Prevalence and Determinants of Antenatal Depression Risk Among Urban Women Seeking Antenatal Clinical Care at a District Hospital in Ghana.
Opei Kwafo Adarkwa, Douglas Aninng Opoku, Roderick E Larsen-Reindorf and 7 others
PMID 39673087WHAT IT FOUND
Among 207 pregnant women attending antenatal care in Ghana, 13.5% were at risk for antenatal depression.
Physical abuse, domestic abuse and thoughts of self-harm were linked to higher risk.
Key findings
0113.5% of pregnant women attending antenatal care were classified as at risk for antenatal depression.
02After adjustment, physical abuse, domestic abuse and self-harm ideation were associated with increased odds of antenatal depression risk.
0310.1% of participants reported thoughts of self-harm.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used a cross-sectional design, so it cannot show that abuse or self-harm ideation caused antenatal depression risk. Face-to-face interviews may have led to under- or over-reporting of sensitive experiences such as abuse and self-harm. Only women attending one district hospital in Kumasi at 32 to 42 weeks of pregnancy were included, and women with complications or too ill to take part were excluded. Depression risk was measured with a self-report EPDS score of 13 or more, not by a clinical diagnosis. Some factors that were significant before adjustment, including support from close people and partner relationship, were not significant after adjustment.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that antenatal depression risk is low enough to skip screening because 13.5% is lower than some other settings. The study was cross-sectional, so it cannot show that abuse or self-harm ideation caused depression risk.