International Journal of Fertility and Sterility (Jul 2024)
Prevalence and Risk Factors of Prenatal and Postnatal Depressive Symptoms in Babol Pregnancy Mental Health Registry: A Cross-Sectional Study
- Shahnaz Barat,
- Shirin Shahrokhi,
- Seyyedeh Mahboubeh Mirtabar,
- Farzan Kheirkhah,
- Zahra Basirat,
- Hoda Shirafkan,
- Angela Hamidia,
- Davood Hosseini,
- Zeynab Pahlavan,
- Sedigheh Esmaeilzadeh,
- Zinatosadat Buzari,
- Mahtab Zeynalzadeh,
- Shahla Yazdani,
- Azita Ghanbarpour,
- Fatemeh Shafizadeh,
- Mahsima Adnani,
- Fatemeh Amirkhanloo,
- Maedeh Mollaalipour,
- Atiyeh Chale kani,
- Mania Amiri,
- Razieh Khazaei,
- Seyedeh Shabnam Mehdinia,
- Fatemeh Basirat,
- Romina Hamzehpour,
- Asieh Khademi,
- Alireza Azizi,
- Fatemeh Nasiri-Amiri,
- Nooshin Fateri,
- Banafshe Zarinkamar,
- Sajedeh Aligoltabar,
- Mahbobeh Faramarzi
Affiliations
- Shahnaz Barat
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Shirin Shahrokhi
- Clinical Psychology, Student Research Committee, Behshahr Azad University, Behshahr, Iran
- Seyyedeh Mahboubeh Mirtabar
- Research Clinical Psychology, Student Research Committee, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Farzan Kheirkhah
- Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Zahra Basirat
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Hoda Shirafkan
- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Angela Hamidia
- Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Davood Hosseini
- Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Zeynab Pahlavan
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Sedigheh Esmaeilzadeh
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Zinatosadat Buzari
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Mahtab Zeynalzadeh
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Shahla Yazdani
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Azita Ghanbarpour
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Fatemeh Shafizadeh
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Mahsima Adnani
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Fatemeh Amirkhanloo
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Maedeh Mollaalipour
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Atiyeh Chale kani
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Mania Amiri
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Razieh Khazaei
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Seyedeh Shabnam Mehdinia
- Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Fatemeh Basirat
- Rouhani Hospital, Babol University of Medical Sciences, Babol,
- Romina Hamzehpour
- Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Asieh Khademi
- Rouhani Hospital, Babol University of Medical Sciences, Babol,
- Alireza Azizi
- Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Fatemeh Nasiri-Amiri
- Department of Midwifery, School of Nursing and Midwifery, Infertility and Reproductive Health Research Center, Reproductive Health, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Nooshin Fateri
- Midwifery, Clinical Research Development Unit of Rohani Hospital, Health Research, Institute, Babol University of Medical Sciences, Babol, Iran
- Banafshe Zarinkamar
- Clinical Psychology, Clinical Research Development Unit of Shahid Yahya Nejad, Health Research Institute, Babol University of Medical Sciences, Hospital Babol, Babol, Iran
- Sajedeh Aligoltabar
- Midwifery, Student Research Committee, Babol University of Medical Sciences, Babol, Iran
- Mahbobeh Faramarzi
- Department of General Courses, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- DOI
- https://doi.org/10.22074/ijfs.2023.1983056.1412
- Journal volume & issue
-
Vol. 18,
no. 3
pp. 271 – 277
Abstract
Background: Prenatal and postnatal depression (PND) is associated with adverse outcomes for mother, fetus, andchild. The aim of study was to examine the prevalence and risk factors of prenatal and postnatal depressive symptoms.Materials and Methods: This was a cross-sectional and hospital-based survey of 2305 pregnant women and post-partumwomen (18-48 years) that was registered in the Babol Pregnancy Mental Health Registry (BPMHR) database from June2020 to March 2021. Two questionnaires, including demographics and depression, were analyzed in this study. Also, theEdinburg Postnatal Depression Scale (EPDS) was used to assess the depressive symptoms. Independent t test and theanalysis of variance were used to compare the means. Multiple logistic regressions were used to determine risk factors fordepressive symptoms.Results: According to the EPDS scale, the prevalence of depressive symptoms was 19.8% in the pregnant womangroup in comparison with the postpartum period (11.6%). Risk factors for antenatal depressive symptoms were parity(women with parity ≥ 4 vs. 1 parity, ß=1.808, P=0.020), two groups of gestational age (gestational age ≤12 weeks vs.28 weeks, ß=1.562 P=0.030) as well as (gestational age 21-27 weeks vs. 28 weeks (ß=1.586, P=0.033), and high-riskpregnancy (high-risk vs. low-risk pregnancy, ß=1.457, P=0.003). For postnatal depressive symptoms, none of the factorswere a significant risk.Conclusion: Prenatal and postnatal depressive symptoms should be screened, particularly for women in the first andsecond trimesters, with high parity, and those with a high-risk pregnancy, as recommended by the present study.
Keywords