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

机译:班加罗尔孕妇产前抑郁及其相关危险因素:一种基于医院的流行研究

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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:抑郁症是在全世界围产期期间影响一个女人的最常见的心理问题。由于妊娠的进展和临床显着的抑郁症状在三个月和晚期常见的情况下,产前抑郁症的风险增加。在印度产前期间的抑郁症研究缺乏研究。鉴于此背景,本研究旨在评估印度南部班加罗尔孕妇的产前抑郁症及其相关危险因素的患病率。方法:该研究嵌套在持续的队列研究中。该研究参与者包括280名孕妇,在Jaya Nagar General医院(Sanjay Gandhi医院)在班加罗尔出席了产前诊所。通过使用包含的结构化问卷收集数据。爱丁堡产后抑郁尺度(EPD)筛选产前抑郁症。结果:筛选产前抑郁症阳性的受访者的比例为35.7%。发现家庭暴力的存在在受访者之间施加了五倍以上和高度显着的风险。还发现怀孕相关的焦虑和最近的灾难性事件的历史是产前抑郁症的阳性预测因子。结论:本研究中产前抑郁症的高度普及是其作为公共卫生问题的重要意义。因此,医疗保健计划可以包括在产前护理中的产前抑郁症以及提供的其他医疗保健设施的筛查和诊断。

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