Original Research
The magnitude and determinants of depressive symptoms amongst women in early pregnancy in Southern Nigeria: A cross-sectional study
Submitted: 30 January 2021 | Published: 31 May 2022
About the author(s)
Omolola F. Oboro, Perinatal Mental Health Unit, OMVIAL Medical Group, Benin-City, NigeriaVincent Ebulue, Perinatal Mental Health Unit, OMVIAL Medical Group, Benin-City, Nigeria
Victor O. Oboro, Perinatal Mental Health Unit, OMVIAL Medical Group, Benin-City, Nigeria
Victor Ohenhen, Department of Obstetrics and Gynaecology, Central Hospital Benin, Benin-City, Nigeria
Adeoye Oyewole, Department of Psychiatry, Faculty of Clinical Sciences, Ladoke Akintola University, Ogbomoso, Nigeria
Rasaq Akindele, Department of Obstetrics and Gynaecology, LAUTECH Teaching Hospital, Osogbo, Nigeria
Olufemi Ala, Department of Obstetrics and Gynaecology, LAUTECH Teaching Hospital, Osogbo, Nigeria
Olaolu Oyeniran, Department of Obstetrics and Gynaecology, LAUTECH Teaching Hospital, Osogbo, Nigeria
Adegboyega Isawumi, Department of Obstetrics and Gynaecology, LAUTECH Teaching Hospital, Osogbo, Nigeria
Babatunde Afolabi, Department of General Practice, LAUTECH Teaching Hospital, Osogbo, Nigeria
Abstract
Background: Antenatal depression (AD) is prevalent and associated with adverse pregnancy, maternal and child outcomes, yet no study has addressed its magnitude and predictors in early pregnancy in Nigeria.
Aim: To determine the prevalence and factors associated with AD in first half of pregnancy.
Setting: Multicentric health facilities in Southern Nigeria.
Methods: A multicentric health-facilities-based cross-sectional study was conducted from January to July 2018. Using pretested structure interviewer-administered questionnaires, antenatal depressive symptoms were assessed amongst 511 pregnant mothers with the Edinburg Postnatal Depressive Scale tool. Socio-demographic, socio-economic, clinical, family and social factors were also measured. Descriptive statistics, bivariate and multivariable logistic regression analyses were employed to describe and identify factors associated with AD.
Results: The prevalence of antenatal depressive symptoms in early pregnancy in this study was 29.4% (95% confidence interval [CI] 26.6–32.9). Factors independently associated with AD were intimate partner violence (adjusted odds ratios [AOR] = 8.10, 95% CI 5.00–13.14), marital dissatisfaction (AOR 5.48, 95% CI 3.48–8.38), poor social support (AOR 4.70; 95% CI 2.99–7.38), past history of depression (AOR 4.67; 95% CI 2.47–8.80), previous pregnancy complication (AOR 2.50, 95% CI 1.57–3.89), low socio-economic status (AOR 2.41, 95% CI 1.61–3.66) and unplanned pregnancy (AOR 2.35, 95% CI 1.47–3.64).
Conclusions: The prevalence of antenatal depression is high with modifiable risk factors requiring context-specific policies such as provision of family, social and economic support for mothers at the earliest possible contact in the antenatal period.
Keywords
Metrics
Total abstract views: 3384Total article views: 2657
Crossref Citations
1. Depressive symptoms and associated factors among pregnant women attending antenatal care at Comprehensive Specialized Hospitals in Northwest Ethiopia, 2022: an institution-based cross-sectional study
Girmaw Medfu Takelle, Girum Nakie, Gidey Rtbey, Mamaru Melkam
Frontiers in Psychiatry vol: 14 year: 2023
doi: 10.3389/fpsyt.2023.1148638