A Screening for Antenatal Depression: A Formative Study for Development of a Perinatal Mental Health Liaison Service in Zewditu Hospital
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Date
2014-11
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Addis Ababa University
Abstract
Pregnancy is a time when a woman experiences major psychological and biological changes.Many factors can affect the emotional state of the mother during pregnancy. This changes mightpredispose her for mental distress. Studies have shown grave consequences both on the motherand on the fetus in high and LMIC countries like Ethiopia .Screening might decrease the occurrence ,early treatment and prevention of complications of CMD The aim of the study was to study the probable depressive symptoms and treatment acceptabilityof perinatal service among women who come for ANC visit in Zewditu Memorial Hospital,Addis Ababa Ethiopia .It was a cross sectional study ,taking 187 women from the ANC clinicand administered PHQ 9 and other scales to asses violence, alcohol consumption and treatment acceptability questions.The study found 30% of high depressive score .High association with being unmarried, lack ofsupport, exposure to violence in pregnancy, having a ‘low risk’ pregnancy and reported lowerrelative wealth .Negative association with HIV status and high risk pregnancy .Low treatment seeking behavior .Participants prefer to be screened at the ANC clinic rather than the psychiatricclinic .The study concluded that having a separate intervention for their mental distress is unlikely tosucceed so joint intervention with their obstetric care is recommended Obstacles that womenhave from getting psychiatric service also should be studied for a better intervention outcome
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Antenatal Depression