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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...

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Autores principales: Bitew, Tesera, Hanlon, Charlotte, Kebede, Eskinder, Honikman, Simone, Fekadu, Abebaw
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
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.
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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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