Antenatal depression and its risk factors: An urban prevalence study in KwaZulu-Natal
Aim. To determine the prevalence and risk factors associated with antenatal depressive symptoms in a KwaZulu-Natal population.
Methods. The Edinburgh Postnatal Depression Scale and a socio-demographic questionnaire in English and isiZulu were administered to 387 antenatal outpatients at King Edward VIII Hospital in Durban.
Results. Of the participants, 149 (38.5%) suffered from depression and 38.3% had thought of harming themselves in the preceding 7 days. Risk factors for depression included HIV seropositivity (p=0.02), a prior history of depression (p=0.02), recent thoughts of self-harm (p<0.000), single marital status (p=0.04) and unplanned pregnancy (p=0.01).
Conclusion. The high prevalence of antenatal depressive symptoms and thoughts of deliberate self-harm supports a policy of routine screening for antenatal depression in South Africa, especially in HIV-seropositive women.
Liane Manikkam, Department of Psychiatry, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban
Jonathan K Burns, Department of Psychiatry, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban
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Date published: 2012-10-10
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