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Wednesday, April 25, 2012
F: Wangari Maathai Hall (Millennium Hall)
ABSTRACT Background: - Antenatal depressive disorders are serious health problems with multiple dangers to both pregnant woman and the fetus/infant. But, not recognized well. They are found with significantly higher prevalence rates in low income countries; and associated with socio-economic and socio-cultural factors proximally. Objective:-The main objective of this study was to assess prevalence of antenatal depressive disorders and associated factors among Adama Hospital ANC attendants. Method: - A hospital based cross sectional study was conducted from March 1st to April 21, 2011 at Adama Hospital, Adama, Ethiopia. About 231 pregnant women were interviewed using systematic sampling method. Pretested BDI and structured questionnaire was used to collect data. Data entry was done by SPSS and analyzed using logistic regression and Odds ratio. Result:-Out of the calculated sample size (243), about 231 pregnant women were interviewed. It made 95% response rate. The mean age was 26.32. About 56.7% (n=131) were in third trimester and 45% were nulliparous. In relation to pattern of current pregnancy, unwanted pregnancy accounted 42% (n=97). Prevalence rate of antenatal depressive disorders was found to be 31.2%. Marital conflict [AOR=22.68, CI (3.61, 142.33)], previous abortion [AOR=2.86 CI (1.13, 7.24)], fear of pregnancy complications [AOR= 3.49 CI (1.45, 8.41)], economic problem [AOR=9.52 CI (2.68, 33.78)] and unwanted pregnancy [AOR=6.99 CI (2.21, 22.17)] were found to have significant association with antenatal depressive disorders. However; socio-demographic features were not. Conclusion: - Prevalence rate of antenatal depressive disorders was high and alarming among Adama Hospital antenatal clinic attendants. The factors in association were economic problems, obstetric and psychosocial. Recommendation:- Adama Hospital should integrate mental health service with existing maternal and child health care. In addition, screening of ANC attendants for potential risk factors of antenatal depressive disorders could be crucial to hamper the impending dangers. Key words Antenatal, depressive disorders
Learning Objectives: 1. Recognize the burden of antenatal depressive disorders among Adama Hospital antenatal clinic attendants. 2. Identify the factors associated to antenatal depressive disorders. 3. Discuss on effects of psychosocial and health service related stressing factors on pregnant women.