The Impact of Social Support, Intimate Partner Violence, and Pregnancy Plans on Antenatal Depression: A Meta-Analysis Study
DOI:
https://doi.org/10.26911/thejmch.2024.09.04.08Abstract
Background: Antenatal depression is a type of depression that occurs during pregnancy and affects about 20% of pregnant women. This study aims to analyse the effects and estimate the magnitude of the effects of social support, intimate partner violence and pregnancy status on the incidence of antenatal depression with a meta-analysis.
Subject and Method: The meta-analysis was performed using a PRISMA flowchart and a PICO model. Population: pregnant women. Intervention: strong social support, experiencing violence by intimate partners, and planned pregnancy status. Comparison: weak social support, no violence by intimate partners, and unplanned pregnancy status. Outcome: antenatal depression. The online databases used are Google Scholar, Hindawi, PubMed, Science Direct, Scopus, and ResearchGate. There were 17 cross-sectional studies published in 2018-2023 that met the inclusion criteria. Analysis was done with RevMan 5.3.
Results: Meta-analysis was conducted on 17 cross-sectional studies from Australia, Thailand, Nepal, Bangladesh, Nigeria, Ethiopia, Rwanda, Norway, and Jamaica. Sample size = 11,517 study subjects. The risk of antenatal depression increases with intimate partner violence (aOR= 2.13; CI 95%= 1.65 to 2.74; p<0.001). The risk of antenatal depression decreased with strong societal support (aOR= 0.47; CI 95%= 0.38 to 0.58; p<0.001) and planned pregnancy (aOR= 0.45; CI 95%= 0.24 to 0.84; p=0.01).
Conclusions: The risk of antenatal depression increases when there is intimate partner violence, decreases if social support is obtained and pregnancy is planned.
Keywords:
antenatal depression, social support, intimate partner violence, pregnancy statusReferences
Adams J, Asres B, Wenbo P, David S (2021). The association between social support and antenatal depressive and anxiety symptoms among Australian women. BMC,21:708.https://doi.org/10.1186/s12884-021-04188-4
Agarwal S, Roshan P,Saket M, Rashi C,Shalvi G,Vaishnavi B,Samriddhi S, Arpita J,Mayur B (2023). A Comprehensive Review of Intimate Partner Violence During Pregnancy and Its Adverse Effects on Maternal and Fetal Health. Cureus;15(5):https://doi.org/10.7759/cureus.39262
Ahn E, Hyun K (2018). Introduction to systematic review and meta-analysis. Korean J Anesthesiol ; 71(2): 103–112.doi:10.4097/kjae.2018.71.2.103
Aisyah R , Suparni, Dian K (2023). Deteksi Dini Risiko Ibu Hamil Berbasis Keluarga. Pekalongan : Penerbit NEM - (Anggota IKAPI)
Asres B, Jon A, Wenbo P, David S (2021). The association between social support and antenatal depressive and anxiety symptoms among Australian women. BMC,21:708.https://doi.org/10.1186/s12884-021-04188-4
Badan Pusat Statistik (2022). Profil Kesehatan Ibu dan Anak 2022. Jakarta : Badan Pusat Statistik
Bantie A, Kassa G, Zeleke H, Zeleke L, Aynalem B (2022). Prevalence of depression and associated factors among pregnant women attending antenatal care in public health institutions of Awabale Woreda, East Gojjam Zone, Northwestern Ethiopia: A cross-sectional study. PLoS ONE 17(10):e0271876.https://doi.org/10.1371/journal.pone.0271876
Barton K, Maggie R, Maria A. Q, Claire C (2017). Unplanned pregnancy and subsequent psychological distress in partnered women: a cross-sectional study of the role of relationship quality and wider social support. BMC 17:44. doi 10.1186/s12884-017-1223-x
Bedaso A, Adams, J, Peng, W, & Sibbritt, D (2021). Prevalence and determinants of low social support during pregnancy among Australian women: a community-based cross-sectional study. Reproductive Health, 18(1), 1-11. https://doi.org/10.1186/s12978- 021-01210-y
Beketie E, HaileMariam B, Fiseha G, Wubishet T (2021). Magnitude and associated factors of antenatal depression among mothers attending antenatal care in Arba Minch town, Ethiopia, 2018. PLoS ONE 16(12): e0260691.https://doi.org/10.1371/journal.pone.0260691
Belay Y, Nurilign A, Fetuma F, Kassahun K, Misgan L (2018). Prevalence of Antenatal Depression and Associated Factors among Pregnant Women Attending Antenatal Care at Dubti Hospital: A Case of Pastoralist Region in Northeast Ethiopia. Hindawi Volume 2018Article ID 1659089. https://doi.org/10.1155/2018/1659089
Belete A, Mulunesh A, A, Yihalem A, Mengistie K (2019). Prevalence of antenatal depression and associated factors among pregnant women in Aneded woreda, North West Ethiopia: a community based cross-sectional study.BMC.https://doi.org/10.1186/s13104-019-4717-y
Bernard O, Roger C. Gibson, Affette M, Jody R, Charlene C,Sydonnie, Maureen S (2018). Antenatal depressive symptoms in Jamaica associated with limited perceived partner and other social support: A cross-sectional study. PLoS ONE 13(3): e0194338. https://doi.org/10.1371/journal.pone.0194338
BKKBN (2022). Kehamilan Tidak Direncanakan Picu Lahirnya Bayi Stunting Baru. Jakarta : Media Center BKKBN.https://www.bkkbn.go.id/berita-kehamilan-tidak-direncanakan-picu-lahirnya-bayi-stunting-baru
Chalise A, Shrestha G, Paudel S, et al. (2022). Antenatal depression and its associated factors among women of Godawari Municipality, Lalitpur, Nepal: a cross-sectional study. BMJ Open;2022;12:e063513.doi:10.1136/bmjopen-2022-063513
Chand, Suma P, Hasan A (2023). Depression. Treasure Island (FL): StatPearls Publishing; 2023
CMB (2017). Available now: Cochrane's Review Manager (RevMan 5). Groningen : Central Medical Library. https://www.rug.nl/cmb/news/revman-cochrane?lang=en
Dagher, Rada K, Hannah E. Bruckheim, Lisa J, Emmeline E, Della B. White (2021). Perinatal Depression: Challenges and Opportunities. J. Women’s Health Vol. 30 No. 2. https://doi.org/10.1089/jwh.2020.8862
Duko B, Getinet A, Asres B (2019). Depression among pregnant women and associated factors in Hawassa city, Ethiopia: an institution-based cross-sectional study. Reproductive Health (2019)16:25.https://doi.org/10.1186/s12978-019-0685-x
Eikemo R, Bariman M. Elvin N, Eriksson J, Vikstrom A, Nyman V, Backman M, Jonas W (2023). Intimate partner violence during pregnancy - Prevalence and associations with women's health: A cross-sectional study. Elsevier 100843 : 36. https://doi.org/10.1016/j.srhc.2023.100843
Ernawati, Kholis, Najla Q, Megan G, Hendra A (2021). Analisis Data pada Meta-analisis dengan Software RevMan. UniversitasYARSI.DOI:10.13140/RG.2.2.13666.04802
Fu S, Sihan Y, Liang W, Xiaochun M, Xu L (2022). Unfractionated heparin improves the clinical efficacy in adult sepsis patients: a systematic review and meta-analysis. BMC Anesthesiol: 22: 28. doi: 10.1186/s12871-021-01545-w
Gopalakrishnan and Ganeshkumar P (2013). Systematic Reviews and Meta-analysis: Understanding the Best Evidence in Primary Healthcare. J Family Med Prim Care. ; 2(1): 9–14. doi: 10.4103/2249-4863.109934
Guo C, Mengtong W, Yue W, Peijie W, Marissa T, Haoyang L, Liangming Y, Lingqi J, Mengting Z, Ziqi Y, Fenfen G, Jun Z (2023). Associations between intimate partner violence and adverse birth outcomes during pregnancy: a systematic review and meta-analysis. Fmed Obstetrics and Gynecology Volume 10. https://doi.org/10.3389/fmed.2023.1140787
Hansen C ,Holger S, Jörn B (2021). How to conduct a meta‐analysis in eight steps: a practical guide. Management Review Quarterly,72:119.https://doi.org/10.1007/s11301-021-00247-4
Hardiyanti, Dwi S, Dini K , Peni J (2019). Gambaran Sosial Ibu Hamil dengan Preeklampsia di RSUD Dr. Abdoer Rahem Situbondo. E-Journal Pustaka Kesehatan
Herd P, Jenny H, Kamil S, Irina M (2016). The Implications of Unintended Pregnancies for Mental Health in Later Life. Am J Public Health 106(3): 421–429. doi: 10.2105/AJPH.2015.302973
Insan N, Forrest, Jaigirdar A, Islam R, Rankin J (2023). Social Determinants and Prevalence of Antenatal Depression among Women in Rural Bangladesh: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2023, 20, 2364. https://doi.org/10.3390/ijerph20032364
Ismiati, Saptosih (2023). Menilik Kupasan Kasus-Kasus KDRT (Sebuah Kajian Yuridis Sosiologis).Jogjakarta : Deepublish Digital
Junandar, Cempaka Y, Ivon D, Budi U, Ernawati (2020). Hubungan Dukungan Sosialdengan Derajat Mual Muntah pada Ibu Hamil. IMHSJ , 4 : 1. DOI: 10.20473/imhsj.v4i1.2020.26-32
Kaiyo M, Lisa L, Alfred C, Jermaine M., Thulani M, Claire H, Mike C (2023). Antenatal depression: Associations with birth and neonatal outcomes among women attending maternity care in Harare, Zimbabwe. PLOS ONE, 18(7):e0270873.https://doi.org/10.1371/journal.pone.0270873
Keliyo E, Meka K, Girma T (2021). Prevalence of Antenatal Depression and Associated Factors among Pregnant Women Attending Antenatal Care at Health Institutions of Faafan Zone, Somali Region, Eastern Ethiopia.Hindawi.https://doi.org/10.1155/2021/2523789
Riskesdas (2018). Laporan Nasional RISKESDAS 2018. Jakarta : Badan Penelitian dan Pengembangan Kesehatan
Kemenkes RI (2021). Buku Saku Merencanakan Kehamilan Sehat. Jakarta : Kementerian Kesehatan Republik Indonesia
Komnas Perempuan (2023). Catatan Tahunan Komnas Perempuan Tahun 2023. Jakarta : Komisi Nasional Anti Kekerasan Terhadap Perempuan
Kukoyi O, Edidiong O , Funmilayo O, Tunrayo O, Olawale O, Toba B, Boluwaji J, Tolulope O, Aisha B (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. https://doi.org/10.1016/j.jadr.2023.100591
Kylie C , Elizabeth P , Helen C, Kym R, Sailesh K (2023). Intimate partner violence is a significant risk factor for adverse pregnancy outcomes. Elsevier 100283.https://doi.org/10.1016/j.xagr.2023.100283
Lee Y (2019). Strengths and Limitations of Meta-Analysis. Korean J Med.https://doi.org/10.3904/kjm.2019.94.5.391
Lodebo M, Dagmawit B, Samuel A, Tadele Y (2020). Magnitude of Antenatal Depression and Associated Factors among Pregnant Women in West Badewacho Woreda, Hadiyya Zone, South Ethiopia: Community Based Cross Sectional Study. Hindawi .https://doi.org/10.1155/2020/2950536
LP2M (2023). Getting to Know Meta Analytics: Definition & How to Do It (Mengenal Analisis Meta: Definisi & Bagaimana Melakukannya). Medan : Lembaga Penelitian dan Pengabdian Masyarakat Universitas MedanArea.https://lp2m.uma.ac.id/2023/03/16/mengenal-analisis-meta-definisi-bagaimana-melakukannya/
Madlala and Kassier (2017). Antenatal and postpartum depression: effects on infant and young child health and feeding practices. SAJCN.https://doi.org/10.1080/16070658.2017.1333753
Melby T, Nina B, Lena H, Mirjam L, Eva M (2022). Antenatal depression and the association of intimate partner violence among a culturally diverse population in southeastern Norway: A cross-sectional study. Eur J Midwifery 2022;6(July):44.https://doi.org/10.18332/ejm/150009
Misrawati, Sri W, Fathra A , Feri C (2023). Mother's Perception of Depression Symptoms in the Pregnancy Period: A Qualitative Study (Persepsi Ibu Terhadap Gejala Depresi Pada Periode Kehamilan : Studi Kualitatif). Jurnal Ners Indonesia.
Murti B (2018). Prinsip dan metode riset epidemiologi (5th ed.) (Prinsip dan metode riset epidemiologi (5th ed.)). Surakarta: Program Studi Ilmu Kesehatan Masyarakat, Program Pascasarjana, Universitas Sebelas Maret.
Murti B (2022). Systematic review dan meta-analisis. Print from Program Magister Ilmu Kesehatab Masyarakat, Sekolah Pascasarjana, Universitas Sebelas Maret. April 02,2022
Murti B (2023). Penilaian kualitas studi primer untuk desain studi observasional cross-sectional dalam penelitian meta-analisis.
Muskens L, Myrthe G, Willem J, Marion I, Victor J, Annemerle B (2022). The association of unplanned pregnancy with perinatal depression: a longitudinal cohort study. Arch Womens Ment Health. doi: 10.1007/s00737-022-01225-9
Nelson H, Blair G, Katherine A (2022). Associations of Unintended Pregnancy With Maternal and Infant Health Outcomes: A Systematic Review and Meta-analysis. JAMA 328(17):1714-1729. doi:10.1001/jama.2022.19097
Ningsih, Inggri O , Wilson , Abror I (2016). Hubungan Antara Dukungan Sosial terhadap Tingkat Kecemasan pada Ibu Hamil di Pontianak Barat. Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Tanjungpura Pontianak
Pettman D, Heather O, Oscar B, Agneta, Louise V, Joanne W (2023). Effectiveness of cognitive behavioural therapy-based interventions for maternal perinatal depression: a systematic review and meta-analysis. BMC.https://doi.org/10.1186/s12888-023-04547-9
Phoosuwan N, Leif E, Pranee C. Lundberga (2018). Antenatal depressive symptoms during late pregnancy among women in a north-eastern province of Thailand: Prevalence and associated factors. AJP : 36 (2018)102-107.https://doi.org/10.1016/j.ajp.2018.06.012
Putri, Restu A, Tris E (2020). The Impact Of Antenatal Depression On Birth Outcomes: A Systematic Review (Dampak Depresi Antenatal Terhadap Hasil Kelahiran: Systematic Review). Jurnal Diversita:6:2.https://doi.org/10.31289/diversita.v6i2.4058
Risanti P (2022). Social Support Reduces Anxiety Levels in Facing Childbirth in Pregnant Women in the Third Trimester (Dukungan Sosial Menurunkan Tingkat Kecemasan dalam Menghadapi Persalinan pada Ibu Hamil Trimester III). Program Studi Sarjana Kebidanan dan Profesi Bidan Sekolah Tinggi Ilmu Kesehatan Bina Usada Bali
Sari S, Sri W, Hernandia D (2023). The Relationship Between Pregnancy Status and Anxiety Levels in Primigravida in the Working Area of the Bangetan Semarang Health Center (Hubungan Antara Status Kehamilan dengan Tingkat Kecemasan Pada Primigravida di Wilayah Kerja Puskesmas Bangetan Semarang). Jurnal Ilmiah Sultan Agung Semarang. ISSN: 2963-2730
Shortis E, Daniel W , Paula W (2020). The efficacy of cognitive behavioral therapy for the treatment of antenatal depression: A systematic review. J. Affect.Disord.Volume272:485495.https://doi.org/10.1016/j.jad.2020.03.067
Suraily M, Meinasari K (2022). The Relationship between Family Support, Social Support, and Perception of the Covid-19 Pandemic with Anxiety Levels of Pregnant Women (Hubungan Dukungan Keluarga, Dukungan Sosial, Persepsi Pandemi Covid-19 Dengan Tingkat Kecemasan Ibu Hamil). SIMFISIS Jurnal Kebidanan Indonesia,2:1.DOI:10.53801/sjki.v2i1.57
Takele T, Kefyalew T, Bereket D (2020). Prevalence and factors associated with depression among pregnant mothers in the West Shoa zone, Ethiopia: a community-based cross-sectional study. Ann Gen Psychiatry 19:24.https://doi.org/10.1186/s12991-020-00275-6
Takelle G, Nakie G, Rtbey G, Melkam M (2023). Depressive symptoms and associated factors among pregnant women attending antenatal care at Comprehensive Specialized Hospitals in Northwest Ethiopia, 2022: an institution-based cross-sectional study. Front. Psychiatry 14:1148638. doi: 10.3389/fpsyt.2023.1148638
Taviyanda D , Erawati (2017). Overview of Family Social Support for Pregnant Women Who Carry Out Antenatal Care Visits (Gambaran Dukungan Sosial Keluarga (Suami) pada Ibu Hamil yang Melakukan Kunjungan Antenatal Care). Jurnal STIKES, 10 : 1
TRM (2020). VA Technical Reference Model v 23.10. Washington DC : U.S. Department of Veterans Affairs. https://www.oit.va.gov/Services/TRM/ToolPage.aspx?tid=7972
Umuziga M, Darius G, Michaela H, Laetitia N (2022). Antenatal depressive symptoms in rwanda: rates, risk factors, and social support. BMC 22:193.https://doi.org/10.1186/s12884-022-04522-4
Utomo Y, Sudjiwananti (2018). The Effect of Social Support on the Anxiety Level of Pregnant Women at the Malang City Government Maternity Hospital (Pengaruh Dukungan Sosial terhadap Tingkat Kecemasan Ibu Hamil di Rumah Sakit Bersalin Pemerintah Kota Malang). Universitas Wisnuwardhana Malang 22:2.https://doi.org/10.37303/psikovidya.v22i2.117
Wolde H , Baraki, A, Akalu, T, Lakew A, Gonete K (2020). Factors affecting infant mortality in the general population: evidence from the 2016 Ethiopian demographic and health survey (EDHS); a multilevel analysis. BMC,20(1),299.https://doi.org/10.1186/s12884-020-03002-x
Xun Y , Qiangqiang G, Mengjuan R, Yunlan L, Yajia S,Shouyuan W, Hui L, Juanjuan Z, Hui L, Jianjian W, Qianling S, Qi W, Ping W, Yaolong C, Ruitai S, Dong R (2023). Characteristics of the sources, evaluation, and grading of the certainty of evidence in systematic reviews in public health: A methodological study. Front Public Health 11: 998588. doi: 10.3389/fpubh.2023.998588
