Prevalence and risk factors of antenatal depression among Omani women in a primary care setting: Cross-sectional study

Mohammed Al-Azri, Iman Al-Lawati, Raya Al-Kamyani, Maisa Al-Kiyumi, Aisha Al-Rawahi, Robin Davidson, Abdullah Al-Maniri

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objectives: This study aimed to identify the prevalence of antenatal depression and the risk factors associated with its development among Omani women. No previous studies on antenatal depression have been conducted in Oman. Methods: This descriptive cross-sectional study was carried out between January and November 2014 in Muscat, Oman. Pregnant Omani women ≥32 gestational weeks who were attending one of 12 local primary care health centres in Muscat for routine antenatal care were invited to participate in the study (n = 986). An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure antenatal depression. A cut-off score of ≥13 was considered to indicate probable depression. Results: A total of 959 women participated in the study (response rate: 97.3%). Of these, 233 were found to have antenatal depression (24.3%). A bivariate analysis showed that antenatal depression was associated with unplanned pregnancies (P = 0.010), marital conflict (P = 0.001) and a family history of depression (P = 0.019). The adjusted odds ratio (OR) after logistic multivariate regression analysis showed that antenatal depression was significantly associated with unplanned pregnancies (OR: 1.37; 95% confidence interval [CI]: 1.02–1.86) and marital conflict (OR: 13.83; 95% CI: 2.99–63.93). Conclusion: The prevalence of antenatal depression among the studied Omani women was high, particularly in comparison to findings from other Arab countries. Thus, antenatal screening for depression should be considered in routine primary antenatal care. Couples should also be encouraged to seek psychological support should marital conflicts develop during pregnancy.

Original languageEnglish
Pages (from-to)e35-e41
JournalSultan Qaboos University Medical Journal
Volume16
Issue number1
DOIs
Publication statusPublished - Feb 1 2016

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Primary Health Care
Cross-Sectional Studies
Depression
Oman
Family Conflict
Unplanned Pregnancy
Prenatal Care
Odds Ratio
Confidence Intervals
Postpartum Depression
Middle East
Prenatal Diagnosis
Pregnant Women
Multivariate Analysis
Logistic Models
Regression Analysis
Psychology
Pregnancy

Keywords

  • Depression
  • Oman
  • Pregnancy
  • Prevalence
  • Primary health care
  • Risk factors
  • Women

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Prevalence and risk factors of antenatal depression among Omani women in a primary care setting : Cross-sectional study. / Al-Azri, Mohammed; Al-Lawati, Iman; Al-Kamyani, Raya; Al-Kiyumi, Maisa; Al-Rawahi, Aisha; Davidson, Robin; Al-Maniri, Abdullah.

In: Sultan Qaboos University Medical Journal, Vol. 16, No. 1, 01.02.2016, p. e35-e41.

Research output: Contribution to journalArticle

Al-Azri, Mohammed ; Al-Lawati, Iman ; Al-Kamyani, Raya ; Al-Kiyumi, Maisa ; Al-Rawahi, Aisha ; Davidson, Robin ; Al-Maniri, Abdullah. / Prevalence and risk factors of antenatal depression among Omani women in a primary care setting : Cross-sectional study. In: Sultan Qaboos University Medical Journal. 2016 ; Vol. 16, No. 1. pp. e35-e41.
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abstract = "Objectives: This study aimed to identify the prevalence of antenatal depression and the risk factors associated with its development among Omani women. No previous studies on antenatal depression have been conducted in Oman. Methods: This descriptive cross-sectional study was carried out between January and November 2014 in Muscat, Oman. Pregnant Omani women ≥32 gestational weeks who were attending one of 12 local primary care health centres in Muscat for routine antenatal care were invited to participate in the study (n = 986). An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure antenatal depression. A cut-off score of ≥13 was considered to indicate probable depression. Results: A total of 959 women participated in the study (response rate: 97.3{\%}). Of these, 233 were found to have antenatal depression (24.3{\%}). A bivariate analysis showed that antenatal depression was associated with unplanned pregnancies (P = 0.010), marital conflict (P = 0.001) and a family history of depression (P = 0.019). The adjusted odds ratio (OR) after logistic multivariate regression analysis showed that antenatal depression was significantly associated with unplanned pregnancies (OR: 1.37; 95{\%} confidence interval [CI]: 1.02–1.86) and marital conflict (OR: 13.83; 95{\%} CI: 2.99–63.93). Conclusion: The prevalence of antenatal depression among the studied Omani women was high, particularly in comparison to findings from other Arab countries. Thus, antenatal screening for depression should be considered in routine primary antenatal care. Couples should also be encouraged to seek psychological support should marital conflicts develop during pregnancy.",
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AB - Objectives: This study aimed to identify the prevalence of antenatal depression and the risk factors associated with its development among Omani women. No previous studies on antenatal depression have been conducted in Oman. Methods: This descriptive cross-sectional study was carried out between January and November 2014 in Muscat, Oman. Pregnant Omani women ≥32 gestational weeks who were attending one of 12 local primary care health centres in Muscat for routine antenatal care were invited to participate in the study (n = 986). An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure antenatal depression. A cut-off score of ≥13 was considered to indicate probable depression. Results: A total of 959 women participated in the study (response rate: 97.3%). Of these, 233 were found to have antenatal depression (24.3%). A bivariate analysis showed that antenatal depression was associated with unplanned pregnancies (P = 0.010), marital conflict (P = 0.001) and a family history of depression (P = 0.019). The adjusted odds ratio (OR) after logistic multivariate regression analysis showed that antenatal depression was significantly associated with unplanned pregnancies (OR: 1.37; 95% confidence interval [CI]: 1.02–1.86) and marital conflict (OR: 13.83; 95% CI: 2.99–63.93). Conclusion: The prevalence of antenatal depression among the studied Omani women was high, particularly in comparison to findings from other Arab countries. Thus, antenatal screening for depression should be considered in routine primary antenatal care. Couples should also be encouraged to seek psychological support should marital conflicts develop during pregnancy.

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