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Prenatal Depression and Its Associated Risk Factors Among Pregnant Women in Bangalore: A Hospital Based Prevalence Study

机译:班加罗尔孕妇的产前抑郁及其相关危险因素:基于医院的患病率研究

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摘要

>Background: Depression is the commonest psychological problem that affects a woman during her perinatal period worldwide. The risk of prenatal depression increases as the pregnancy progresses and clinically significant depressive symptoms are common in the mid and late trimester. There is a paucity of research on depression during the prenatal period in India. Given this background, the present study aimed to assess the prevalence of prenatal depression and its associated risk factors among pregnant women in Bangalore, Southern India.>Methods: The study was nested within an on-going cohort study. The study participants included 280 pregnant women who were attending the antenatal clinic at Jaya Nagar General Hospital (Sanjay Gandhi Hospital) in Bangalore. The data was collected by using a structured questionnaire which included. Edinburgh Postnatal Depression Scale (EPDS) to screen for prenatal depression.>Results: The proportion of respondents who screened positive for prenatal depression was 35.7%. Presence of domestic violence was found to impose a five times higher and highly significant risk of developing prenatal depression among the respondents. Pregnancy related anxiety and a recent history of catastrophic events were also found to be a positive predictors of prenatal depression.>Conclusion: The high prevalence of prenatal depression in the present study is suggestive of its significance as a public health problem. Health care plans therefore can include screening and diagnosis of prenatal depression in the antenatal care along with other health care facilities provided.
机译:>背景:抑郁症是世界范围内影响女性围产期的最普遍的心理问题。随着妊娠的进行,产前抑郁的风险增加,并且在妊娠中期和晚期普遍存在临床上明显的抑郁症状。在印度,产前时期关于抑郁症的研究很少。在这种背景下,本研究旨在评估印度南部班加罗尔孕妇的产前抑郁症患病率及其相关危险因素。>方法:该研究嵌套在一项正在进行的队列研究中。研究参与者包括280名孕妇,她们正在班加罗尔的Jaya Nagar总医院(桑杰·甘地医院)的产前诊所就诊。通过使用包括在内的结构化问卷收集数据。爱丁堡产后抑郁量表(EPDS)用于筛查产前抑郁。>结果:筛查产前抑郁阳性的受访者比例为35.7%。调查发现,家庭暴力的存在使产前抑郁症的患病风险提高了五倍,而且风险显着。妊娠相关的焦虑和最近的灾难性事件史也被发现是产前抑郁的积极预测因素。>结论:本研究中的产前抑郁高流行表明其作为公共卫生的重要性问题。因此,医疗保健计划可以包括在产前保健中对产前抑郁症进行筛查和诊断,以及提供的其他医疗保健设施。

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