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The difference of depression level in pregnant women based on the acceptance of pregnancy during the COVID-19 pandemic: a study on pregnant women in Bontang, East Kalimantan

  • I Putu Satrya Wijaya ,
  • Titin Andri Wihastuti ,
  • I Wayan Arsana Wiyasa ,
  • Muhammad Chair Effendi ,

Abstract

Background: Antenatal depression in pregnant women becomes less of a concern, leading to the worse condition of developing postpartum blues, ranging from moderate to severe degrees. In this study, antenatal depression was detected as a psychosocial impact on pregnant women, and their perspective on accepting pregnancy may alter due to the COVID-19 pandemic.

Methods: This study used a cross-sectional study design. A total of 257 pregnant women were enrolled in this study with a purposive sampling technique. Inclusion criteria: healthy pregnant women (over 18 years) from trimester I until trimester III. Antenatal depression was measured using a PHQ-9 scale questionnaire. Data were analyzed using SPSS version 20.0 for Windows.

Results: The prevalence of antenatal depression of 257 pregnant women was: 80.95% had mild depression, 14.12% had moderate depression, 4.69% had moderate or severe depression, and 0.79% had severe depression. The factor analysis results indicated that refusal of pregnancy had the highest correlation coefficient (coef. 0.586; p=0.000) on the incidence of antenatal depression compared to the history of abortion, parity, financial deficits, and conflicts with partners. During the assessment, pregnant women who reported refusal of their pregnancy felt that their pregnancy was a burden because it occurred at a challenging time.

Conclusion: Changes in psychosocial status through determinants of antenatal depression in pregnant women in East Kalimantan during the COVID-19 pandemic are expected to be the initiation of policy and antenatal depression screening formulation for each pregnant woman and mental health improvement during pregnancy.

References

  1. Blackmore ER, Moynihan JA, Rubinow DR, Pressman EK, Gilchrist M, O'Connor TG. Psychiatric symptoms and proinflammatory cytokines in pregnancy. Psychosom Med. 2011;73(8):656-63.
  2. Rayburn WF. Prenatal care. Foreword. Obstet Gynecol Clin North Am. 2008;35(3):xi-xii.
  3. Kementerian Kesehatan RI. Profil Kesehatan Indonesia tahun 2018. 2018.
  4. Kementerian Kesehatan RI. Rencana Aksi Kegiatan 2020 – 2024 Direktorat P2 Masalah Kesehatan Jiwa Dan Napza. 2020.
  5. Stuart-Parrigon K, Stuart S. Perinatal depression: an update and overview. Curr Psychiatry Rep. 2014;16(9):468.
  6. Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry. 2004;26(4):289-295.
  7. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord. 2016;191:62-77.
  8. Amiel Castro RT, Pinard Anderman C, Glover V, O'Connor TG, Ehlert U, Kammerer M. Associated symptoms of depression: patterns of change during pregnancy. Arch Womens Ment Health. 2017;20(1):123-128.
  9. Vianna P, Bauer ME, Dornfeld D, Chies JA. Distress conditions during pregnancy may lead to pre-eclampsia by increasing cortisol levels and altering lymphocyte sensitivity to glucocorticoids. Med Hypotheses. 2011;77(2):188-191
  10. Dadi AF, Miller ER, Woodman R, Bisetegn TA, Mwanri L. Antenatal depression and its potential causal mechanisms among pregnant mothers in Gondar town: application of structural equation model. BMC Pregnancy Childbirth. 2020;20(1):168.
  11. O'Keane V, Marsh MS. Depression during pregnancy. BMJ. 2007;334(7601):1003-1005.
  12. Izadirad H, Niknami S, Zareban I, Hidarnia A. Effects of Social Support and Self-Efficacy on Maternal Prenatal Cares Among the First-Time Pregnant Women, Iranshahr, Iran. J Family Reprod Health. 2017;11(2):67-73.
  13. Roomruangwong C and Epperson CD. Perinatal depression in Asian women: prevalence, associated factors, and cultural aspects. Asian Biomed. 2011;5(2):179–193.
  14. Underwood L, Waldie KE, D'Souza S, Peterson ER, Morton SM. A Longitudinal Study of Pre-pregnancy and Pregnancy Risk Factors Associated with Antenatal and Postnatal Symptoms of Depression: Evidence from Growing Up in New Zealand. Matern Child Health J. 2017;21(4):915-931.
  15. Fisher J, Cabral de Mello M, Patel V, Rahman A, Tran T, Holton S, Holmes W. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ. 2012;90(2):139G-149G.
  16. Baranov V, Bhalotra S, Biroli P, et al. Maternal Depression, Women's Empowerment, and Parental Investment: Evidence from a Randomized Controlled Trial. American Economic Review. 2020;110(3):824-59.
  17. Kementerian Kesehatan RI. Laporan Riskesdas 2018. 2018.
  18. Wang Y, Di Y, Ye J, Wei W. Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychol Health Med. 2021;26(1):13-22.
  19. Shorey SY, Ng ED, Chee CYI. Anxiety and depressive symptoms of women in the perinatal period during the COVID-19 pandemic: A systematic review and meta-analysis. Scand J Public Health. 2021;49(7):730-740.
  20. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613.
  21. Negeri ZF, Levis B, Sun Y, He C, Krishnan A, Wu Y, et al. Depression Screening Data (DEPRESSD) PHQ Group. Accuracy of the Patient Health Questionnaire-9 for screening to detect major depression: updated systematic review and individual participant data meta-analysis. BMJ. 2021;375:n2183.
  22. Patrick S, Connick P. Psychometric properties of the PHQ-9 depression scale in people with multiple sclerosis: A systematic review. PLoS One. 2019;14(2):e0197943.
  23. Zhao Y, Chan W, Lo BC. Comparing five depression measures in depressed Chinese patients using item response theory: an examination of item properties, measurement precision and score comparability. Health Qual Life Outcomes. 2017;15(1):60.
  24. Woldetensay YK, Belachew T, Tesfaye M, Spielman K, Biesalski HK, Kantelhardt EJ, Scherbaum V. Validation of the Patient Health Questionnaire (PHQ-9) as a screening tool for depression in pregnant women: Afaan Oromo version. PLoS One. 2018;13(2):e0191782.
  25. Levis B, Benedetti A, Thombs BD; DEPRESsion Screening Data (DEPRESSD) Collaboration. Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data meta-analysis. BMJ. 2019;365:l1476.
  26. Manea L, Gilbody S, McMillan D. A diagnostic meta-analysis of the Patient Health Questionnaire-9 (PHQ-9) algorithm scoring method as a screen for depression. Gen Hosp Psychiatry. 2015;37(1):67-75.
  27. Agostini F, Neri E, Salvatori P, Dellabartola S, Bozicevic L, Monti F. Antenatal depressive symptoms associated with specific life events and sources of social support among Italian women. Matern Child Health J. 2015;19(5):1131-1141.
  28. Srinivasan N, Murthy S, Singh AK, Upadhyay V, Mohan SK, Joshi A. Assessment of burden of depression during pregnancy among pregnant women residing in rural setting of chennai. J Clin Diagn Res. 2015;9(4):LC08-LC12.
  29. Adewuya AO, Fatoye FO, Ola BA, Ijaodola OR, Ibigbami SM. Socio-demographic and obstetric risk factors for postpartum depressive symptoms in Nigerian women. J Psychiatr Pract. 2005;11(5):353-358.
  30. Karmaliani R, Asad N, Bann CM, Moss N, Mcclure EM, Pasha O, Wright LL, Goldenberg RL. Prevalence of anxiety, depression and associated factors among pregnant women of Hyderabad, Pakistan. Int J Soc Psychiatry. 2009;55(5):414-424.
  31. Stewart RC, Umar E, Tomenson B, Creed F. A cross-sectional study of antenatal depression and associated factors in Malawi. Arch Womens Ment Health. 2014;17(2):145-154.
  32. Bunevicius R, Kusminskas L, Bunevicius A, Nadisauskiene RJ, Jureniene K, Pop VJ. Psychosocial risk factors for depression during pregnancy. Acta Obstet Gynecol Scand. 2009;88(5):599-605.
  33. Lee AM, Lam SK, Sze Mun Lau SM, Chong CS, Chui HW, Fong DY. Prevalence, course, and risk factors for antenatal anxiety and depression. Obstet Gynecol. 2007;110(5):1102-1112.
  34. Marchesi C, Bertoni S, Maggini C. Major and minor depression in pregnancy. Obstet Gynecol. 2009;113(6):1292-1298.
  35. Records K, Rice M. Psychosocial correlates of depression symptoms during the third trimester of pregnancy. J Obstet Gynecol Neonatal Nurs. 2007;36(3):231-242.
  36. Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol. 2010;202(1):5-14.
  37. Reading R, Reynolds S. Debt, social disadvantage and maternal depression. Soc Sci Med. 2001;53(4):441-453.
  38. Azad R, Fahmi R, Shrestha S, Joshi H, Hasan M, Khan ANS, Chowdhury MAK, Arifeen SE, Billah SM. Prevalence and risk factors of postpartum depression within one year after birth in urban slums of Dhaka, Bangladesh. PLoS One. 2019;14(5):e0215735.
  39. Rwakarema M, Premji SS, Nyanza EC, Riziki P, Palacios-Derflingher L. Antenatal depression is associated with pregnancy-related anxiety, partner relations, and wealth in women in Northern Tanzania: a cross-sectional study. BMC Womens Health. 2015;15:68.
  40. Sonfield A, Kost K, Gold RB, Finer LB. The public costs of births resulting from unintended pregnancies: national and state-level estimates. Perspect Sex Reprod Health. 2011;43(2):94-102.
  41. Yazdkhasti M, Pourreza A, Pirak A, Abdi F. Unintended Pregnancy and Its Adverse Social and Economic Consequences on Health System: A Narrative Review Article. Iran J Public Health. 2015;44(1):12-21.
  42. Karaçam Z, Onel K, Gerçek E. Effects of unplanned pregnancy on maternal health in Turkey. Midwifery. 2011;27(2):288-293.
  43. Wessel J, Endrikat J, Büscher U. Elevated risk for neonatal outcome following denial of pregnancy: results of a one-year prospective study compared with control groups. J Perinat Med. 2003;31(1):29-35.
  44. Jenkins A, Millar S, Robins J. Denial of pregnancy: a literature review and discussion of ethical and legal issues. J R Soc Med. 2011;104(7):286-291.
  45. Auer J, Barbe C, Sutter AL, Dallay D, Vulliez L, Riethmuller D, et al. Pregnancy denial and early infant development: a case-control observational prospective study. BMC Psychol. 2019;7(1):22.
  46. Adnyana IBP, Liwang F, Negara KS, Manuaba IBP, Bhargah, A, Prabawa IPY. Clinical risk factor of preeclampsia: a five-year retrospective study in Bali Royal Hospital, Bali-Indonesia. Gineco. Eu. 2018;14(3):89-93.
  47. Fitrikasari A, Wardani ND, Sumekar TA, Saktini F, Asikin HG, Sulchan M. The role of psychosocial stressors, carbohydrate and protein intake on serum serotonin and cortisol levels in patients with depression: a preliminary evaluation. Bali Medical Journal. 2021;10(1):137–141.

How to Cite

Wijaya, I. P. S. ., Wihastuti, T. A., Wiyasa, I. W. A. ., & Effendi, M. C. . (2023). The difference of depression level in pregnant women based on the acceptance of pregnancy during the COVID-19 pandemic: a study on pregnant women in Bontang, East Kalimantan. Bali Medical Journal, 12(2), 1181–1186. https://doi.org/10.15562/bmj.v12i2.3697

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I Putu Satrya Wijaya
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Titin Andri Wihastuti
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I Wayan Arsana Wiyasa
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Muhammad Chair Effendi
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