Effect of Antenatal Depression on ANC Service Utilization in Northwest Ethiopia

Overview

Journal Sci Rep

Specialty Science

Date 2023 Sep 2

PMID 37660079

Authors

Getnet Mihretie Beyene

Telake Azale

Kassahun Alemu Gelaye

Tadesse Awoke Ayele

Affiliations

Soon will be listed here.

Abstract

Maternal morbidity and mortality remain high among women who did not attend antenatal care (ANC). Antenatal care is one of the interventions given to pregnant women to detect existed problems or problems that can develop during pregnancy, which harm the health of pregnant women and fetuses. In Ethiopia, however, there is limited evidence that revealed the effect of antenatal depression on ANC service utilization. Hence, this study aimed to see the effect of antenatal depression on ANC visits among women in urban northwest Ethiopia. A population-based, prospective cohort study was done from June 2019 to March 2020. The Edinburgh postnatal depression scale was administered to 970 women in the second and third trimesters of pregnancy to screen for antenatal depression. Additional data were collected on ANC visits, the mother's socio-demographic, obstetric, clinical, psychosocial, and behavioral factors. A logistic regression model was used to adjust confounders and determine associations between antenatal depression and inadequate ANC visits. The cumulative incidence of inadequate ANC visits was 62.58% (95% CI: 59.43, 65.63). The cumulative incidence of inadequate ANC visits among depressed pregnant women was 75% as compared to 56% in non-depressed. The incidence of inadequate ANC visits in the exposed group due to antenatal depression was 25.33%. After multivariable analysis, antenatal depression at the second and third trimesters of pregnancy remained a potential predictor of inadequate ANC visits (AOR = 1.96: (95% CI 1.22, 3.16)). In addition, antenatal depression, long travel time for ANC visits (AOR = 1.83 (95% CI 1.166, 2.870)), and late initiation of ANC visits (AOR = 2.20 (95% CI 1.393, 3.471)) were the predictors of inadequate ANC visits as compared to their counterpart. This study suggested that antenatal depression affects ANC visits in Ethiopian urban settings. Therefore, early detecting and treating depression symptoms during the antenatal period reduced significantly the impacts of depression on the health of the mother and fetus.

Citing Articles

Antenatal depression among pregnant women in Ethiopia: An umbrella review.

Abebe M, Asgedom Y, Gebrekidan A, Tebeje T PLoS One. 2025; 20(1):e0315994.

PMID: 39836614 PMC: 11750105. DOI: 10.1371/journal.pone.0315994.

References

Nikiema B, Beninguisse G, Haggerty J . Providing information on pregnancy complications during antenatal visits: unmet educational needs in sub-Saharan Africa. Health Policy Plan. 2009; 24(5):367-76. DOI: 10.1093/heapol/czp017. View

Basha G . Factors Affecting the Utilization of a Minimum of Four Antenatal Care Services in Ethiopia. Obstet Gynecol Int. 2019; 2019:5036783. PMC: 6710775. DOI: 10.1155/2019/5036783. View

Finlayson K, Downe S . Why do women not use antenatal services in low- and middle-income countries? A meta-synthesis of qualitative studies. PLoS Med. 2013; 10(1):e1001373. PMC: 3551970. DOI: 10.1371/journal.pmed.1001373. View

Dutamo Z, Assefa N, Egata G . Maternal health care use among married women in Hossaina, Ethiopia. BMC Health Serv Res. 2015; 15:365. PMC: 4566845. DOI: 10.1186/s12913-015-1047-1. View

Tarekegn S, Lieberman L, Giedraitis V . Determinants of maternal health service utilization in Ethiopia: analysis of the 2011 Ethiopian Demographic and Health Survey. BMC Pregnancy Childbirth. 2014; 14:161. PMC: 4022978. DOI: 10.1186/1471-2393-14-161. View

Mekonnen Y, Mekonnen A . Factors influencing the use of maternal healthcare services in Ethiopia. J Health Popul Nutr. 2004; 21(4):374-82. View

Rurangirwa A, Mogren I, Nyirazinyoye L, Ntaganira J, Krantz G . Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population based study. BMC Pregnancy Childbirth. 2017; 17(1):142. PMC: 5430598. DOI: 10.1186/s12884-017-1328-2. View

Hanlon C . Maternal depression in low- and middle-income countries. Int Health. 2013; 5(1):4-5. DOI: 10.1093/inthealth/ihs003. View

Weobong B, ten Asbroek A, Soremekun S, Manu A, Owusu-Agyei S, Prince M . Association of antenatal depression with adverse consequences for the mother and newborn in rural Ghana: findings from the DON population-based cohort study. PLoS One. 2014; 9(12):e116333. PMC: 4280205. DOI: 10.1371/journal.pone.0116333. View

10.

Evans J, Heron J, Francomb H, Oke S, Golding J . Cohort study of depressed mood during pregnancy and after childbirth. BMJ. 2001; 323(7307):257-60. PMC: 35345. DOI: 10.1136/bmj.323.7307.257. View

11.

Weissman M, Olfson M . Depression in women: implications for health care research. Science. 1995; 269(5225):799-801. DOI: 10.1126/science.7638596. View

12.

Kim H, Mandell M, Crandall C, Kuskowski M, Dieperink B, Buchberger R . Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population. Arch Womens Ment Health. 2005; 9(2):103-7. DOI: 10.1007/s00737-005-0117-5. View

13.

Zuckerman B, Amaro H, Bauchner H, Cabral H . Depressive symptoms during pregnancy: relationship to poor health behaviors. Am J Obstet Gynecol. 1989; 160(5 Pt 1):1107-11. DOI: 10.1016/0002-9378(89)90170-1. View

14.

Tesfaye M, Hanlon C, Wondimagegn D, Alem A . Detecting postnatal common mental disorders in Addis Ababa, Ethiopia: validation of the Edinburgh Postnatal Depression Scale and Kessler Scales. J Affect Disord. 2009; 122(1-2):102-8. DOI: 10.1016/j.jad.2009.06.020. View

15.

Brugha T, Cragg D . The List of Threatening Experiences: the reliability and validity of a brief life events questionnaire. Acta Psychiatr Scand. 1990; 82(1):77-81. DOI: 10.1111/j.1600-0447.1990.tb01360.x. View

16.

Rasch V, Van T, Nguyen H, Manongi R, Mushi D, Meyrowitsch D . Intimate partner violence (IPV): The validity of an IPV screening instrument utilized among pregnant women in Tanzania and Vietnam. PLoS One. 2018; 13(2):e0190856. PMC: 5794062. DOI: 10.1371/journal.pone.0190856. View

17.

Hodgson R, Alwyn T, John B, Thom B, Smith A . The FAST Alcohol Screening Test. Alcohol Alcohol. 2002; 37(1):61-6. DOI: 10.1093/alcalc/37.1.61. View

18.

Fewtrell M, Kennedy K, Singhal A, Martin R, Ness A, Hadders-Algra M . How much loss to follow-up is acceptable in long-term randomised trials and prospective studies?. Arch Dis Child. 2008; 93(6):458-61. DOI: 10.1136/adc.2007.127316. View

19.

Kristman V, Manno M, Cote P . Loss to follow-up in cohort studies: how much is too much?. Eur J Epidemiol. 2004; 19(8):751-60. DOI: 10.1023/b:ejep.0000036568.02655.f8. View

20.

Murray L, Cooper P . Postpartum depression and child development. Psychol Med. 1997; 27(2):253-60. DOI: 10.1017/s0033291796004564. View