Effects of Pregnancy Planning, Complication, and Social Support on Depression in Pregnant Women
DOI:
https://doi.org/10.26911/thejmch.2024.09.03.09Abstract
Background: Depression is a mental symptom that arises with symptoms of loss of spirit, mood swings, and disruption of daily activities. Symptoms of depression are commonly experienced by pregnant women, but symptoms of depression can be treated and prevented. Recognizing the causes or determinants of depression in pregnant women is important to prevent the onset of depressive symptoms. This study aimed to estimate the effect of planning, complications, and social support on depression in pregnant women.
Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA guidelines and the PICO model. The articles used are between 2017 and 2023. Population = pregnant women. Intervention = Poor planning, complications, low social support. Comparison= Good planning, no complications, high social support. Outcome = Depression. Articles are compiled from databases such as Google Scholar, PubMed, and Science Direct. Literature search using the keywords "Planned" OR "Unplanned" AND "Complication" AND "Social Support" AND "Depression" AND "Cross Sectional". A total of 19 articles met the inclusion criteria for the meta-analysis, and were further assessed using RevMan 5.3.
Results: Meta-analysis using a cross-sectional study design of 16 primary study articles from Ethiopia, Greece, Portugal, Germany, Iceland, Sri Lanka, China, Nigeria, Tanzania, and Kenya with a total sample of 7234 subjects showed that poor planning (aOR= 1.89; CI 95%= 1.56 to 2.30; p< 0.001); pregnancy complications (aOR=2.00; CI 95%= 1.72 to 2.32; p< 0.001); Symptoms of depression improved in pregnant women and these results were statistically significant. Low social support (aOR= 1.24; CI 95%= 0.75 to 2.05; p< 0.400) increased depressive symptoms in pregnant women but was not statistically significant.
Conclusion: Poor planning, pregnancy complications, and low social support increase depressive symptoms in pregnant women.
Keywords:
planned pregnancy, complications, social support, depression, expectant mothersReferences
Adina J, Morawska A, Mitchell A E, Haslam D, Ayuku D (2022). Depression and anxiety in second and third trimesters among pregnant women in Kenya: A hospital-based prevalence study. J Affect Disord 10(July), 100447. Doi: 10.1016/j.jadr.2022.100447
Ayele TA, Azale T, Alemu K, Abdissa Z, Mulat H, Fekadu A (2016). Prevalence and Associated Factors of Antenatal Depression among Women Attending Antenatal Care Service at Gondar University Hospital, Northwest Ethiopia. PLoS ONE, 11(5). Doi: 10.1371/journal.pone.0155125
Brent L, Semple S, Dubuc C, Heistermann M, and MacLarnon A. (2011). Social capital and physiological stress levels in free-ranging adult female rhesus macaques. Physiol. Behav, 102(1), 76–83. Doi:10.1016/j.physbeh.2010.09.022
Chen W, Peng W, Zhang Y, Zhou H, Zhang M. (2023). Anxiety and depression among perinatal women during the long-term normal prevention of COVID-19 pandemic period in China: a cross-sectional study. BMC Psychiatry, 23(1), 1–10. Doi:10.1186/s12888-023-04930-6
Chuma BT, Sagaro GG, Astawesegn FH. (2020). Magnitude and Predictors of Antenatal Depression among Pregnant Women Attending Antenatal Care in Sodo Town, Southern Ethiopia: Facility-Based Cross-Sectional Study. Depress. Res. Treat. 2020. Doi:10.1155/2020/6718342
Duko B, Ayano G, Bedaso A (2019). Depression among pregnant women and associated factors in Hawassa city, Ethiopia: An institution-based cross-sectional study. Reprod. Health, 16(1), 1–6. Doi:10.1186/s12978-019-0685-x
Faisal-Cury A, Menezes PR, Quayle J, Matijasevich A (2017). Unplanned pregnancy and risk of maternal depression: secondary data analysis from a prospective pregnancy cohort. Psychol Health Med, 22(1), 65–74. Doi:10.1080/13548506.2016.1153678
Febriyanti H (2018). Factors related to exclusive breastfeeding of health workers who have babies in Pringsewu Regency in 2017 (Faktor-Faktor Yang Berhubungan Dengan Pemberian Asi Eksklusif Pada Tenaga Kesehatan Yang Memiliki Bayi Di Wilayah Kabupaten Pringsewu Tahun 2017): Jurnal Kebidanan UM. Mataram, 3(1), 38. Doi:10.31764/mj.v3i1.125
Finer LB, Zolna MR (2016). Declines in Unintended Pregnancy in the United States, 2008–2011. N. Engl. J. Med., 374(9), 843–852. Doi:10.1056/nejmsa1506575
Gelaye B, Rondon MB, Araya R, Williams M A (2016). Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. Lancet Psychiatry, 3(10), 973–982. Doi:10.1016/S2215-0366(16)30284-X
Goossens J, Branden Y, Sluys L, Delbaere I, Hecke A, Verhaeghe S, and Beeckman D. (2016). The prevalence of unplanned pregnancy ending in birth, associated factors, and health outcomes. Hum. Reprod, 31(12), 2821–2833. Doi:10.1093/humrep/dew266
Ishtiaque S, Sultana S, Malik U, Yaqoob U, Hussain S (2020). Prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Karachi, Pakistan. Rawal Medical J, 45(2), 434–438.
Jama A, Gebreyesus H, Wubayehu T, Gebregyorgis T, Teweldemedhin M, Berhe T, Berhe N (2020). Exclusive breastfeeding for the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland. Int. Breastfeed. J., 15(1), 1–8. Doi:10.1186/s13006-020-0252-7
Jonsdottir SS, Thome M, Steingrimsdottir T, Lydsdottir LB, Sigurdsson JF, Olafsdottir H, Swahnberg K. (2017). Partner relationship, social support and perinatal distress among pregnant Icelandic women. Women and Birth, 30(1), e46–e55 Doi:10.1016/j. wombi.2016.08.005
Kang-Yi C D, Kornfield SL, Neill Epperson C, Mandell DS (2018). Relationship between pregnancy complications and psychiatric disorders: A population-based study with a matched control group. Psychiatr. Serv, 69(3), 300–307. Doi:10.1176/appi.ps.201700097
Khouj MA, Albasri S, Albishri AA, Softa SM, Almaslamani AS, Ahmad HM (2022). Prevalence of Stress, Anxiety, and Depression Among Pregnant Women in Jeddah. Cureus, 14(7). Doi:10.7759/cureus.27174
Kukoyi O, Orok E, Oluwafemi F, Oluwadare T, Oni O, Bamitale T, Jaiyesimi B, Ojo T, Bello A (2023). Determinants of depressive symptoms among pregnant women attending primary health care centers in a local government area in Kwara state, Nigeria. J. Affect. Disord., 13(July 2022), 100591. Doi:10.1016/j.jadr.2023.100591
Lewis-Jones B, Nielsen T C, Svensson J, Nassar N, Henry A, Lainchbury A, Kim S, Kiew I, McLennan S, Shand AW. (2023). Cross-sectional survey of antenatal education attendance among nulliparous pregnant women in Sydney, Australia. Women and Birth, 36(2), e276–e282. Doi:10.1016/j.wombi.2022.08.003
Massae AF, Larsson M, Leshabari S, Mbekenga C, Pembe AB, Svanberg A S. (2021). Predictors of fear of childbirth and depressive symptoms among pregnant women: a cross-sectional survey in Pwani region, Tanzania. BMC Pregnan and Childb, 21(1), 1–13. Doi:10.1186/s12884-021-04169-7
Muskens L, Boekhorst M G B M, Kop W J, Heuvel M I, Pop V J M, Beerthuizen A. (2022). The association of unplanned pregnancy with perinatal depression: a longitudinal cohort study. Arch Womens Ment Health, 25(3), 611–620. Doi:10.1007/s00737-022-01225-9
Pratiwi B A, Riska Y, Wati N, Angraini W, Okavianti L. (2019). Factors Driving the Success of Exclusive Breastfeeding in the Working Area of the West Lingkar Health Center in Bengkulu City (Faktor Pendorong Keberhasilan ASI Eksklusif di Wilayah Kerja Puskesmas Lingkar Barat Kota Bengkulu). Avicenna: Jurnal Ilmiah, 14(02), 25–30. Doi: 10.36085/avicenna.v14i02.392
Schauer M, Latartara E, Alonso-Espias M, Rossetti E, Gebert P, Henrich W, Hinkson L. (2023). Depression, anxiety and stress in women with breech pregnancy compared to women with cephalic presentation—a cross-sectional study. Arch. Gynecol. Obstet., 307(2), 409–419. Doi:10.1007/s00404-022-06509-0
Tegegne KM, Demeke SM, Lemma MT, Kassie AM (2023). Prevalence of Depression and Its Associated Factors among Prisoners in North Wollo Zone, Northeastern Ethiopia: A Cross-Sectional Study. Depress. Res. Treat 2023. Doi:10.1155/2023/2612900
Tsakiridis I, Dagklis T, Mamopoulos A, Athanasiadis A, Pearson R, Papazisis G. (2021). Antenatal depression and anxiety during the COVID-19 pandemic: A cross-sectional study in pregnant women from routine health care contact in Greece. J Perinat Med., 49(6), 656–663. Doi:10.1515/jpm-2020-0473
Wang Q, Mo PKH, Song B, Di JL, Zhou FR, Zhao J, Wu YL, et al.(2021). Mental health and preventive behaviour of pregnant women in China during the early phase of the COVID-19 period. Infect. Dis. Poverty 10(1), 1–11. Doi:10.1186/s40249-021-00825-4
Whitworth K, Donnellan-Fernandez R, Fleet J A (2023). Digital transformation of antenatal education: A descriptive exploratory study of women’s experiences of online antenatal education. Women and Birth. Doi:10.1016/j.wombi.2023.08.008
Wu F, Lin W, Liu P, Zhang M, Huang S, Chen C, Li Q, et al. (2021). Prevalence and contributory factors of anxiety and depression among pregnant women in the post-pandemic era of COVID-19 in Shenzhen, China. J Affect Disord, 291(March), 243–251. Doi:10.1016/j.jad.2021.05.014
Wyatt S, Ostbye T, DeSilva V, Lakmali P, Long Q (2021). Predictors and occurrence of antenatal depressive symptoms in Galle, Sri Lanka: a mixed-methods cross-sectional study. BMC Pregnan and Childb, 21(1), 1–13. Doi:10.1186/s12884-021-04239-w
Yang H, Pan Y, Chen W, Yang X, Liu B, Yuan N, Zhang X (2023). Prevalence of and relevant factors for depression and anxiety symptoms among pregnant women on the eastern seaboard of China in the post-COVID-19 era: a cross-sectional study. BMC Psychiatry, 23(1), 1–10. Doi:10.1186/s12888-023-05059-2
