Author:
Sun Ying,He Xiaobo,Gu Xuejun,Yang Xiuping
Abstract
Abstract
Objective
Pregnant women experience enormous psychological pressure, particularly during the late trimester. Symptoms of depression in late pregnancy may persist postpartum, increasing the incidence of postpartum depression. This study is aimed to investigate the factors influencing depressive symptoms among pregnant women in their third trimester at a Chinese tertiary hospital and provide information for effective intervention.
Methods
Pregnant women in their third trimester who visited the Ningbo Women and Children’s Hospital between January 1, 2020 and June 30, 2022 participated in this study. A score of ≥ 13 on the Edinburgh Postnatal Depression Scale (EPDS) was considered as positive for depressive symptom. Potential influencing factors were examined by using an online questionnaire and analyzed using multivariate logistic regression.
Results
A total of 1196 participants were recruited. The mean EPDS score was 7.12 ± 4.22. The positive screening rate for depressive symptom was 9.9%. Univariate analysis showed that living with partner, annual family income, planned pregnancy, sleep quality, and partner’s drinking habits were related to positive screening for depression(P < 0.05). Furthermore, multivariate logistic regression analysis showed that living away from the partner (odds ratio [OR]: 2.054, 95% confidence interval [CI]: 1.094–3.696, P = 0.02), annual family income < 150,000 Chinese Yuan (CNY; OR: 1.762, 95% CI: 1.170–2.678, P = 0.007), poor sleep quality (OR: 4.123, 95% CI: 2.764–6.163, P < 0.001), and partner’s frequent drinking habit (OR: 2.227, 95% CI: 1.129–4.323, P = 0.019) were independent influencing factors for positive depression screening (P < 0.05).
Conclusion
Family’s economic condition, sleep quality, living with partner, and partner's drinking habits were related to positive depression screening in late pregnancy. Pregnant women with these risk factors should be given more attention and supported to avoid developing depression.
Funder
Medical Science and Technology Project of Zhejiang Province China
Women's Health Care of Ningbo Key Medical Support Discipline
the project of NINGBO Leading Medical & Health Discipline
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health
Reference53 articles.
1. Psychosomatic Health Society CPMA, Committee of Women Mental Health Care CMaCHA. Consensus on maternal mental health management (2019). Chin J Woman Child Health Res. 2019;30(07):781–6.
2. Priya A, Chaturvedi S, Bhasin SK, et al. Depression, anxiety and stress among pregnant women: a community-based study. Indian J Psychiatry. 2018;60(1):151–2.
3. Bennett HA, Einarson A, Taddio A, et al. Depression during pregnancy : overview of clinical factors. Clin Drug Investig. 2004;24(3):157–79.
4. Miller ES, Saade GR, Simhan HN, et al. Trajectories of antenatal depression and adverse pregnancy outcomes. Am J Obstet Gynecol. 2022;226(1):108 e1–108 e9.
5. Ma X, Wang Y, Hu H, et al. The impact of resilience on prenatal anxiety and depression among pregnant women in Shanghai. J Affect Disord. 2019;1(250):57–64.