Antepartum depression and its predictors among pregnant adolescents in the northern part of Nigeria
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20263162Keywords:
Adolescents, Edinburg postnatal depression scale, Northern Nigeria, Antepartum depressionAbstract
Background: Antepartum depression is a major public health issue, particularly among adolescents in low and middle-income countries, where early marriage and limited education are common. Although the religious and cultural beliefs in northern Nigeria concerning early marriage are common knowledge which prompted this study. Information on the predictors and prevalence of antepartum depression is limited. The study aimed to determine the prevalence and predictors of antepartum depression among pregnant adolescents in Kaduna state, north-western part of Nigeria.
Methods: A cross-sectional design was used. Data was collected using a structured interviewer administered questionnaire among 349 pregnant adolescents attending antenatal clinics at six selected health facilities from January to May 2019. Depression was screened using the Edinburgh post-natal depression scale (EPDS≥13). Data were analysed using descriptive statistics, means and percentages, and logistic regression was used for predictors of antepartum depression. P value was set at <0.05.
Results: Mean age of pregnant adolescents was 16.6±1.4 years, with a mean age at marriage of 13.7±2.4 years. Prevalence of antepartum depression was 54.7% with EPDS score of ≥13. Adolescents with secondary education had 53% lower likelihood of depression compared to those without formal education (aOR=0.47; 95% CI: 0.25-0.89; p=0.020).
Conclusions: Antepartum depression is common among pregnant teenagers in northern Nigeria, especially those who haven’t finished school. Integrating routine mental health screenings and evaluations into antenatal care services and educational empowerment is essential for improving maternal mental health outcomes in this vulnerable population.
References
Regier DA, Kuhl EA, Kupfer DJ. The DSM‐5: Classification and criteria changes. World Psychiatr. 2013;12:92-8.
Spangenberg K, Wobil P, Betts CL, Wiesner TF, Gold KJ. Intimate partner violence among mothers of sick newborns in Ghana. Health Care Women Int. 2016;37:583-94.
Yimer NB, Beňová L, Gebremedhin S, Mirkuzie AH, Zelalem M, Fellmeth G, et al. Experiences of intimate partner violence and antepartum depression among women seeking antenatal care in Addis Ababa, Ethiopia: findings from the MISPOD study. Sci Rep. 2025;15:13115.
GBD 2019 Mental Disorders Collaborators. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Psychiatr. 2022;9:137-50.
Hay DF, Pawlby S, Waters CS, Sharp D. Antepartum and postpartum exposure to maternal depression: different effects on different adolescent outcomes. J Child Psychol Psychiatr. 2008;49:1079-88.
Otieno F. Antepartum depression and intimate partner violence experience among women in a low-income urban settlement in Nairobi, Kenya. University of Nairobi. 2017.
Thompson O, Ajayi I. Prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Abeokuta north local government area, Nigeria. Depress Res Treat. 2016;2016:1-15.
Pereira PK, Lovisi GM, Pilowsky DL, Lima LA, Legay LF. Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil. Cadernos Saúde Púb. 2009;25:2725-36.
Maimburg RD, Vaeth M. Postpartum depression among first-time mothers-results from a parallel randomised trial. Sex Reprod Healthcare. 2015;6:95-100.
Ajayi AI, Chamdimba E, Sawadogo N, Gitahi N, Tarnagda AM, Ilboudo AK, et al. Socio-ecological factors associated with probable depression among pregnant and parenting adolescent girls: findings from a cross-sectional study in Burkina Faso and Malawi. Reprod Health. 2023;20:38.
Ayamolowo SJ, Olajubu AO, Akintola FE. Perceived social support and depression among pregnant and child-rearing teenagers in Ile-Ife, Southwest Nigeria. Afr J Midwife Women’s Health. 2019;13:1-9.
Adebowale SA. Dynamics of child marriage and marital timing in Nigeria: a retrogression or progression? Health Care Women Int. 2018;39:975-93.
Tolentino JC, Schmidt SL. DSM-5 criteria and depression severity: implications for clinical practice. Front Psychiatr. 2018;9:450.
Adewuya AO, Ola BA, Dada AO, Fasoto OO. Validation of the Edinburgh Postnatal Depression Scale as a screening tool for depression in late pregnancy among Nigerian women. Journal of Psychosomatic Obstet Gynecol. 2006;27:267-72.
Uwakwe R. Affective (depressive) morbidity in puerperal Nigerian women: validation of the Edinburgh postnatal depression scale. Acta Psychiatr Scand. 2003;107:251-9.
Gureje O, Oladeji BD, Montgomery AA, Araya R, Bello T, Chisholm D, et al. High-versus low-intensity interventions for perinatal depression delivered by non-specialist primary maternal care providers in Nigeria: cluster randomised controlled trial (the EXPONATE trial). Br J Psychiatr. 2019;215:528-35.
Hodgkinson SC, Colantuoni E, Roberts D, Berg-Cross L, Belcher HM. Depressive symptoms and birth outcomes among pregnant teenagers. J Pediatr Adolesc Gynecol. 2010;23:16-22.
Uthaipaisanwong A, Rungruxsirivorn T, Roomruangwong C, Taechakraichana N, Chaithongwongwatthana S. Associated factors of prenatal depression among teenage pregnant women at King Chulalongkorn Memorial Hospital. J Med Assoc Thai. 2015;98:437-43.
Muwanguzi M, Oworinawe S, Mwahuzi D, Lila P, Ashaba S. Depression among pregnant teenagers receiving antenatal care from primary healthcare facilities in Mbarara city, Southwestern Uganda. BMC Pregnancy Childbirth. 2025;25:595.
Abdelhai R, Mosleh H. Screening for antepartum anxiety and depression and their association with domestic violence among Egyptian pregnant women. J Egypt Public Health Assoc. 2015;90:101-8.
Oladeji BD, Bello T, Ayinde O, Idowu P, Gureje O. Prevalence and correlates of depression among pregnant adolescents in primary maternal care in Nigeria. Arch Women’s Mental Health. 2022;25:441-50.
Aluh DO, Anyachebelu OC, Anosike C, Anizoba EL. Mental health literacy: what do Nigerian adolescents know about depression? Int J Ment Health Syst. 2018;12:8.
Adeoye IA, Sogbesan A, Esan O. Prevalence, associated factors, and perinatal outcomes of antepartum depression in Ibadan, Nigeria. BMC Pregnancy Childbirth. 2022;22:219.
Nowak AL, Braungart-Rieker JM, Kuo PX. Social support moderates the relation between childhood trauma and prenatal depressive symptoms in adolescent mothers. J Reprod Infant Psychol. 2022;40:644-58.
Kasujja M, Omara S, Senkungu N, Ndibuuza S, Kirabira J, Ibe U, et al. Factors associated with antenatal depression among women attending antenatal care at Mubende Regional Referral Hospital: a cross-sectional study. BMC Women’s Health. 2024;24:195.
Prabhu S, Guruvare S, George LS, Nayak BS, Mayya S. Prevalence and associated risk factors of antenatal depression among pregnant women attending tertiary care hospitals in south India. Depress Res Treat. 2022;2022:9127358.
Bayrampour H, Salmon C, Vinturache A, Tough S. Effect of depressive and anxiety symptoms during pregnancy on risk of obstetric interventions. J of Obstet and Gynaecol. 2015;41:1040-8.
Wu D, Chen S, Zhong X, Zhang J, Zhao G, Jiang L. Prevalence and factors associated with antenatal depressive symptoms across trimesters: a study of 110,584 pregnant women covered by a mobile app-based screening programme in Shenzhen, China. BMC Pregnancy Childbirth. 2024;24:480.
Wu J, Zhou F, Wang Y, Niu Y, Zhang C, Meng Y, et al. Associations between maternal early pregnancy depression and longitudinal fetal growth. J Affect Disord. 2024;362:808-15.
Martin SL, Li Y, Casanueva C, Harris-Britt A, Kupper LL, Cloutier S. Intimate partner violence and women’s depression before and during pregnancy. Violence Against Women. 2006;12:221-39.
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