Introduction
Background
Specific objectives:
-
To determine the prevalence of antenatal depression among women attending antenatal care at Mubende Regional Referral Hospital.
-
To determine the factors associated with antenatal depression among women attending antenatal care at Mubende Regional Referral Hospital.
Materials and methods
Study design
Study setting
Eligibility criteria
Inclusion criteria
Exclusion criteria
Study procedure
Study variables and instruments
Data quality control
Sample size calculation
Data analysis
Results
Study conduct and participant selection
Descriptive statistics for participant characteristics
Psycho-social demographic characteristics | Frequency (n) | Percentage (%) | |
---|---|---|---|
Age | 17 to 20 | 94 | 26.63 |
21 to 34 | 220 | 62.32 | |
35 and above | 39 | 11.05 | |
Marital status | Married/Cohabiting | 328 | 92.92 |
Single/Separated | 25 | 7.08 | |
Education | Primary | 218 | 61.76 |
Secondary & Tertiary | 135 | 38.24 | |
Employment | Employed | 190 | 53.82 |
Unemployed | 163 | 46.18 | |
Household Income (UGX) | Less than 500,000 | 195 | 55.24 |
More than 500,000 | 158 | 44.76 | |
Family history of mental illness | No | 303 | 85.84 |
Yes | 50 | 14.16 | |
History of domestic violence | No | 329 | 93.2 |
Yes | 24 | 6.8 | |
Alcohol use | No | 322 | 91.22 |
Yes | 31 | 8.78 |
Obstetric characteristics | Frequency (n) | Percentage (%) | |
---|---|---|---|
Gestational Age | Less than 13 weeks | 46 | 13.03 |
13 to 28 weeks | 130 | 36.83 | |
More than 28 weeks | 177 | 50.14 | |
Previous history of Preeclampsia | No | 330 | 93.48 |
Yes | 23 | 6.52 | |
History of abortion | No | 299 | 84.7 |
Yes | 54 | 15.3 | |
History of a Stillbirth | No | 335 | 94.9 |
Yes | 18 | 5.1 | |
Pregnancy Planning | No (Unplanned) | 196 | 55.52 |
Yes (Planned) | 157 | 44.48 |
Prevalence of antenatal depression
Category | Frequency(n) | Percentage (%) | 95% CI |
---|---|---|---|
Depression | 133 | 37.68 | (32.60 – 42.96) |
No depression | 220 | 62.32 | (57.04—67.40) |
Total | 353 | 100.00 |
Severity of antenatal depression
Factors associated with antenatal depression:
Characteristic | No Antenatal Depression n (%) | Antenatal Depression n (%) | Unadjusted Analysis | Adjusted Analysis | |||
---|---|---|---|---|---|---|---|
cOR (95% CI) | p | aOR (95% CI) | p | ||||
Age | 21 to 34 | 170(77.27) | 50(22.73) | Ref | Ref | ||
17 to 20 | 34(36.17) | 60(63.83) | 6.00 (3.55–10.15) | < 0.001 | 7.74 (3.42–17.51) | < 0.001 | |
35 and above | 16(41.03) | 23(58.97) | 4.89 (2.40–9.96) | < 0.001 | 3.16 (1.26–7.92) | 0.014 | |
Marital status | Married/Cohabiting | 214(65.24) | 114(34.76) | Ref | Ref | ||
Single/Separated | 6(24.00) | 19(76.0) | 5.94 (2.31–15.30) | < 0.001 | 4.23 (0.65–27.66) | 0.132 | |
Education | Primary | 118(54.13) | 100(45.87) | Ref | Ref | ||
Secondary/Tertiary | 102(75.56) | 33(24.44) | 0.38 (0.24–0.61) | < 0.001 | 0.44 (0.20–1.00) | 0.05 | |
Employment | Employed | 133(70.0) | 57(30.0) | Ref | Ref | ||
Unemployed | 87(53.37) | 76(46.63) | 2.04 (1.32–3.16) | 0.001 | 1.03 (0.50–2.13) | 0.932 | |
Household Income | ≥ 500,000 UGX | 110(69.62) | 48(30.38) | Ref | Ref | ||
< 500,000 UGX | 110(56.41) | 85(43.59) | 1.77 (1.14–2.75) | 0.011 | 1.38 (0.74–2.57) | 0.306 | |
Family mental illness history | No | 193(63.70) | 110(36.30) | Ref | Ref | ||
Yes | 27(54.0) | 23(46) | 1.49 (0.82–2.73) | 0.192 | 1.71 (0.69–4.25) | 0.245 | |
History of violence | No | 216(65.65) | 113(34.35) | Ref | Ref | ||
Yes | 4(16.67) | 20(83.33) | 9.56 (3.20–28.64) | < 0.001 | 6.51 (1.81–23.42) | 0.004 | |
Alcohol use | No | 215(66.77) | 107(33.23) | Ref | Ref | ||
Yes | 5(16.13) | 26(83.87) | 10.45 (3.90–27.97) | < 0.001 | 8.46 (2.76–25.95) | < 0.001 | |
Gestational Age | 13 to 28 weeks | 101(77.69) | 29(22.31) | Ref | Ref | ||
< 13 weeks | 15(32.61) | 31(67.39) | 7.20 (3.43–15.12) | < 0.001 | 4.49 (1.53–13.19) | 0.006 | |
> 28 weeks | 104(58.76) | 73(41.24) | 2.44 (1.47–4.07) | 0.001 | 1.90 (0.94–3.81) | 0.075 | |
Previous preeclampsia | No | 209(63.33) | 121(36.67) | Ref | Ref | ||
Yes | 11(47.83) | 12(52.17) | 1.88 (0.81–4.40) | 0.143 | 5.46 (1.69–17.63) | 0.005 | |
History of abortion | No | 205(68.56) | 94(31.44) | Ref | Ref | ||
Yes | 15(27.78) | 39(72.22) | 5.67 (2.98–10.79) | < 0.001 | 4.32 (1.88–9.95) | 0.001 | |
Stillbirth | No | 212(63.28) | 123(36.72) | Ref | Ref | ||
Yes | 8(44.44) | 10(55.56) | 2.15 (0.83–5.60) | 0.116 | 1.84 (0.46–7.31) | 0.387 | |
Pregnancy Planning | Yes (Planned) | 138(87.90) | 19(12.10) | Ref | Ref | ||
No (Unplanned) | 82(41.84) | 114(58.16) | 10.10 (5.78–17.23) | < 0.001 | 12.59 (5.75–27.57) | < 0.001 |