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Minseon Koh1
, Sukhee Ahn2, Jisoon Kim3, Seyeon Park4, Jiwon Oh5
, Sukhee Ahn2, Jisoon Kim3, Seyeon Park4, Jiwon Oh5
Abstract
Purpose
The objective of this study was to investigate the prevalence of antenatal depression in pregnant women and its influencing factors.
Methods
With a cross-sectional survey design, a total of 396 pregnant women were recruited from a local obstetrics and gynecology clinic. Measurements included antenatal depression, perceived stress, predictors of depression during pregnancy, and demographic and obstetric characteristics.
Results
Mean antenatal depression score was 8.20 (standard deviation=4.95) out of 30, falling into its normal range. However, the prevalence of antenatal depression was 35.9% when cut-point of 9/10 was used. The prevalence of antenatal depression among women in the first trimester was 31.4%. It was slightly increased to 34.9% in the second trimester but significantly increased to 40.5% in the third trimester. In multiple logistic regression analysis, experiencing prenatal anxiety (odds ratio [OR], 4.16), having no job (OR, 2.90), lower self-esteem (OR, 1.62), and higher perceived stress (OR, 1.32) were significant factors influencing antenatal depression.
Conclusion
Negative feeling such as feeling anxious, lower self-esteem, and higher perceived stress during pregnancy are key factors affecting antenatal depression. Thus, antenatal nursing intervention focusing on pregnant women's feeling upon their job status is necessary to improve their antenatal psychological well-being.
Figures and Tables
Table 1
Differences in Antenatal Depression by Women's Characteristics (N=396)
Table 2
Differences in Antenatal Depression by Depression Predictors during Pregnancy (N=396)
Table 3
Predictors of Antenatal Depression (N=396)
Notes
Summary Statement
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• What is already known about this topic?
Pregnant women's general and obstetric characteristics such as education, socioeconomic status, stress, and high-risk pregnancy are known to be related to antenatal depression. -
• What this paper adds?
This paper reveals that pregnant women's depression rate (EPDS ≥ 10) is 35.9%. It also reveals that pregnant women's depression is associated with experiencing prenatal anxiety, having no job, lower self-esteem, and higher perceived stress. -
• Implications for practice, education and/or policy
This study implicates that regular antenatal depression screening from early gestation period is essential and that family centered nursing intervention is needed for pregnant women, especially for those who have prenatal anxiety, having no job, lower self-esteem, and higher perceived stress.
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