Prevalence of Depression in Pregnant Woman and Its Effect Throughout Pregnancy and Neonatal Outcome

Document Type : Original Article

Authors

1 Department of Psychiatry, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

2 Department of Gynecology and Obstetrics, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

3 Department of Pediatrics, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Abstract

Background: Strong societal expectations are challenged by pregnancy-related depression, which presents difficult treatment decisions for doctors, especially when it comes to medicine. Prenatal depression has gotten little study interest and is sometimes disregarded in favor of postnatal depression, a more prominent illness.
Aim of the work: Evaluate depression neonatal outcomes in a population-based sampling of pregnant women with antenatal depression disorders. Determine the prevalence of mental illnesses, evaluate the obstetrics result and health care use during gestation and delivery.
Patients and Methods: A Prospective observational research. Third-trimester pregnant women visiting Sayed Galal University Hospitals in Bab El-Shaeria over a ten-month period, from September 2021 to [October- 2022]. The Beck Depression Inventory [BDI-II] was modified to precisely assess the depressive signs and symptoms included in the DSM-IV in order to improve the content validity of the assessment and to fit more accurately to the clinical guidelines for depression.
Results: All 200 of the survey respondents were diagnosed with one or more PRIME-MD conditions. Total, 70 [35%] of the women had depressive illness. Women with antenatal depression problems were more likely to contact their obstetrician than healthy participants did 58 [82.86%] while they also experienced nausea and vomiting; 57 [71.43%]. There were 50 [71.43%] participants visited their obstetrician as a result of early contractions. The multivariable analyses of obstetric outcomes and newborn outcome both included maternal variables related to depression diseases.
Conclusion: For a worsened neonatal outcome, including premature delivery or a baby that is tiny for gestational age, maternal prenatal depression problems are not a standalone significant predictor. A prenatal psychiatric problem is highly linked to postpartum depression, especially if a full DSM-IV psychiatric disorder is present throughout pregnancy.

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