Prevalence and Risk Factors of Antenatal Depression among Omani Women in a Primary Care Setting Cross-sectional study
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 1
Abstract
Objectives: Tis study aimed to identify the prevalence of antenatal depression and the risk factors associated with its development among Omani women. No previous studies on antenatal depression have been conducted in Oman. Methods: Tis descriptive cross-sectional study was carried out between January and November 2014 in Muscat, Oman. Pregnant Omani women ≥32 gestational weeks who were attending one of 12 local primary care health centres in Muscat for routine antenatal care were invited to participate in the study (n = 986). An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure antenatal depression. A cut-off score of ≥13 was considered to indicate probable depression. Results: A total of 959 women participated in the study (response rate: 97.3%). Of these, 233 were found to have antenatal depression (24.3%). A bivariate analysis showed that antenatal depression was associated with unplanned pregnancies (P = 0.010), marital conflict (P = 0.001) and a family history of depression (P = 0.019). Te adjusted odds ratio (OR) after logistic multivariate regression analysis showed that antenatal depression was signifcantly associated with unplanned pregnancies (OR: 1.37; 95% confdence interval [CI]: 1.02–1.86) and marital conflict (OR: 13.83; 95% CI: 2.99–63.93). Conclusion: Te prevalence of antenatal depression among the studied Omani women was high, particularly in comparison to fndings from other Arab countries. Tus, antenatal screening for depression should be considered in routine primary antenatal care. Couples should also be encouraged to seek psychological support should marital conflicts develop during pregnancy.
Authors and Affiliations
Mohammed Al-Azri| Department of Family Medicine & Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Iman Al-Lawati| Directorate General of Primary Health Care, Ministry of Health, Muscat, Oman, Raya Al-Kamyani| Directorate General of Primary Health Care, Ministry of Health, Muscat, Oman, Maisa Al-Kiyumi| Directorate General of Primary Health Care, Ministry of Health, Muscat, Oman, Aisha Al-Rawahi| Directorate General of Primary Health Care, Ministry of Health, Muscat, Oman, Robin Davidson| Department of Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman, Abdullah Al-Maniri| Te Research Council, Muscat, Oman
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