Antenatal predictors of incident and persistent postnatal depressive symptoms in rural Ethiopia: a population-based prospective study.


BACKGROUND:There have been few studies to examine antenatal predictors of incident postnatal depression, particularly in low- and middle-income countries (LMICs). The aim of this study was to investigate antenatal predictors of incident and persistent maternal depression in a rural Ethiopian community in order to inform development of antenatal interventions. METHOD:A population-based prospective study was conducted in Sodo district, south central Ethiopia. A locally validated version of the Patient Health Questionnaire (PHQ-9) was used to assess antenatal (second and third trimesters) and postnatal (4-12 weeks after childbirth) depressive symptoms, with a PHQ-9 cut-off of five or more indicating high depressive symptoms. Poisson regression with robust standard errors was used to identify independent predictors of persistence and incidence of postnatal depressive symptoms from a range of antenatal, clinical and psychosocial risk factors. RESULT:Out of 1311 women recruited antenatally, 1240 (356 with and 884 without antenatal depressive symptoms) were followed up in the postnatal period. Among 356 women with antenatal depressive symptoms, the elevated symptoms persisted into postnatal period in 138 women (38.8%). Out of 884 women without antenatal depressive symptoms, 136 (15.4%) experienced incident elevated depressive symptoms postnatally. The prevalence of high postnatal depressive symptoms in the follow-up sample was 274 (22.1%). Higher intimate partner violence scores in pregnancy were significantly associated with greater risk of incident depressive symptoms [adjusted Risk Ratio (aRR) = 1.06, 95% CI: 1.00, 1.12]. Each 1-point increment in baseline PHQ-9 score predicted an increased risk of incidence of postnatal depressive symptoms (aRR = 1.29, 95% CI: 1.15, 1.45). There was no association between self-reported pregnancy complications, medical conditions or experience of threatening life events with either incidence or persistence of depressive symptoms. CONCLUSION:Psychological and social interventions to address intimate partner violence during pregnancy may be the most important priorities, able to address both incident and persistent depression.


Reprod Health


Reproductive health


Bitew T,Hanlon C,Medhin G,Fekadu A




Has Abstract


2019-03-04 00:00:00












  • Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents: a systematic review.

    abstract:BACKGROUND:Pregnancy and parenthood are known to be high-risk times for mental health. However, less is known about the mental health of pregnant adolescents or adolescent parents. Despite the substantial literature on the risks associated with adolescent pregnancy, there is limited evidence on best practices for preve...

    journal_title:Reproductive health

    pub_type: 杂志文章,评审


    authors: Laurenzi CA,Gordon S,Abrahams N,du Toit S,Bradshaw M,Brand A,Melendez-Torres GJ,Tomlinson M,Ross DA,Servili C,Carvajal-Aguirre L,Lai J,Dua T,Fleischmann A,Skeen S

    更新日期:2020-05-14 00:00:00

  • Do efforts to standardize, assess and improve the quality of health service provision to adolescents by government-run health services in low and middle income countries, lead to improvements in service-quality and service-utilization by adolescents?

    abstract:BACKGROUND:Researchers and implementers working in adolescent health, and adolescents themselves question whether government-run health services in conservative and resource-constrained settings can be made adolescent friendly. This paper aims to find out what selected low and middle income country (LMIC) governments h...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Chandra-Mouli V,Chatterjee S,Bose K

    更新日期:2016-02-06 00:00:00

  • Women's experiences of ovulation testing: a qualitative analysis.

    abstract:BACKGROUND:The introduction of home digital ovulation tests (OTs) has provided a simple solution for women wishing to optimise the timing of intercourse when trying to conceive. However, despite this, very little is understood about women's experiences of using these tests. METHODS:We carried out qualitative, semi-str...

    journal_title:Reproductive health

    pub_type: 杂志文章,随机对照试验


    authors: Jones G,Carlton J,Weddell S,Johnson S,Ledger WL

    更新日期:2015-12-21 00:00:00

  • Antenatal care packages with reduced visits and perinatal mortality: a secondary analysis of the WHO Antenatal Care Trial.

    abstract:BACKGROUND:In 2001, the WHO Antenatal Care Trial (WHOACT) concluded that an antenatal care package of evidence-based screening, therapeutic interventions and education across four antenatal visits for low-risk women was not inferior to standard antenatal care and may reduce cost. However, an updated Cochrane review in ...

    journal_title:Reproductive health

    pub_type: 杂志文章,随机对照试验


    authors: Vogel JP,Habib NA,Souza JP,Gülmezoglu AM,Dowswell T,Carroli G,Baaqeel HS,Lumbiganon P,Piaggio G,Oladapo OT

    更新日期:2013-04-12 00:00:00

  • The family planning quotient and reproductive life index (FPQ/RepLI) tool: a solution for family planning, reproductive life planning and contraception counseling.

    abstract:OBJECTIVE:Access to comprehensive and culturally appropriate reproductive life planning is essential to women's health. Although many strategies and tools exist, few are designed for longitudinal use or provide visual aids. Our objective is to present the Family Planning Quotient (FPQ) and Reproductive Life Index (RepL...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Madrigal JM,Stempinski-Metoyer K,McManus AE,Zimmerman L,Patel A

    更新日期:2019-08-19 00:00:00

  • Mistreatment of women in public health facilities of Ethiopia.

    abstract:BACKGROUND:Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors. METHODS:A two-stage cross sectional sampling d...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Sheferaw ED,Kim YM,van den Akker T,Stekelenburg J

    更新日期:2019-08-27 00:00:00

  • Inconsistent fertility motivations and contraceptive use behaviors among women in Honduras.

    abstract:BACKGROUND:Recent studies have demonstrated that it is common for women to report inconsistent fertility motivations and family planning behaviors. This study examines these inconsistencies among urban Honduran women interviewed at two points in time and presents reasons for inconsistent fertility motivations and contr...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Speizer IS,Irani L,Barden-O'Fallon J,Levy J

    更新日期:2009-11-19 00:00:00

  • A protocol to identify non-classical risk factors for preterm births: the Brazilian Ribeirão Preto and São Luís prenatal cohort (BRISA).

    abstract:BACKGROUND:Preterm birth is the main cause of morbidity and mortality during the perinatal period. Classical risk factors are held responsible for only 1/3 of preterm births and no current intervention has produced an appreciable reduction of this event. It is necessary to explore new hypotheses and mechanisms of causa...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: da Silva AA,Simões VM,Barbieri MA,Cardoso VC,Alves CM,Thomaz EB,de Sousa Queiroz RC,Cavalli RC,Batista RF,Bettiol H

    更新日期:2014-11-19 00:00:00

  • Temporal trends of preterm birth in Shenzhen, China: a retrospective study.

    abstract:BACKGROUND:Preterm birth is the leading cause of child mortality under 5 years of age. Temporal trends in preterm birth rates are highly heterogeneous among countries and little information exists for China. To address this data gap, we investigated annual changes in preterm birth incidence rate and explored potential ...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Li C,Liang Z,Bloom MS,Wang Q,Shen X,Zhang H,Wang S,Chen W,Lin Y,Zhao Q,Huang C

    更新日期:2018-03-13 00:00:00

  • Contraceptive discontinuation: frequency and associated factors among undergraduate women in Brazil.

    abstract:BACKGROUND:In Brazil, high contraceptive prevalence rates coexist with high rates of unintended pregnancies. Contraceptive discontinuation may explain this context, but few studies have focused on highly educated young women in countries with low unmet need for modern contraception. This paper explores frequency and as...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: do Nascimento Chofakian CB,Moreau C,Borges ALV,Dos Santos OA

    更新日期:2019-08-29 00:00:00

  • Impact of a parent-child sexual communication campaign: results from a controlled efficacy trial of parents.

    abstract:BACKGROUND:Prior research supports the notion that parents have the ability to influence their children's decisions regarding sexual behavior. Yet parent-based approaches to curbing teen pregnancy and STDs have been relatively unexplored. The Parents Speak Up National Campaign (PSUNC) is a multimedia campaign that atte...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Davis KC,Blitstein JL,Evans WD,Kamyab K

    更新日期:2010-07-21 00:00:00

  • Integrating postabortion care, menstrual regulation and family planning services in Bangladesh: a pre-post evaluation.

    abstract:BACKGROUND:In Bangladesh, abortion is restricted except to save the life of a woman, but menstrual regulation is allowed to induce menstruation and return to non-pregnancy after a missed period. MR services are typically provided through the Directorate General of Family Planning, while postabortion care services for i...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Biswas KK,Pearson E,Shahidullah SM,Sultana S,Chowdhury R,Andersen KL

    更新日期:2017-03-11 00:00:00

  • Maternal and newborn outcomes in Pakistan compared to other low and middle income countries in the Global Network's Maternal Newborn Health Registry: an active, community-based, pregnancy surveillance mechanism.

    abstract:BACKGROUND:Despite global improvements in maternal and newborn health (MNH), maternal, fetal and newborn mortality rates in Pakistan remain stagnant. Using data from the Global Network's Maternal Newborn Health Registry (MNHR) the objective of this study is to compare the rates of maternal mortality, stillbirth and new...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Pasha O,Saleem S,Ali S,Goudar SS,Garces A,Esamai F,Patel A,Chomba E,Althabe F,Moore JL,Harrison M,Berrueta MB,Hambidge K,Krebs NF,Hibberd PL,Carlo WA,Kodkany B,Derman RJ,Liechty EA,Koso-Thomas M,McClure EM,Golde

    更新日期:2015-01-01 00:00:00

  • 38.8 million additional modern contraceptive users: this, in fact, is "a never-before opportunity to strengthen investment and action on adolescent contraception".

    abstract:BACKGROUND:We thank Bijlmakers et al. for their interest in our article, "A never-before opportunity to strengthen investment and action on adolescent contraception, and what we must do to make full use of it", and are grateful for the opportunity to respond to their four key assertions. RESPONSE:First, we fully agree...

    journal_title:Reproductive health

    pub_type: 社论


    authors: Chandra-Mouli V,Plesons M,Sullivan E,Gonsalves L,Say L

    更新日期:2018-01-30 00:00:00

  • Current research on carbetocin and implications for prevention of postpartum haemorrhage.

    abstract:BACKGROUND:Postpartum haemorrhage (PPH) is the leading cause of maternal mortality in low-income countries and is a significant contributor to severe maternal morbidity and long-term disability. Carbetocin may be an underused uterotonic for prevention of PPH. A number of studies are being conducted that may challenge t...

    journal_title:Reproductive health

    pub_type: 杂志文章,评审


    authors: Theunissen FJ,Chinery L,Pujar YV

    更新日期:2018-06-22 00:00:00

  • Impact of community-based interventions on maternal and neonatal health indicators: Results from a community randomized trial in rural Balochistan, Pakistan.

    abstract:BACKGROUND:Pakistan has high maternal mortality, particularly in the rural areas. The delay in decision making to seek medical care during obstetric emergencies remains a significant factor in maternal mortality. METHODS:We present results from an experimental study in rural Pakistan. Village clusters were randomly as...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Midhet F,Becker S

    更新日期:2010-11-05 00:00:00

  • Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data.

    abstract:BACKGROUND:Adolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, fertility and contraceptive us...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Atchison CJ,Cresswell JA,Kapiga S,Nsanya MK,Crawford EE,Mussa M,Bottomley C,Hargreaves JR,Doyle AM

    更新日期:2019-01-21 00:00:00

  • Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia.

    abstract:BACKGROUND:Ethiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Mohammed A,Woldeyohannes D,Feleke A,Megabiaw B

    更新日期:2014-02-03 00:00:00

  • Determinants of intermittent preventive treatment of malaria during pregnancy (IPTp) utilization in a rural town in Western Nigeria.

    abstract:BACKGROUND:Malaria infection in pregnancy is a major risk factor for maternal and child death, and substantially increases the risk of miscarriage, stillbirth and low birthweight. The aim of this study therefore is to assess the prevalence and determinants of Intermittent preventive treatment of Malaria [IPTp] utilizat...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Amoran OE,Ariba AA,Iyaniwura CA

    更新日期:2012-08-13 00:00:00

  • The power of peers: an effectiveness evaluation of a cluster-controlled trial of group antenatal care in rural Nepal.

    abstract:BACKGROUND:Reducing the maternal mortality ratio to less than 70 per 100,000 live births globally is one of the Sustainable Development Goals. Approximately 830 women die from pregnancy- or childbirth-related complications every day. Almost 99% of these deaths occur in developing countries. Increasing antenatal care qu...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Thapa P,Bangura AH,Nirola I,Citrin D,Belbase B,Bogati B,Nirmala BK,Khadka S,Kunwar L,Halliday S,Choudhury N,Ozonoff A,Tenpa J,Schwarz R,Adhikari M,Kalaunee SP,Rising S,Maru D,Maru S

    更新日期:2019-10-22 00:00:00

  • Developing a model for integrating sexual and reproductive health services with HIV prevention and care in KwaZulu-Natal, South Africa.

    abstract:BACKGROUND:There are few rigorous studies evaluating the benefits of vertical versus integrated delivery of healthcare services, and limited published studies describing conceptual models of integration at service-delivery level in public healthcare facilities. This article seeks to fill this gap, by describing the dev...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Milford C,Scorgie F,Rambally Greener L,Mabude Z,Beksinska M,Harrison A,Smit J

    更新日期:2018-11-15 00:00:00

  • Food insecurity and nutritional status of preconception women in a rural population of North Karnataka, India.

    abstract:BACKGROUND:As per the World Health Organization, the nutritional status of women of reproductive age is important, as effects of undernutrition are propagated to future generations. More than one-third of Indian women in the reproductive age group are in a state of chronic nutritional deficiency during the preconceptio...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Mastiholi SC,Somannavar MS,Vernekar SS,Yogesh Kumar S,Dhaded SM,Herekar VR,Lander RL,Hambidge MK,Krebs NF,Goudar SS

    更新日期:2018-06-22 00:00:00

  • Men's perception of barriers to women's use and access of skilled pregnancy care in rural Nigeria: a qualitative study.

    abstract:BACKGROUND:Greater paternal engagement is positively associated with improved access to and utilization of maternal services. Despite evidence that male involvement increased uptake of maternal and child services, studies show that few men are participating in MNCH programs. Community leaders have long been engaged in ...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Yaya S,Okonofua F,Ntoimo L,Udenigwe O,Bishwajit G

    更新日期:2019-06-21 00:00:00

  • Fecundity and human birth seasonality in Sweden: a register-based study.

    abstract:BACKGROUND:It is well-established that couples' fecundities vary widely. Each couple has a relatively constant monthly probability of conceiving, which can vary from zero to quite high. This underlying probability is usually expressed as the time (number of menstrual cycles) the couple requires to conceive. Couples wit...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Dahlberg J,Andersson G

    更新日期:2019-06-24 00:00:00

  • Designing architecture of soothing labor-delivery-recovery-postpartum unit: a study protocol.

    abstract:BACKGROUND:The physical environment profoundly affects women's well-being during childbirth in family-centered unit. A LDRP, which is an acronym for labor, delivery, recovery, and postpartum that describes a maternity unit designed for family-centered care. This study aimed to design soothing LDRP healing architecture ...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Esfeh BK,Kazemi A,Shamsaie A

    更新日期:2020-12-10 00:00:00

  • Adherence to Swedish national pregnancy dating guidelines and management of discrepancies between pregnancy dating methods: a survey study.

    abstract:BACKGROUND:Swedish national guidelines for pregnancy dating were published in 2010. Follow-up is needed to assess adherence and to identify whether any clinical topics are not covered in the guidelines. METHODS:All units in Sweden that performed ultrasound-based pregnancy dating were asked to complete a web-based ques...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Kullinger M,Granfors M,Kieler H,Skalkidou A

    更新日期:2019-07-04 00:00:00

  • Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health.

    abstract:BACKGROUND:Despite a variety of mainly school-driven prevention strategies, the number of adolescent pregnancies in Rwanda is worryingly high and is even expected to increase. The aim of this study is to empower Kirehe secondary school students aged 15-19 years old in sexual and reproductive health (SRH) by developing ...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Nkurunziza A,Van Endert N,Bagirisano J,Hitayezu JB,Dewaele S,Tengera O,Jans G

    更新日期:2020-09-07 00:00:00

  • A cross-sectional mixed-methods study of sexual and reproductive health knowledge, experiences and access to services among refugee adolescent girls in the Nakivale refugee settlement, Uganda.

    abstract:BACKGROUND:Humanitarian crises and migration make girls and women more vulnerable to poor sexual and reproductive health (SRH) outcomes. Nevertheless, there is still a dearth of information on SRH outcomes and access to SRH services among refugee girls and young women in Africa. We conducted a mixed-methods study to as...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Ivanova O,Rai M,Mlahagwa W,Tumuhairwe J,Bakuli A,Nyakato VN,Kemigisha E

    更新日期:2019-03-19 00:00:00

  • The prenatal ultrasonographic detection of myelomeningocele in patients referred to Children's Hospital Medical Center: a cross sectional study.

    abstract:BACKGROUND:To find out about the prenatal diagnosis rate of myelomeningocele (MMC) by ultrasound scan in patients referred to the Children's Hospital Medical Center in Tehran, Iran from July 2004 to July 2005. METHODS:We included 140 children born with MMC and who were referred for management, surgery and treatment of...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Kazmi SS,Nejat F,Tajik P,Roozbeh H

    更新日期:2006-07-18 00:00:00

  • Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey.

    abstract:BACKGROUND:Mother-to-child transmission of HIV (MTCT) accounts for over 95% of all paediatric HIV infections worldwide. Several studies have shown that male participation in the antenatal care of their spouses together with couple counselling and testing for HIV, increases use of the interventions for HIV prevention. T...

    journal_title:Reproductive health

    pub_type: 杂志文章


    authors: Byamugisha R,Tumwine JK,Semiyaga N,Tylleskär T

    更新日期:2010-06-23 00:00:00