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

DOI
https://doi.org/10.22074/ijfs.2023.1983056.1412
Journal volume & issue
Vol. 18, no. 3
pp. 271 – 277

Abstract

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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.

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