Antepartum depression: The prevalence, associated factors and perinatal outcomes: A cross-sectional study

Abstract

Objective: The current study aimed to track the prevalence of APD, its associated factors and perinatal outcomes among Egyptian pregnant women.

Methodology: The current work included 122 pregnant women, with singleton normal pregnancy. They were evaluated for antepartum depression and perceived stress. In addition, demographics and obstetric data were collected and documented.  The psychiatric status was assessed in the third trimester (preferably at 35 to 37 week of gestation). Then, the feto-maternal outcome was recorded. The primary outcome was the prevalence of APD and perceived stress. Neonatal outcome was document especially preterm birth and neonatal weight.

Results: APD was recognized among 28 women (23.0%). The APD was significantly associated with employment (82.1% and 57.4%, in those with and without APD respectively). The unplanned pregnancy was significantly increase in women with than those without APD (35.7% vs 9.6%). Maternal obesity, low birth weight and preterm delivery were associated with APD. Finally, the perceived stress score was significantly higher among women with APD than those without APD (18.92±7.30 vs 14.75±9.07).

Conclusion: APD was reported in nearly one of four women and significantly associated with maternal obesity, unplanned pregnancy and employment. In addition, preterm birth and low birth weight significantly increased with APD.