Exploring antenatal depression among women in Northern Vietnam: Which life events matter?

Tạp chí Nghiên cứu Y học - Tập 196 Số 11E17 - Trang 379-392 - 2025
Pham Thi Oanh, Nguyen Thi Ai, Tine Gammeltoft, Vibeke Rasch, Nguyen Thi Thuy Hanh

Tóm tắt

Antenatal depression (AD) causes serious consequences to both mothers and their babies. This study aimed to estimate the prevalence and contributing factors, focusing on obstetric history and psychosocial factors of depression among pregnant women in northern Vietnam. A cross-sectional study was conducted at a maternity hospital and a private clinic in Thai Binh province, targeting women between 24 and 28 weeks of gestation from January to August 2023. The Edinburgh Postnatal Depression Scale assessed depressive symptoms, and Firth logistic regression identified associated factors. Out of 859 participants, 22.9% (95%CI: 20.2-25.9) showed signs of depressive symptoms. We did not find a significant association between obstetric historical factors and AD. However, we found various factors associated with high risk of AD among pregnant women, including history of depression (AOR = 61.46, 95%CI: 3.06 – 9133.33), anxiety (AOR = 30.93, 95%CI: 20.12 – 48.69), exposure to second hand smoke (AOR = 1.91, 95%CI: 1.22 – 2.99), and unwanted pregnancy (AOR = 2.21, 95%CI: 1.31 – 3.73). The prevalence of AD was high in our study. The findings highlight the need for greater awareness and early intervention for maternal depression in Northern Vietnam.

Từ khóa

#trầm cảm #trầm cảm trước sinh #yếu tố liên quan #phụ nữ mang thai #Việt Nam

Tài liệu tham khảo

Gavin NI, Gaynes BN, Lohr KN, et al. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106(5 Pt 1):1071-1083. doi:10.1097/01.AOG.0000183597.31630.db

Accortt EE, Cheadle AC, Dunkel Schetter C. Prenatal depression and adverse birth outcomes: an updated systematic review. Matern Child Health J. 2015;19(6):1306-1337. doi:10.1007/s10995-014-1637-2

Ngo Van Toan, Gammeltoft T, Nguyen Thi Thuy Hanh, et al. Antenatal depressive symptoms and adverse birth outcomes in Hanoi, Vietnam. PLoS One. 2018;13(11):e0206650. doi:10.1371/journal.pone.0206650

Dadi AF, Miller ER, Bisetegn TA, et al. Global burden of antenatal depression and its association with adverse birth outcomes: an umbrella review. BMC Public Health. 2020;20(1):173. doi:10.1186/s12889-020-8293-9

Liu J, Ji X, Wang G, e al. Maternal emotions during the pre/postnatal periods and children’s sleep behaviors: The mediating role of children’s behavior. Journal of Affective Disorders. 2020;273:138-145. doi:10.1016/j.jad.2020.03.178

Li F, Tian YP, Liu XM, et al. A prospective cohort study on the relationship between maternal prenatal depressive symptoms and children’s behavioral problems at 2 years old. Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi. 2018;39(4):455-459. doi:10.3760/cma.j.issn.0254-6450.2018.04.013

Fisher J, Cabral de Mello M, Patel V, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ. 2012;90(2):139-149H. doi:10.2471/BLT.11.091850

Goodman SH, Gotlib IH. Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev. 1999;106(3):458-490. doi:10.1037/0033-295x.106.3.458

Costin MR, Taut D, Baban A, et al. The Role of Maternal Depression Symptoms and Maternal Attachment in Predicting Exclusive Breastfeeding: A Multisite Prospective Study. J Womens Health (Larchmt). 2024;33(2):187-197. doi:10.1089/jwh.2023.0076

Mai Thi Hue MT, Nguyen Hang Nguyen Van, Phung Phuong Nha, et al. Factors associated with antenatal depression among pregnant women in Vietnam: A multisite cross-sectional survey. Health Psychol Open. 2020;7(1):2055102920914076. doi:10.1177/2055102920914076

Tran Thi Truc Phuong. Prenatal depression prevalence and risk factors of pregnant women at the third trimester in nguyen Tri Phuong Hospital. Vietnam Medical Journal. 2021;504(2).

Dam Nhu Binh, Nguyen Huu Trung. Prevalence and associated factors of antenatal depressive symtomps in the third trimester. Ho Chi Minh City Journal of Medicine. 2021;25(1):174-179.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-786. doi:10.1192/bjp.150.6.782

Murray L, Carothers AD. The validation of the Edinburgh Post-natal Depression Scale on a community sample. Br J Psychiatry. 1990;157:288-290. doi:10.1192/bjp.157.2.288

Joshi U, Lyngdoh T, Shidhaye R. Validation of hindi version of Edinburgh postnatal depression scale as a screening tool for antenatal depression. Asian J Psychiatr. 2020;48:101919. doi:10.1016/j.ajp.2019.101919

Smith-Nielsen J, Egmose I, Wendelboe KI, et al. Can the Edinburgh Postnatal Depression Scale-3A be used to screen for anxiety? BMC Psychology. 2021;9(1):118. doi:10.1186/s40359-021-00623-5

Tran Tho Nhi, Nguyen Thi Thuy Hanh, Nguyen Duc Hinh, et al. Intimate Partner Violence among Pregnant Women and Postpartum Depression in Vietnam: A Longitudinal Study. Biomed Res Int. 2019;2019:4717485. doi:10.1155/2019/4717485

Roddy Mitchell A, Gordon H, Lindquist A, et al. Prevalence of Perinatal Depression in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2023;80(5):425-431. doi:10.1001/jamapsychiatry.2023.0069

Agampodi SB, Agampodi TC. Antenatal Depression in Anuradhapura, Sri Lanka and the Factor Structure of the Sinhalese Version of Edinburgh Post Partum Depression Scale among Pregnant Women. PLOS ONE. 2013;8(7):e69708. doi:10.1371/journal.pone.0069708

More M, Agarwal A, Noorien R, et al. Incidence of depression in pregnant and postpartum women in tertiary care hospital using Edinburg postpartum depression scale: A prospective observational clinical study. MGM Journal of Medical Sciences. 2024;11(1):100. doi:10.4103/mgmj.mgmj_258_23

Hu Y, Wang Y, Wen S, et al. Association between social and family support and antenatal depression: a hospital-based study in Chengdu, China. BMC Pregnancy and Childbirth. 2019;19(1):420. doi:10.1186/s12884-019-2510-5

Nguyen Thien Phuong, Nguyen Thi Thu Thuy, Ho Thi Vi, et al. Depression in the third trimester of pregnancy and associated factors. Vietnamese Journal of Obstetrics and Gynecology. 2020;18(2):30-36. doi:10.46755/vjog.2020.2.1106

Department of Health, Government of Western Australia. Edinburgh Postnatal Depression Scale (EPDS): Translated Versions. State Perinatal Mental Health Reference Group, Western Australia; 2006.

Suzuki D, Wariki WMV, Suto M, et al. Association of secondhand smoke and depressive symptoms in nonsmoking pregnant Women: A systematic review and meta-analysis. J Affect Disord. 2019;245:918-927. doi:10.1016/j.jad.2018.11.048

Ruban JA, Santhosh A, Velmurugan M, et al. Prevalence and Predictors of Anxiety and Depression among Perinatal Women in Tertiary Care Hospital: A Cross-Sectional Study. Journal of Health and Allied Sciences NU. 2024;14:S89-S96. doi:10.1055/s-0044-1786692

Mohamad Yusuff AS, Tang L, Binns CW, et al. Prevalence and risk factors for postnatal depression in Sabah, Malaysia: a cohort study. Women Birth. 2015;28(1):25-29. doi:10.1016/j.wombi.2014.11.002

Kumar R, Robson K. Previous induced abortion and ante-natal depression in primiparae: preliminary report of a survey of mental health in pregnancy. Psychol Med. 1978;8(4):711-715. doi:10.1017/S0033291700018912

Thông tin
Thông tin xuất bản

Tạp chí Nghiên cứu Y học

Tập 196 Số 11E17

379-392

Thông tin tác giả