Perinatal mental health in India: protocol for a validation and cohort study

Author:

Fellmeth G1,Kishore M T2,Verma A3,Desai G4,Bharti O5,Kanwar P6,Singh S6,Thippeswamy H4,Chandra P S4,Kurinczuk J J1,Nair M1,Alderdice F17

Affiliation:

1. National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK

2. Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bangalore, India

3. Department of Obstetrics and Gynaecology, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India

4. Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, India

5. State Institute of Health and Family Welfare, Department of Health and Family Welfare, Government of Himachal Pradesh, India

6. Department of Psychiatry, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India

7. School of Nursing and Midwifery, Queen’s University Belfast, Belfast, Northern Ireland

Abstract

ABSTRACT Background Common mental disorders (CMD) are among the largest contributors to global maternal morbidity and mortality. Although research on perinatal mental health in India has grown in recent years, important evidence gaps remain, especially regarding CMD. Our study aims to improve understanding of CMD among perinatal and non-perinatal women of reproductive age across two settings in India: Bangalore (Karnataka) and Tanda (Himachal Pradesh). Methods The study is embedded within the Maternal and Perinatal Health Research Collaboration India (MaatHRI). This mixed-methods observational study comprises three consecutive phases: (i) focus group discussions and individual interviews to explore women’s knowledge and seek feedback on CMD screening tools; (ii) validation of CMD screening tools; and (iii) prospective cohort study to identify CMD incidence, prevalence and risk factors among perinatal and non-perinatal women. Results of the three phases will be analyzed using inductive thematic analysis, psychometric analysis and multivariable regression analysis, respectively. Conclusion Improving understanding, detection and management of CMD among women is key to improving women’s health and promoting gender equality. This study will provide evidence of CMD screening tools for perinatal and non-perinatal women in two diverse Indian settings, produce data on CMD prevalence, incidence and risk factors and enhance understanding of the specific contribution of the perinatal state to CMD.

Funder

Medical Research Council (GCRF) Career Development Award

Nuffield Department of Population Health Clinical Research Fellowship

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

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