scholarly journals Prevalence of Antenatal Depression and Associated Risk Factors among Pregnant Women Attending Antenatal Clinics in Abeokuta North Local Government Area, Nigeria

2016 ◽  
Vol 2016 ◽  
pp. 1-15 ◽  
Author(s):  
Okechukwu Thompson ◽  
IkeOluwapo Ajayi

Objective. The prevalence of antenatal depression (AD) and associated risk factors among pregnant women attending antenatal clinics in Abeokuta North Local Government Area, Nigeria, was determined.Methods. A descriptive cross-sectional survey was conducted, interviewing 314 pregnant women selected by multistage sampling technique from among those attending antenatal clinics. Information was collected using structured questionnaire and a screening tool, Edinburgh Postnatal Depression Scale (EPDS), to assess probable depression.Results. The prevalence of antenatal depression was 24.5%. There were significant associations between antenatal depression and attending public health facility (P=0.000), young maternal age (P=0.012), single marital status (P=0.010), not having formal education (P=0.022), large family size (P=0.029), planned pregnancy (P=0.014), coexisting medical conditions (P=0.034), history of previous caesarian section (P=0.032), drinking alcohol during pregnancy (P=0.004), and gender based abuse (P=0.001). On health seeking behaviour for antenatal depression among depressed pregnant women, most, 68.9%, consulted their husbands about their symptoms; 57.3% took the decision to get treatment from doctors, and 52% sought prayer in the church.Conclusion. Antenatal depression is prevalent in this study population. Interventions to address its risk factors should be carried out and physicians should suspect depression in pregnant women reporting alcohol use and gender abuse.

2017 ◽  
Vol 41 (S1) ◽  
pp. S419-S419
Author(s):  
G. Chorwe-Sungani ◽  
J. Chipps

IntroductionDepression is one of major health problems affecting pregnant women in low resource settings. It can lead to poor uptake of antenatal services. Data about prevalence of antenatal depression and associated risk factors remain scanty in Malawi. The study settings were eight selected antenatal clinics in Blantyre district, Malawi. The aim of this study was to assess prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Blantyre district, Malawi.MethodsThis was a quantitative study which used a random sample of 97 pregnant women. Ethical approval was granted by relevant bodies. Descriptive and inferential statistics were used to analyse data.ResultsPrevalence of antenatal depression in Blantyre district was 25.8% (n = 25). Risk factors associated with antenatal depression included: “being distressed by anxiety or depression for more than two weeks during this pregnancy”; “feeling that pregnancy has been a positive experience”; “having a history of feeling miserable or depressed for two weeks or more before this pregnancy”; “relationship with partner is an emotionally supportive one”; “experiencing major stresses, changes or losses in the course of this pregnancy”; “having history of physical abuse when growing up”, and “having concerns about being or becoming a mother”.ConclusionThis study has shown that antenatal depression is prevalent in Malawi. It suggests that psychosocial interventions targeting pregnant women may be necessary to reduce antenatal depression and associated risk factors. However, further research regarding ways for assisting pregnant women to build and strengthen their psychosocial support structures is needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Genesis Chorwe-Sungani ◽  
Jennifer Chipps

Background: Pregnancy is a period associated with major psychological and social changes in the life of a woman and can be associated with anxiety and depression.Aim: To describe demographic, clinical and risk profile of antenatal depression among pregnant women attending antenatal clinics in Blantyre district, Malawi.Setting: The study was conducted in eight antenatal clinics in Blantyre district, Malawi.Methods: A cross-sectional study of 480 randomly selected pregnant women attending antenatal clinics was conducted. Prevalence was determined using the Edinburgh Postnatal Depression Scale (EPDS) which was validated against a sub-sample using the Mini International Neuropsychiatric Interview. The risk factors of depression were assessed using the Pregnancy Risk Questionnaire. Data were analysed using descriptive statistics, Pearson chi-square test and binary logistic regression.Results: Prevalence of antenatal depression using the EPDS was 19% (95% CI 15.5% – 22.5%, n = 91) and was comparable to the Mini International Neuropsychiatric Interview (25.8% [95% CI = 17.5–34], n = 25). The key risk factors that predicted antenatal depression were: ‘being distressed by anxiety or depression for more than 2 weeks during this pregnancy’ (OR = 4.1 [2.1–7.9], p≤ 0.001); ‘feeling that a relationship with partner is not an emotionally supportive one’ (OR = 3.5 [1.4–8.4], p = 0.01); ‘having major stresses, changes or losses in the course of this pregnancy’ (OR = 3.2 [1.7–6.2], p = 0.01); ‘feeling that father was critical of her when growing up’ (OR = 3.2 [1.4–7.6], p = 0.01); and ‘having history of feeling miserable or depressed for ≥2 weeks before this pregnancy’ (OR = 2.4 [1.3–4.4], p = 0.01).Conclusion: This study confirmed the high-prevalence rate of depression in this group and illustrated that antenatal depression was associated with being distressed by anxiety or depression; support from partner; major stresses during pregnancy; and history of feeling miserable or depressed before pregnancy. This study also found a history of poor relationship between pregnant women and their fathers during childhood.


2020 ◽  
Vol 5 (2) ◽  
pp. 213
Author(s):  
Aleruchi Chuku ◽  
Godwin Attah Obande ◽  
Pedro Akharenegbe ◽  
Peter Uteh Upla ◽  
Mwanret Namang

Objectives: Our study investigated the prevalence of wheeze and its associated factors among children between the ages of 0 and 8 years in flood prone areas of Lafia local government area (LGA).Study Design: The study was a cross-sectional study.Materials and Methods: A total of 1,767 children resident in 300 households drawn from five council wards participated in the study. Questionnaires were used to obtain information relating to the children and their immediate environment. Relative humidity of each house was also measured. Wheezing in children was determined from interaction with their parents and confirmed through examination by trained health workers.Results and Discussion: Mean relative humidity of the wards ranged from 52.5%rh to 76.3%rh with 66.8% of children living in houses with relative humidity of >60%rh. Findings revealed a prevalence of 13.0% (n = 230) in the study area. Ages 3-8 years accounted for 70% wheeze cases while 0-2 years accounted for 30%. Age (AOR = 1.560; 95% CI = 1.023 – 2.378), mud houses (AOR = 1.812; 95% CI = 1.080 – 3.040), use of antibiotics (AOR = 143.593; 95% CI = 81.582 – 252.741) and local herbal concoctions (AOR = 114.530; 95% CI = 12.522 – 1047.494) were significantly associated with wheezing in children.Conclusion: The prevalence of wheeze in our study varied among children and was influenced by factors such as age, living in mud houses and recent or current use of antibiotics. This study advocates proper care and protection of children against factors that predispose them to wheezing.International Journal of Human and Health Sciences Vol. 05 No. 02 April’21 Page: 213-221


Author(s):  
Wachukwu-Chikodi, I. Happiness ◽  
Amadi, Gift Amukeru ◽  
Deedam, Nua Janet

The study examined the behavioural pattern of pregnant mothers towards antenatal clinics and its implications on their nutritional knowledge. The study adopted descriptive cross sectional study with a target population of pregnant women in the some selected villages in Obio/Akpor Local Government Area. The sample size of the study comprised 200 pregnant women attending their normal antenatal cares clinics in the sixty-six (66) primary health care centres in Obio-Akpor Local Government Area. The instrument for data collection was questionnaire. To ensure the validity of the instrument, the questionnaire was being giving to the women during their antenatal visit in the hospitals and lectures in the department of Food Sciences and Technology for scrutiny and suggestions, correction and amendment. The data obtained from the sampled respondents through the use of structured questionnaire were analyzed using frequency, percentage, cumulative percentage, mean and standard deviation. The result of the findings indicated that majority of the respondents strongly agreed that the most observable negative implications of pregnant mothers’ behavioural pattern towards antenatal cares clinic on their nutritional knowledge is that it increases the potential health risks during and after pregnancy while lesser number of the respondents strongly believed that the negative implications could be a reduction in the intake of nutrient capable of preventing anemia in the mother and lacks knowledge on the relevance of balanced diets during pregnancy. Therefore, it was recommended that the relationship existing between pregnant mothers and personnel of antenatal clinics should be made more cordial through increased awareness especially to pregnant mothers on the roles of antenatal cares clinics in ensuring the development of fetus and ensuring good maternal health. This will reduce the nonchalant attitude existed by pregnant mothers in seeking available antenatal care.


Author(s):  
Enyidah Nonyenim Solomon ◽  
Nonye-Enyidah Esther Ijeoma

Background: Over 30 million people living in Africa suffer from depression which also contributes to global burden of diseases with a steady rise in prevalence, affecting all groups, including pregnant women. Factors which account for the psychological effects of pregnancy on mothers include; maternal age, planned pregnancy, previous experiences, spouse support, and partner violence. These risk factors may lead to antenatal depression which endangers the mother and the pregnancy. To safeguard mothers from depression during pregnancy, these factors need to be determined. Objective: To determine the prevalence, risk factors and predictors of antenatal depression. Methods: Pregnant women attending antenatal care, who met the study inclusion criteria were interviewed and screened for depression using the risk factor and socio-demographic questionnaire and Edinburgh Postnatal Depression Scale (EPDS). Data obtained was fed into the statistical package for social sciences (SPSS) version 23.0 and cross-tabulation of the relevant variables obtained using chi-squared and t-test. P values <0.05 were statistically significant. Results: Of 500 respondents, 158 (31.6%) had depression. Risk factors of cohabiting with spouse, lack of financial support from spouse, fight with spouse, threat to life, history of still birth and child health challenges were determined, four of which turned out to be predictors of antenatal depression (AD). Conclusion: The high prevalence of 31.6% of antenatal depression calls for a review of obstetrics practice to include screening and diagnosis for antenatal depression. Keywords: Antenatal depression, socio-demographic factors, EPDS, Obstetrics risk factors, social support, predictors.


2014 ◽  
Vol 20 ◽  
pp. 139-150 ◽  
Author(s):  
Nkiru A. Kamalu ◽  
Felicia E. Uwakwe

Aspects of human infection with Onchocerca volvulus was investigated in 9 villages in Okigwe LGA of Imo State, Nigeria between January 2010 and December 2011. The objectives were to compare the prevalence of different manifestations of Onchocerciasis according to gender and age, with view to determine if there had been a change in prevalence of Onchocerciasis among residents of some communities in Okigwe Local Government Area of Imo State. A cross sectional survey method was adopted for the study, blood free skin snips were collected from randomly selected consenting adults aged 5-62 years. Palpation for mobile subcutaneous lumps and clinical manifestation were observed among 960 persons comprising 511 males and 449 females. The commonest lesions observed were poor vision 17 %, nodules 15 %, leopard skin 20 %, lizard skin 15 %, and hanging groin 3 %. Musculo-skeletal pain (MSP) was recorded as one of the major complaints by 30 % of the subjects. The result showed that Onchocerciasis clinical manifestations are still prevalent, however nodules prevalence reduced among the sampled population (69.8 %).


Author(s):  
Gaye Kahveci ◽  
Bekir Kahveci ◽  
Hamza Aslanhan ◽  
Pakize Gamze Erten Bucaktepe

Objective: To evaluate the prevalence and associated risk factors for postpartum depression (PPD) using the Edinburgh Postpartum Depression Scale (EPDS).  Study design: The population of this cross-sectional analytic study consisted of 311 women who were admitted to our hospital at 4-6 weeks after birth. The data were collected between April-June 2018 by applying a sociodemographic data form consisting of 44 questions and the EPDS consisting of 10 questions. We used the EPDS in postpartum period to divide parturients into those with (n=47) and without (n=264) PPD using a cut-off score of ³ 13. The primary outcome is the prevalence of PPD, while the secondary outcomes are associated risk factors.Results: The PPD prevalence was 15.1% (n=47).  In the PPD group, the difference was highly significant in terms of abortion, antenatal depression, inadequate care for the baby and health problem in the newborn [0.6±0.9 vs. 0.2±0.6, 13 (37.1%) vs. 27 (10.5%), 9 (56.3%) vs. 38 (12.9%), 12 (36.4%) vs. 35 (12.6%), respectively] (p<0.001). The logistic regression analysis revealed that abortion increased PPD by 1.64 fold (1.13-2.37% at 95% CI), antenatal depression by 5.04 fold (2.38-10.68% at 95% CI), inadequate care for the baby by 6.28 fold (1.89-20.86% at 95% CI), and health problem in the newborn increased PPD by 3.59 fold (1.43-8.99% at 95% CI).Conclusion: PPD is a health problem that can affect primarily mother and child. Therefore, it is important to determine highly predictable risk factors using a scale (e.g. EPDS) for early diagnosis and timely treatment of symptoms.


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