Prevalence and determinants of perinatal depression among labour migrant and refugee women on the Thai-Myanmar border: a cohort study

Abstract

Background: Perinatal depression is a significant contributor to maternal morbidity and mortality globally. Migrant women, particularly those living in low-and middle-income settings, represent a particularly vulnerable group due to stressors experienced before, during and after migration. The vast majority of global migration flows occurring within and between low-and middle-income regions, yet existing evidence focuses predominantly on migrants in high-income destinations. This study aimed to redress this significant gap in the evidence by determining the prevalence and determinants of perinatal depression among migrant women on the Thai-Myanmar border.Methods: A cohort of labour migrant and refugee women was followed-up from the first trimester of pregnancy to one month post-partum. Depression status was assessed in the first, second and third trimesters of pregnancy and at one month post-partum using the Structured Clinical Interview for the Diagnosis of DSM-IV Disorders. Women diagnosed with depression had immediate access to care. Data on potential demographic, social and clinical associated factors was collected using a questionnaire. Prevalence and incidence of any depressive disorder and moderate-severe depressive disorder was calculated. Univariable and multivariable logistic regression using complete case analysis was used to estimate odds ratios (OR) of association between exposure variables and depression status.(Continued on next page)

Partner’s emotional reaction to pregnancy mediates the relationship between pregnancy planning and prenatal mental health

“…The aim of the present study was to evaluate the PERP and its subscales as mediator of the relationship between pregnancy planning and the prenatal psychological health. Numerous studies have been conducted in evaluating the relationship between pregnancy planning and prenatal mental health, as well as the relationship between social support and prenatal mental health [ 28 ]. Nonetheless, as far as we know, the mediation of the PERP and the mental health of the woman during pregnancy have been evaluated for the first time.…”

Partner’s Emotional Reaction to Pregnancy Mediates the Relationship Between Pregnancy Planning and Prenatal Mental Health

“…The aim of the present study was evaluating the PERP as a mediator of the relationship between pregnancy planning and the prenatal psychological health. Numerous studies have been conducted in evaluating the relationship between pregnancy planning and prenatal mental health, as well as the relationship between social support and prenatal mental health [29]. But, as far as we know, the mediation of the PERP and the mental health of the woman during pregnancy was evaluated for the rst time.…”

Partner’s emotional reaction to pregnancy mediates the relationship between pregnancy planning and prenatal mental health

“…The aim of the present study was evaluating the PERP and its subscales as mediator of the relationship between pregnancy planning and the prenatal psychological health. Numerous studies have been conducted in evaluating the relationship between pregnancy planning and prenatal mental health, as well as the relationship between social support and prenatal mental health [28]. But, as far as we know, the mediation of the PERP and the mental health of the woman during pregnancy was evaluated for the rst time.…”