KHẢO SÁT TỈ LỆ TRẦM CẢM VÀ CÁC YẾU TỐ LIÊN QUAN TRÊN PHỤ NỮ MANG THAI Ở 3 THÁNG CUỐI THAI KỲ TẠI BỆNH VIỆN NGUYỄN TRI PHƯƠNG

Abstract

Background: Pregnant women who are suffered from depression often have a tendence getting more severe anxiety and probably becoming panic attacks, self-destructive, and suicidal thoughts. The study is aimed to evaluate the prevalence of prenatal depression and risks factors of pregnant women in the third trimester at Nguyen Tri Phuong hospital by using EPDS scale. Research: A cross-sectional study was carried out in 310 pregnant women from 28 weeks, who came to antenatal care at Nguyen Tri Phuong hospital in the period 20/01/2021 – April 20, 2021. The EPDS scale in Vietnamese version was applied to classify the pregnant women at high-risk or low-risk at prenatal depression. A cut-off point at 13 points is considered at high-risk at prenatal depression. All high-risk pregnancies were followed up by both obstetricians and psychiatrist until the delivery in order to evaluate maternal and fetal outcomes, Results: The prevalence of prenatal depression (EPDS >=13) of pregnant women at third trimester is 28,7% [CI 95%: 23,2 – 33,5]. There are some risk factors of prenatal depression: the age group at 25 years or older, pregnant women with non-religion and low economics have higher possibility of prenatal depression from 3,9 times [95% CI: 1,3-12,5; p=0,018] to 7,01 times [95% CI:1,1-8,1; p=0,036], and 3,03 times [95% CI: 1,1-8,1; p=0,026]. Pregnant women with anxiety, social and family conflict, and lacking of buddies chat are also risk factors of prenatal depression with relative risk from 8,5 [95% CI: 3,9-18,3; p=0,000] to 6.3 times [95% CI: 1,6-25,3; p=0,009] and 2,7 times [95% CI: 1,2-6,1; p=0,019]. Pregnant women who do not have a consult from health workers increase the risk of prenatal depression by 2,5 times [95% CI: 1,1-5,4; p=0,019]. Conclusion: Prenatal depression need to be screened as soon as possible to prevent the adverse outcomes. Using the EPDS scale with a cut-off point ≥ 13 is an effective tool in screening the risk of prenatal depression.