Prevalence and Factors Associated with Antenatal Depression in Makkah Al-Mokarramah, 2019

Linah Abdullah Mohammadhusain^1, and Hisham Bashawri²

¹Family Medicine Joint Program, Makkah, Kingdom of Saudi Arabia

²Department of Public Health, Ministry of health, Makkah, Kingdom of Saudi Arabia

Cite this paper:
Linah Abdullah Mohammadhusain and Hisham Bashawri. Prevalence and Factors Associated with Antenatal Depression in Makkah Al-Mokarramah, 2019. American Journal of Medical Sciences and Medicine. 2020; 8(3):124-133. doi: 10.12691/ajmsm-8-3-5

Abstract

Background: Depression is one of the major disease affecting women and is considered as one of the most common causes of mental illness during pregnancy. Antenatal depression is a risk factor for postpartum depression, adverse effect on obstetric and neonatal health conditions. Objectives: To estimate the prevalence and determine the risk factors of depression among pregnant women attending the antenatal clinic in Makkah between 1^st and 26^th of December 2019. Subjects and methods: Analytic cross-sectional study was conducted in Makkah Al-Mokarramah including a representative random sample of pregnant women who attending selected during the time of 1^st - 26^th of December 2019. Data were collected by using a questionnaire including sociodemographic data and risk factors associated with antenatal depression as well as the Edinburgh Postnatal Depression Scale (EPDS) to screen for depression. Results: The study included 136 women. Their age ranged between 20 and 52 with a mean±SD of 31.0±6.2 years. More than one third (41.2%) of the women were at high risk for depression whereas 24.3% were at possible risk for depression. Paticipants` house income was the only socio-demographic factor significantly associated with risk of antenatal depression, p=0.012. None of obstetric factors was significantly associated with the risk of antenatal depression. In the current pregnancy, having no family support, particularly from the husband was a significant factor for antenatal depression, p=0.007. Also, having family history of antenatal depression was significantly associated with antenatal depression, p=0.018. Conclusion: Antenatal depression is a relatively common health problems encountered by pregnant women attending antenatal care at primary healthcare centers, Ministry of Health in Makkah city.

Keywords:
Antenatal depression primary healthcare prevalence associated factors

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References:

[1]	Antenatal and postnatal mental health: clinical management and service guidance. Guidance and guidelines. NICE. (cited 2018 Dec 3); Available from: https://www.nice.org.uk/guidance/cg192
[2]	WHO. Maternal mental health. WHO (Internet). 2015 (cited 2018 Dec 11); Available from: https://www.who.int/mental_health/maternal- child/maternal_mental_health/en/.
[3]	Alqahtani, A.H., Al Khedair, K., Al-Jeheiman, R., Al-Turki, H.A., and Al Qahtani, N.H, "Anxiety and depression during pregnancy in women attending clinics in a University Hospital in Eastern province of Saudi Arabia: prevalence and associated factors". Int J Womens Health 2; 10: 101-8. Dec 2018.
[4]	Bawahab, J. A., Alahmadi, J. R., and Ibrahim, A M, "Prevalence and determinants of antenatal depression among women attending primary health care centers in Western Saudi Arabia. Saudi Med J (Internet)". 38(12): 1237-42. 2018.
[5]	Saeed, B. A, "Prevalence of Depression Among Pregnant Women." 4(2): 61-8. 2007.
[6]	Jafri, S., Ali, M., Ali, R., Shaikh, S., Abid, M, "Prevalence of Depression among Pregnant Women Attending Antenatal Clinics in Pakistan". Acta Psychopathol 3(5): 54. 2017.
[7]	Grigoriadis, S., VonderPorten, E. H., Mamisashvili, L., Tomlinson, G., Dennis, C.-L, Koren, G., and et al. "The impact of maternal depression during pregnancy on perinatal outcomes: a systematic review and meta-analysis". J Clin Psychiatry 3); 74(4): e321-41. 2013.
[8]	Yusuff, A. S. M., Tang, L., Binns, C. W., Lee, A. H, "Antenatal Depressive Symptoms and Breastfeeding: A Prospective Cohort Study. Breastfeed Med 23 10(6): 300-4. Jul. 2015.
[9]	Wisner, K. L., Sit, D. K. Y., Hanusa, B. H., Moses-Kolko, E. L., Bogen, D. L., Hunker, D. F, and et al. "Major depression and antidepressant treatment: impact on pregnancy and neonatal outcomes". Am J Psychiatry (3); 166(5): 557-66. 2009.
[10]	Ogbo, F. A., Eastwood, J., Hendry, A., Jalaludin, B., Agho, K. E., Barnett, B., and et al. "Determinants of antenatal depression and postnatal depression in Australia". BMC Psychiatry 2; 18(1): 49. Dec. 2018.
[11]	Hemels, M. E. H., Einarson, A., Koren, G., Lanctôt, K. L., and Einarson, T. R, "Antidepressant use during pregnancy and the rates of spontaneous abortions: a meta-analysis". Ann Pharmacother 3); 39(5): 803-9. May 2005.
[12]	Sium A. L., US Preventive Services Task Force (USPSTF), K., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., and et al. "Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement". JAMA 3; 315(4): 380-7. Jan. 2016.
[13]	Bunevicius, A., Kusminskas, L., Pop. V. J., Pedersen, C. A., and Bunevicius, R, "Screening for antenatal depression with the Edinburgh Depression Scale". J Psychosom Obstet Gynecol 10; 30(4): 238-43. Dec 2009.
[14]	Ghubash, R., Abou-Saleh, M. T., and Daradkeh, T. K, "The validity of the Arabic Edinburgh Postnatal Depression Scale". Soc Psychiatry Psychiatr Epidemiol 10; 32(8): 474-6. Nov 1997.
[15]	Bowen, A., Stewart, N., Baetz, M., and Muhajarine, N, "Antenatal Depression in Socially High-Risk Women in Canada". J Epidmiol Community Health; 63: 414-416. 2009.
[16]	Bennett, H.A., Einarson, A., Taddio A., Koren, G., and Enarson, T, "Prevalence of Depression during Pregnancy: A systemic Review". ObstetGynecol 103:698-709. 2004.
[17]	Moawed, S., Gemaey, E., and Al-Mutairi, H.A, "Prevalence of depression among Saudi Pregnant Women". IOSR Journal of Nursing and Health Science. 4:61-8. 2015.
[18]	Alotaibe, H., Elsaid, T., and Almomen, R, "The prevalence and risk factors for antenatal depression among pregnant women attending clinics in Riyadh, Saudi Arabia". EJPMR, 3(12), 60-67. 2016.
[19]	Rwakarema, M., Premji, S.S., Nyanza, E.C., Riziki, P., and 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 15: 68. 2015
[20]	Al-Azri, M., Al-Lawati, I., Al-Kamyani, R., Al-Kiyumi, M., Al-Rawahi, A., Davidson, R., and et al. "Prevalence and Risk Factors of Antenatal Depression among Omani Women in a Primary Care Setting: Cross-sectional study". Sultan Qaboos Univ Med J 16: e35-e41. 2016.
[21]	Abdelhai, R., and Mosleh, H, "Screening for antepartum anxiety and depression and their association with domestic violence among Egyptian pregnant women". J Egypt Public Health Assoc 90: 101-108. 2015.
[22]	Mohammad, K., Gamble, J., and Creedy, D, "Prevalence and factors associated with the development of antenatal and postnatal depression among Jordanian women". Midwifery, 27(6): 238-245. 2011.
[23]	Botega, N. J., Dias, M.K., Gravidez e Puerpério,. In: Botega, N.J., et al. Pratica Psiquitrica no Hospital Geral: Interconsulta e Emergência”. 2nd ed. Porto Alegre; Artmed, 2006.
[24]	Lancaster, C.A., Gold, K.J., Flynn, H.A., Yoo, H., Marcus, S.M., and Davis M.M, "Risk factors for depressive symptoms during pregnancy: a systematic review". Am J ObstetGynecol 202(1): 5-14. 2010.
[25]	Rahman, A., Iqbal, Z., Bunn, J., Lovel, H., and Harrington, R, "Impact of maternal depression on infant nutritional status and illness: a cohort study". Archives of General Psychiatry 61: 946-52. 2004.
[26]	Meijer, J.L., Beijers, C., van Pampus, M.G., Verbeek, T., Stolk, R.P., Milgrom, J., and et al. "Predictive accuracy of Edinburgh postnatal depression scale assessment during pregnancy for the risk of developing postpartum depressive symptoms: a prospective cohort study". BJOG. 121: 1604-1610. 2014.
[27]	Zeng, Y., Cui, Y., and Li, J, "Prevalence and predictors of antenatal depressive symptoms among Chinese women in their third trimester: A cross-sectional survey". BMC Psychiatry 15: 66. 2015.
[28]	Mohamad Yusuff, A.S., Tang, L., Binns, C.W., and Lee, A.H, "Prevalence of antenatal depressive symptoms among women in Sabah, Malaysia". J Matern Fetal Neonatal Med 29:1170-4. 2016
[29]	Kaaya, S., Mbwambo, J., Kilonzo, G., Van Den., Borne, H., Leshabari, M., and et al. "Socio-economic and partner relationship factors associated with antenatal depressive morbidity among pregnant women in. Tanzania". J Health Res. 12(1): 23-35. 2010.
[30]	Hartley, M., Tomlinson, M., Greco. E., Comulada, W.S., Stewart, J., Le Roux, I., and et al. "Depressed mood in pregnancy: prevalence and correlates in two Cape Town peri-urban settlements". Reprod Health. 8(1): 9. 2011.
[31]	Manikkam, .L, and Burns, J.K, "Antenatal depression and its risk factors: an urban prevalence study in KwaZulu-Natal". SAMJ. 102(12): 940-4. 2012.
[32]	Al-Hejji, Z., Al-Khudhair, M., Al-Musaileem, M., and Al-Eithan, M.. "Prevalence and associated risk factors of antenatal depression among women attending antenatal clinics in primary health care centers in the Ministry of Health in Al-Ahsa City, Saudi Arabia". J Family Med Prim Care 8:3900-7. 2009.
[33]	Alqahtani, A. H., Al Khedair, K., Al-Jeheiman, R., Al-Turki, H. A., and Al Qahtani N. H, "Anxiety and depression during pregnancy in women attending clinics in a University Hospital in Eastern province of Saudi Arabia: Prevalence and associated factors". Int J Womens Health 10: 101-8. 2018.
[34]	Al-Azri, M., Al-Lawati, I., Al-Kamyani, R., Al-Kiyumi, M., Al-Rawahi A., Davidson R., and et al. "Prevalence and risk factors of antenatal depression among Omani women in a primary care setting: Cross-sectional study". Sultan Qaboos Univ Med J 16: e35-41. 2016
[35]	Thompson, O. K., and Ajayi, I. K, "Prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Abeokuta North Local Government Area, Nigeria. Depression Res Treatment" 2016.
[36]	Afusat, O.B, "Prevalence and associated factors of anxiety and depression among pregnant women". Open Access J Neurol Neurosurg 9:555758. 2018.
[37]	Zegeye, A., Alebel, A., Gebrie, A., Tesfaye, B., Belay, Y.A., Adane, F., and et al. "Prevalence and determinants of antenatal depression among pregnant women in Ethiopia: a systematic review and metaanalysis". BMC Pregnancy and Childbirth 18: 462. 2018.
[38]	Duko, B., Ayano, G., and Bedaso, A, "Depression among pregnant women and associated factors in Hawassa city, Ethiopia: An institution-based cross-sectional study". Reprod Health 16: 25. 2019.
[39]	Rashid, A., and Mohd, R, "Poor social support as a risk factor for antenatal depressive symptoms among women attending public antennal clinics in Penang, Malaysia". Reprod Health 14: 144. 2017.
[40]	Nasreen, H.E., Kabir, Z.N., Forsell, Y., and Edhborg, M, "Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: a population based study in rural Bangladesh". BMC Womens Health. 11(1): 22. 2011.
[41]	Ashley, J.M., Harper, B.D., Arms-Chavez, C.J., and LoBello, S.G, "Estimated prevalence of antenatal depression in the US population". Arch Womens Ment Health 19: 395-400. 2016.
[42]	Adewuya, A.O., Ola, B.A., Aloba, O.O., Dada, A.O., and Fasoto, O.O, "Prevalence and correlates of depression in late pregnancy among Nigerian women". Depress Anxiety. 24(1):15-21. 2007
[43]	Evans, J., Heron, J., Francomb, H., Oke, S., and Golding, J, "Cohort study of depressed mood during pregnancy and after childbirth". BMJ 323(7307): 257-60. 2001.
[44]	Mossie, T.B., Sibhatu, A.K., Dargie, A., and Ayele, A.D, "Prevalence of antenatal depressive symptoms and associated factors among pregnant women in Maichew, North Ethiopia: an institution based study". Ethiopian J Health Sci. 27(1): 59-66. 2017.
[45]	Dayan, J., Creveuil, C., Dreyfus, M., Herlicoviez, M., Baleyte, J-M., and O'Keane, V, "Developmental model of depression applied to prenatal depression: role of present and past life events, past emotional disorders and pregnancy stress". PLoS One. 5(9): e12942. 2010.
[46]	Ayele, T.A., Azale, T., Alemu, K., Abdissa, Z., Mulat, H., and Fekadu, A, "Prevalence and associated factors of antenatal depression among women attending antenatal Care Service at Gondar University Hospital, Northwest Ethiopia". PloS one. 11(5): e0155125. 2016.
[47]	Belay, Y.A., Moges, N.A., Hiksa, F.F., and Arado, K.K, "Prevalence of antenatal depression and associated factors among pregnant women attending antenatal care at Dubti hospital: A case of Pastoralist Region in Northeast Ethiopia". Depression Res Treat. 2018(1-9). 2018.
[48]	Fisher, J., MCd, M., Patel, V., Rahman, A., Tran, T., Holton, S., and Holmes, W, "Prevalence and determinants of common perinatal mental disorders in women in lowand lower-middle-income countries: a systematic review". Bull World Health Organ. 90(2): 139-49. 2012.
[49]	Faisal-Cury, A., Menezes, P., Araya, R., and Zugaib, M, "Common mental disorders during pregnancy: prevalence and associated factors among low-income women in São Paulo, Brazil". Arch Womens Ment Health. 12(5): 335. 2009.
[50]	Pereira, P. K., Lovisi, G. M., Pilowsky, D. L., Lima, L. A., and Legay, L. F, "Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil". Cadernos de Saúde Pública. 25(12): 2725-36. 2009.
[51]	Deyessa, N., Berhane, Y., Emmelin, M., Ellsberg, M. C., Kullgren, G., and Högberg, U, "Joint effect of maternal depression and intimate partner violence on increased risk of child death in rural Ethiopia". BMJ. 95(10): 771-775. 2010.
[52]	Rahman, A., Iqbal, Z., and Harrington R, "Life events, social support and depression in childbirth: perspectives from a rural community in the developing world". Psychol Med. 33(7): 1161-7. 2003.