Depression during pregnancy in the Brazilian public health care system

Revista Brasileira de Psiquiatria

Ricardo Azevedo Da Silva¹  Karen Jansen¹  Luciano Dias De Mattos Souza¹  Inácia Gomes Da Silva Moraes¹  Elaine Tomasi¹  Giovanna Del Grande Da Silva¹  Michelle De Souza Dias¹  Ricardo Tavares Pinheiro¹ 

[1] ,Universidade Católica de PelotasPelotas RS ,Brazil

关键词: Depression;    Pregnancy;    Health systems;    Probability;    Public health;    Depressão;    Gravidez;    Sistema de saúde;    Probabilidade;    Saúde pública;   

DOI  :  10.1590/S1516-44462010000200008

来源: SciELO

【 摘 要 】

OBJECTIVE: To estimate the prevalence of depression and correlate clinical and demographic characteristics in pregnant women assisted by the public health system in the city of Pelotas, RS, Brazil. METHOD: We performed a cross-sectional study focused on pregnant women assisted by the public health service. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for depression. RESULTS: In a sample of 1,264 pregnant women aged 12-46 years, 21.1% (n = 255) presented a depressive episode during pregnancy. The presence of depression was associated with older age, lower education, lack of a cohabiting partner, not being primiparous, planned pregnancy, abortion thoughts, psychological or psychiatric treatment, smoking and alcohol consumption during pregnancy, and stressful events. CONCLUSION: Pregnant women assisted by the Brazilian public health system presented a high prevalence of depression. Psychiatric history, lack of support, and stressful events increase the probability of antenatal depression.

【 授权许可】

CC BY-NC   
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