Introduction:
This study investigated the prevalence, severity, and factors associated with antenatal depression among women receiving antenatal care at Mubende Regional Referral Hospital (MRRH) in Uganda. Antenatal depression is a critical concern for maternal and child well-being, as it can lead to adverse outcomes, including preterm birth, abortion, low birth weight, and impaired maternal–infant bonding. Despite several international guidelines recommending routine screening for antenatal depression, local Ugandan guidelines often overlook this essential aspect of maternal care.
Methods
A cross-sectional study involving 353 pregnant women utilized the Patient Health Questionnaire 9 (PHQ-9) to assess antenatal depression. Participants’ psychosocial demographic and obstetric characteristics were recorded. Logistic regression analysis identified factors linked to antenatal depression.
Results
Antenatal depression burden was notably high, affecting 37.68% of the participants. The majority of patients with antenatal depression had mild symptoms (72.68%). The significantly associated factors at multivariate analysis included younger age (≤ 20), older age (≥ 35), history of domestic violence, alcohol use, gestational age, abortion history, history of preeclampsia and unplanned pregnancies.
Conclusion
This study revealed a significantly high prevalence of antenatal depression, emphasizing its public health importance. Most cases were classified as mild, emphasizing the need for timely interventions to prevent escalation. The identified risk factors included age, history of domestic violence, alcohol use, first-trimester pregnancy, abortion history, past preeclampsia, and unplanned pregnancy.