A cross sectional study on mental health status of pregnant women at urban health centre of Bangalore, India

Abstract

Background: Depressive disorders are a common source of disability among women. In addition to the economic and human costs of maternal depression, children of depressed mothers are at risk for health, developmental, and behavioural problems. Community-based epidemiological data on antenatal depression from developing countries is scarce. Methods: A cross sectional study was carried out for a period of 4 months in urban health centre in Bangalore. Simple random sampling technique was used to select 250 pregnant women attending antenatal clinic. Information on socio-demographic variables, obstetric variables and mental health status was collected based on preformed proforma. Data was analysed using Statistical Programme for the social science (SPSS) version 16.0. Results: Amongst the study population, prevalence of depressive disorder was 24.8%.The depression was significantly increasing with advancing pregnancy. Socio economic status and depression was associated statistically significant (p=0.024). Educational status of women was associated with depression (p=0.053).women with history of abortion had more depression as compared to those who did not have abortions was statistically significant (p=0.02). Conclusions: Depressive symptoms occur commonly during 2nd and 3rd trimester of pregnancy, drawing attention to a need to screen for depression during antenatal care. Maternal health policies, a priority in developing countries, must integrate maternal depression as a disorder of public health importance. Interventions should target women in the early antenatal period.

A cross-sectional study on ante-natal depression in a tertiary health care hospital in Navi Mumbai

“…This difference was found to be statistically significant. Similar results were also obtained by a study conducted by Maheshwari et al, while contra results were seen in another study by Kumar et al 14,17…”

“…Similar prevalence of depression was seen in other studies, 18%, 24.8%, 26%, while a few others showed a higher prevalence of depression 35.7%, 36.76%, suggesting that this is a need to screen the antenatal women for early diagnosis and effective management of depression. 4,11,[14][15][16] In Table 1 which depicts the socio-economic factors associated with depression it is seen that most of the women were Hindu, 67.6%, followed by Muslims 29.5%. Majority of the women were in the age group 18-25 years (63.5%), suggesting a still prevalent tradition of early marriages and pregnancy.…”

“…Similar strong association between marital discord within family with depression was also seen in other studies. [14][15][16][17] Table 2 depicts the relationship between maternal factors and depression. It was seen that depression was significantly higher in unplanned pregnancy (34.1%) than a planned pregnancy.…”

An epidemiological study to assess the mental health status of pregnant women in a tertiary care hospital, Srinagar, Jammu and Kashmir, India

“…Though maximum number of women enjoyed fair relationship with their In laws, there was statistically significant (P=0.0037) presence of depression in pregnant women who had bad relation with in law. It was found that 26 % patients had EPDS score of 10 0r more indicating depression which was comparable to study conducted by Maheshwari M, et al (2016) 6 . Majority of women with EPDS score >10 were in the age group above 30 years and in 3 rd trimester of pregnancy.…”

“…Our study found that poor social relations In-laws were strongly related with depression among pregnant women, as has been found in other studies as well. 6,10 …”