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 might
predispose her for mental distress. Studies have shown grave consequences both on the mother
and 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 acceptability
of 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 clinic
and 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 of
support, exposure to violence in pregnancy, having a ‘low risk’ pregnancy and reported lower
relative 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 psychiatric
clinic .
The study concluded that having a separate intervention for their mental distress is unlikely to
succeed so joint intervention with their obstetric care is recommended .Obstacles that women
have from getting psychiatric service also should be studied for a better intervention outcome
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Keywords
Antenatal Depression