PREVALENCE OF ANTEPARTUM DEPRESSION AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANC CLINICS IN BUTAJIRA GENERAL HOSPITAL, GURAGE ZONE, SNNPR, ETHIOPIA, 2019

Abstract

Background: Antepartum depression (APD) is a form of clinical depression which can be caused by the stress and worry that pregnancy can bring more sever level. It can be triggered by unplanned pregnancy, difficulty to become pregnant, history of substance abuse and low economic status. Any form of prenatal stress felt by the mother can have negative effects on various aspects of fetal development, which can cause harm to the mother and child. Therefore, the aim of this study was to assess the prevalence of maternal depression and associated factors among pregnant women attending ANC clinics in Butajira hospital, Gurage zone, SNNPR, Ethiopia, 2019. Objective:To assess the prevalence of Antepartumdepression and associated factors among pregnant women attending ANC clinics in ButajiraGeneral Hospital, from February 14 –March 30Gurage zone, SNNPR, Ethiopia, 2019. Methods: Intuition based cross sectional study design was conducted in Butajira general hospital fromFebruary-March 2019. Sample of 263 were selected by systematic random sampling technique. The data were collected by using anonymous interview questionnaire and then entered and processed by SPSS version 24.0 for analysis. Association between dependent and independent variables were assessed using both bivariate and multivariable logistic regression. P values <0.05 with 95% confidence level were used to declare statistical significance. Results: The prevalence of antepartum depression among pregnant women was 27.6%with(95% CI; 22.4-33.2). The multivariable analysis showed that respondents who had unplanned pregnancy [AOR=2.11 (95%CI;1.0-4.44)], having any complications during their previous labor and delivery [AOR=4.42 (95%CI;2.06-9.48)], previous history of child hospitalization [AOR=3.34(95%CI;1.48- 7.51)], and having no satisfaction in their marriage[AOR=3.9(95%CI; 1.15-13.21)], had associated with antepartumdepression. Conclusion and Recommendations: The prevalence of antepartum depression in this study was relatively higherby[27.6% with (95%CI;22.4-33.2)] than studies done in some parts of Ethiopia. Unplanned pregnancy, complications during labor & delivery of the last baby, women having history of child hospitalization and maternal satisfaction with marriage were some of the factors that increased the antepartum depression. In order to prevent further consequences, all concerned bodies need to take an action by making targeted intervention and early screening of all pregnant mothers for depression. Keywords: Antepartum depression, pregnant women, Butajira, Ethiopia