 5). Women with antenatal depressive symptoms had more than twice the odds of self-reported complications in pregnancy (OR=2.44, 95% CI: 1.84, 3.23), labour (OR= 1.84 95% CI: 1.34, 2.53) and the postpartum period (OR=1.70, 95% CI: 1.23, 2.35) compared to women without these symptoms. There was no association between antenatal depressive symptoms and pregnancy loss or neonatal death. CONCLUSION: Antenatal depressive symptoms are associated prospectively with self-reports of perinatal complications. Further research is necessary to further confirm these findings in a rural and poor context using objective measures of complications and investigating whether early detection and treatment of depressive symptoms reduces these complications. BioMed Central 2017-08-22 /pmc/articles/PMC5568236/ /pubmed/28830395 http://dx.doi.org/10.1186/s12888-017-1462-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Bitew, Tesera Hanlon, Charlotte Kebede, Eskinder Honikman, Simone Fekadu, Abebaw Antenatal depressive symptoms and perinatal complications: a prospective study in rural Ethiopia |
title | Antenatal depressive symptoms and perinatal complications: a prospective study in rural Ethiopia |
title_full | Antenatal depressive symptoms and perinatal complications: a prospective study in rural Ethiopia |
title_fullStr | Antenatal depressive symptoms and perinatal complications: a prospective study in rural Ethiopia |
title_full_unstemmed | Antenatal depressive symptoms and perinatal complications: a prospective study in rural Ethiopia |
title_short | Antenatal depressive symptoms and perinatal complications: a prospective study in rural Ethiopia |
title_sort | antenatal depressive symptoms and perinatal complications: a prospective study in rural ethiopia |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568236/ https://www.ncbi.nlm.nih.gov/pubmed/28830395 http://dx.doi.org/10.1186/s12888-017-1462-4 |
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