Outcome of prenatal depression and risk factors associated with persistence in the first postnatal year: Prospective study from Rawalpindi, Pakistan
2006

Prenatal Depression and Its Persistence After Birth

Sample size: 129 publication 10 minutes Evidence: moderate

Author Information

Author(s): Atif Rahman, Francis Creed

Primary Institution: University of Manchester

Hypothesis

What factors predict the persistence of prenatal depression beyond the first few postnatal months?

Conclusion

Women who are poor and have more psychological symptoms during pregnancy are more likely to remain depressed one year after giving birth.

Supporting Evidence

  • 56% of mothers were depressed at all points of assessment.
  • Persistent depression was significantly associated with poverty and having 5 or more children.
  • Higher SRQ scores during pregnancy predicted persistent depression.

Takeaway

If a mom is sad during pregnancy and is poor, she might stay sad for a long time after the baby is born.

Methodology

The study followed 701 pregnant women, assessing their mental health during pregnancy and at 3, 6, and 12 months postnatal using standardized questionnaires.

Potential Biases

The study may not be generalizable due to its focus on a single rural area.

Limitations

The sample was from one rural sub-district only and did not assess physical conditions like anemia.

Participant Demographics

Participants were married women aged 17 to 40, with an average age of 27.5 years; 44% were uneducated and 4% were employed.

Statistical Information

P-Value

p<0.01

Confidence Interval

95% CI 1.1 to 1.6

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1016/j.jad.2006.10.004

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