Unhappiness with the FetalGender is associated with Depression in Adult Pregnant Women Attending PrenatalCare in a Public Hospital in Durango, Mexico
[摘要] Depression during pregnancy has been scantilystudied in Mexican women. We aimed to determine the prevalence and correlatesof depression in adult pregnant women attending a public hospital in thenorthern Mexican city of Durango, Mexico. Through a cross-sectional studydesign, we assessed depression in 270 adult pregnant women attended forprenatal care in a public hospital using a validated Mexican version of theEdinburg Postnatal Depression Scale in pregnancy and further confirmation by a psychiatricevaluation using the DSM-IV criteria for depression. Prevalence associationwith socio-demographic, clinical and psychosocial characteristics of thepregnant women was also investigated. Of the 270 pregnant women studied, 101 (37.4%)had EPDS scores equal to or higher than nine. Depression was confirmed in 56(20.7%) women. Of them, 42 suffered from minor depression and 14 from majordepression. Multivariate analysis of socio-demographic, clinical andpsychosocial characteristics of the women showed that depression was associatedwith depression before pregnancy (OR = 3.36; 95% CI: 1.20-9.40; P=0.02), anxiety during pregnancy (OR =9.38; 95% CI: 1.87-46.96; P=0.006),smoking (OR = 25.05; 95% CI: 1.77-353.07; P=0.01),unhappy with the fetal sex (OR = 8.53; 95% CI: 2.46-29.48; P<0.001), and unintended pregnancy (OR = 2.90; 95% CI:1.07-7.86; P=0.03). Results indicate thatabout one fifth of the pregnant women studied had confirmed depression. This isthe first report of an association of prenatal depression with unhappiness withthe fetal sex. Factors associated with prenatal depression found in this study mayhelp for the optimal design of preventive measures against prenatal depression.
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[效力级别] [学科分类] 分子生物学,细胞生物学和基因
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