National Board of Examinations Journal of Medical Sciences
Prevalence and Determinants of Antepartum Depression among Antenatal Women in a Tertiary Hospital: A Cross-sectional study
By Abhirami MV and Rajini S.
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National Board of Examinations Journal of Medical Sciences
By Abhirami MV and Rajini S.
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Antepartum depression (APD) is a significant public health concern affecting maternal well-being, pregnancy outcomes, and child development. In India, APD remains under-recognized despite its high prevalence. Identifying its burden and determinants is essential for strengthening maternal mental health services.
A hospital-based cross-sectional study was conducted among 210 antenatal mothers attending outpatient and inpatient departments from February to May 2025. Sample size was calculated using prevalence from a South Indian study. Data were collected using a pretested semi-structured questionnaire. APD was assessed using the Edinburgh Postpartum Depression Scale (EPDS) with a cut-off score ≥13. Statistical analysis was performed using SPSS version 25. Bivariate analysis employed Chi-square and Fisher’s exact tests, followed by logistic regression for variables with p<0.20.
Among the 210 participants, 84 (40.0%) were screened positive for Antepartum depressive symptoms. Maternal education, husband’s occupation, gestational age, social support, and consanguinity showed significant associations. Multivariable analysis identified low/moderate social support (AOR=2.63), gestational age <32 weeks (AOR=3.21), husband’s non-professional occupation (AOR=4.48), and consanguinity (AOR=2.91) factors independently associated with screening-positive antepartum depressive symptoms.
APD is highly prevalent, driven largely by psychosocial and socioeconomic factors. Routine EPDS screening and integration of mental health services into antenatal care are strongly recommended. Clinical Significance: Routine screening for antepartum depression using EPDS and identification of high-risk groups such as women with poor social support and socioeconomic stress can improve early detection and management, thereby enhancing maternal and fetal outcomes.
Published in National Board of Examinations Journal of Medical Sciences. The abstract is shown as published and remains the work of its authors; read the full article at the source.
natboard.edu.in/ejournal/articledtl?x=UzdRNW5lRGg3VExTN2F1L3NQQnpOQT09
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