Prevalence and Associated Factors of Depression in Women in the Last Trimester of Pregnancy: A Cross-Sectional Study in a Southern Province of Vietnam

  • Khai Quang Huỳnh Hoanmy Cuu Long Hospital
  • Le Minh Quan Dong Hoan My Cuu Long Hospital, Can Tho, Vietnam
  • Tai Nang Tran Phuong Nam Hospital. Member of Phuong Chau Healthcare Group, Ho Chi Minh, Vietnam
  • Quach Giang My Nguyen Can Tho General Hospital, Can Tho, Vietnam
  • Thanh Nam Truong Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
  • Phuc Lam Duong Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
  • Thi Gai Le Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam

Sažetak


Background/Aim: Depression during pregnancy is a significant public health issue, particularly in the third trimester when women experience various physical and emotional changes. This study aimed to investigate the prevalence of depression and anxiety among women in the final trimester of pregnancy, as well as the associated factors.

Methods: A cross-sectional descriptive study was conducted involving pregnant women in their last three months of pregnancy who attended regular prenatal check-ups at the prenatal clinic of Phuong Chau International Hospital in Can Tho. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for depressive symptoms.

Results: The present study found a prevalence of depression of 14.3 %. Symptoms of depression were significantly associated with a history of previous miscarriage (p = 0.004), a history of abortion (p < 0.001), treatment for vulvovaginitis (p = 0.002) and satisfaction with the marital relationship (p = 0.003).

Conclusion: This study identified factors associated with depressive symptoms in pregnant women during their third trimester. Absence of previous miscarriage, absence of abortion history, no treatment for vulvovaginitis and marital satisfaction were associated with lower odds of depressive symptoms.

Reference

World Health Organization. The ICD 10 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines. Geneva: WHO; 1992.

Jaeschke K, Hanna F, Ali S, Chowdhary N, Dua T, Charlson F. Global estimates of service coverage for severe mental disorders: findings from the WHO Mental Health Atlas 2017. Glob Ment Health (Camb). 2021;8:e27. doi: 10.1017/gmh.2021.19.

Bedaso A, Adams J, Peng W, Sibbritt D. The relationship between social support and mental health problems during pregnancy: a systematic review and meta analysis. Reprod Health. 2021 Jul 28;18(1):162. doi: 10.1186/s12978-021-01209-5.

Schetter CD, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012 Mar;25(2):141–8. doi: 10.1097/YCO.0b013e3283503680.

Miller ES, Saade GR, Simhan HN, Monk C, Haas DM, Silver RM, et al. Trajectories of antenatal depression and adverse pregnancy outcomes. Am J Obstet Gynecol. 2022 Jan;226(1):108.e1-108.e9. doi: 10.1016/j.ajog.2021.07.007.

Fisher J, Cabral de Mello M, Patel V, Rahman A, Tran T, Holton S, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ. 2012 Feb 1;90(2):139G-149G. doi: 10.2471/BLT.11.091850.

Rwakarema M, Premji SS, Nyanza EC, Riziki P, Palacios Derflingher L. Antenatal depression is associated with pregnancy related anxiety, partner relations, and wealth in women in Northern Tanzania: a cross sectional study. BMC Womens Health. 2015 Sep 2;15(1):68. doi: 10.1186/s12905-015-0225-y.

Biratu A, Haile D. Prevalence of antenatal depression and associated factors among pregnant women in Addis Ababa, Ethiopia: a cross sectional study. Reprod Health. 2015 Oct 30;12(1):99. doi: 10.1186/s12978-015-0092-x.

Priya A, Chaturvedi S, Bhasin SK, Bhatia MS, Radhakrishnan G. Depression, anxiety and stress among pregnant women: a community based study. Indian J Psychiatry. 2018;60(1):151–2. doi: 10.4103/psychiatryindianj.psychiatry_230_17.

Dowse E, Chan S, Ebert L, Wynne O, Thomas S, Jones D, et al. Impact of perinatal depression and anxiety on birth outcomes: a retrospective data analysis. Matern Child Health J. 2020 Jun;24(6):718-726. doi: 10.1007/s10995-020-02906-6.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10 item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987 Jun;150(6):782–6. doi: 10.1192/bjp.150.6.782.

Cox JL, Chapman G, Murray D, Jones P. Validation of the Edinburgh Postnatal Depression Scale (EPDS) in non postnatal women. J Affect Disord. 1996 Jul;39(3):185–9. doi: 10.1016/0165-0327(96)00008-0.

Park SH, Kim JI. Predictive validity of the Edinburgh Postnatal Depression Scale and other tools for screening depression in pregnant and postpartum women: a systematic review and meta analysis. Arch Gynecol Obstet. 2023 May;307(5):1331–45. doi: 10.1007/s00404-022-06525-0.

Nguyen XL, Thanh T, Pham TTH, Mai TH, Thanh LH, Hoang AT, et al. [Study on characteristics and some factors related to depression among postpartum women in Hanoi City in 2022]. Vietnam Med J. 2023;532(2):192–6. doi: 10.51298/vmj.v532i2.7609. Vietnamese.

Tran TTP, To MXH. Survey on the rate of depression and related factors among pregnant women in the last trimester at Nguyen Tri Phuong Hospital. Vietnam Med J. 2021;504(2):202–6. doi: 10.51298/vmj.v504i2.943.

Ngo TMT, Nguyen XL, Nguyen VPT, Hoang DP, Luong THN, Hoang QV, et al. [Survey on the situation of postpartum depression according to the EPDS scale]. Hue J Med Pharm. 2023;13(5):172–7. doi: 10.34071/jmp.2023.5.23. Vietnamese.

Stuart Parrigon K, Stuart S. Perinatal depression: an update and overview. Curr Psychiatry Rep. 2014 Sep;16(9):468. doi: 10.1007/s11920-014-0468-6.

Lima MDOP, Tsunechiro MA, Bonadio IC, Murata M. Depressive symptoms in pregnancy and associated factors: longitudinal study. Acta Paul Enferm. 2017;30:39–46. doi: 10.1590/1982-0194201700007.

Dhillon N, MacArthur C. Antenatal depression and male gender preference in Asian women in the UK. Midwifery. 2010 Jun;26(3):286–93. doi: 10.1016/j.midw.2008.09.001.

Hanach N, Radwan H, Fakhry R, Dennis CL, Issa WB, Faris ME, et al. Prevalence and risk factors of postpartum depression among women living in the United Arab Emirates. Soc Psychiatry Psychiatr Epidemiol. 2023 Mar;58(3):395-407. doi: 10.1007/s00127-022-02372-1.

Míguez MC, Vázquez MB. Prevalence of depression during pregnancy in Spanish women: trajectory and risk factors in each trimester. Int J Environ Res Public Health. 2021 Jun 24;18(13):6789. doi: 10.3390/ijerph18136789.

Cankorur VS, Abas M, Berksun O, Stewart R. Social support and the incidence and persistence of depression between antenatal and postnatal examinations in Turkey: a cohort study. BMJ Open. 2015 Apr 1;5(4):e006456. doi: 10.1136/bmjopen-2014-006456.

Castro e Couto T, Cardoso MN, Brancaglion MY, Faria GC, Garcia FD, Nicolato R, et al. Antenatal depression: Prevalence and risk factor patterns across the gestational period. J Affect Disord. 2016 Mar 1;192:70-5. doi: 10.1016/j.jad.2015.12.017.

Al-Abri K, Edge D, Armitage CJ. Prevalence and correlates of perinatal depression. Soc Psychiatry Psychiatr Epidemiol. 2023 Nov;58(11):1581-1590. doi: 10.1007/s00127-022-02386-9.

Zhu J, Ye Y, Liu X, Chen Y, Chen L, Lin Y, et al. The incidence and risk factors of depression across six time points in the perinatal period: a prospective study in China. Front Med (Lausanne). 2024 Aug 23;11:1407034. doi: 10.3389/fmed.2024.1407034.

Lebel C, MacKinnon A, Bagshawe M, Tomfohr Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID 19 pandemic. J Affect Disord. 2020 Dec;277:5–13. doi: 10.1016/j.jad.2020.07.126.

Adeoye IA, Sogbesan A, Esan O. Prevalence, associated factors and perinatal outcomes of antepartum depression in Ibadan, Nigeria. BMC Pregnancy Childbirth. 2022 Mar 18;22(1):219. doi: 10.1186/s12884-022-04549-7.

Roy U, Swain D. A prospective cohort study to assess the prevalence and risk factors of antepartum depression and its effect on maternal and fetal outcome. Asian J Psychiatry. 2024 Jan;91:103873. doi: 10.1016/j.ajp.2023.103873.

Duko B, Ayano G, Bedaso A. Depression among pregnant women and associated factors in Hawassa city, Ethiopia: an institution based cross sectional study. Reprod Health. 2019 Feb 28;16(1):25. doi: 10.1186/s12978-019-0685-x.

Umuziga MP, Adejumo O, Hynie M. A cross sectional study of the prevalence and factors associated with symptoms of perinatal depression and anxiety in Rwanda. BMC Pregnancy Childbirth. 2020 Jan 31;20(1):68. doi: 10.1186/s12884-020-2747-z.

Wang X, Zhang L, Lin X, Nian S, Wang X, Lu Y. Prevalence and risk factors of postpartum depressive symptoms at 42 days among 2,462 women in China. J Affect Disord. 2024 Apr;350:706–12. doi: 10.1016/j.jad.2024.01.135.

Fekadu Dadi A, Miller ER, Mwanri L. Antenatal depression and its association with adverse birth outcomes in low and middle income countries: a systematic review and meta analysis. PLoS One. 2020 Jan 10;15(1):e0227323. doi: 10.1371/journal.pone.0227323.

Objavljeno
2026/04/29
Rubrika
Originalni naučni članak