A cross-sectional study on ante-natal depression in a tertiary health care hospital in Navi Mumbai

Sumedha M. Joshi, Shilpa Ravi, Deepa H. Velankar


Background: Depression is a common source of disability among women. Antenatal depression has been often overlooked and under diagnosed, throughout the world especially in the developing countries like India. This study was conducted to assess the mental health status of pregnant women attending the antenatal clinic in a tertiary health care hospital.

Methods: A cross-sectional study was conducted over a period of three months among randomly selected pregnant women attending the antenatal clinic of a tertiary hospital. A total of 170 pregnant women formed the study subject. Data was collected using a pre-designed, pre-tested, semi-structured questionnaire and analysis was done using SPSS version 20.0.

Results: Among the study population, the prevalence of depression was found to be 20.6%. Depression was significantly associated with the socio-economic status and education of the study subjects. Women with family discord were significantly more depressed than those with no discord. Unplanned pregnancy and preference of male child very significant factors for depression. Multiparity and bad obstetric history also showed a higher level of depression which was statistically significant.

Conclusions: There is a significant prevalence of antenatal depression which needs screening and appropriate management. Maternal health policies must integrate maternal depression as a disorder of Public Health importance and interventions should target the pregnant women as early as possible.


Antenatal, Depression, Pregnancy

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DiPietro JA. Psychological and psychophysiological considerations regarding the maternal - fetal relationship. Infant Child Dev. 2010;19:27-38.

WHO: Improving Maternal Mental Health, Millenium Development Goals 5, 2015. Available at: development_goals/maternal_health/en/

Rahman A, Surkan PJ, Cayetano CE, Rwagatare P, Dickson KE. Grand Challenges: Integrating maternal mental health into maternal and child health programmes. PLoS Med. 2013;10(5):e1001442.

Karmaliani R, Asad N, Bann CM, Moss N, McClure EM, Pasha O, et al. Prevalence of anxiety, depression and associated factors among pregnant women of Hyderabad, Pakistan. Int J Social Psych. 2009;55:5.

Kelly RH, Russo J, Katon W. Somatic complaints among pregnant women cared for in obstetrics: normal pregnancy or depressive and anxiety symptoms amplification revisited. Gen Hosp Psychiatry. 2001;23(3):107-13.

Teixeria JM, Fisk NM, Glover V. Association between maternal anxiety in pregnancy and increased uterine artery resistance index: cohort based study. BMJ. 1999;318(7193):1288-9.

Murray L, Cooper P. Effects of postnatal depression on infant development. J Child Psychol Psych. 1997;77(2):99-101.

Van den Bergh BR, Mulder EJ, Mennes M, Glover V. Antenatal maternal anxiety and stress and the neuro behavioural development of the fetus and child: links and possible mechanisms. A review. Neuroscience Biobehaviour Rev. 2005;29(2):237-58.

Srinivasan N, Murthy S, Singh AK, Upadhyay V, Mohan KS, 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):08-12.

Miranda JJ, Patel V. Achieving the millenium development goals: does mental health play a role? PLoS Med. 2005;2(10):e291.

Hegde Shruthi S, Pai Keshava K, Abhishekh Hulegar A, Sandeep KR. Prevalence of antenatal depression and gender preference: a cross sectional study among Mangalore population, Karnataka, India. J Pharma Biomed Sci. 2013;30(30):1011-4.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psy. 1987;150:782-6.

Fernandes MC, Srinivasan K, Stein AL, Menezes G, Sumithra R, Ramchandani PG. Assessing prenatal depression in the rural developing world: A comparison of two screening measures. Arch Womens Ment Health. 2011;14:209-16.

Maheshwari M, Divakar SV. A cross sectional study on mental health status of pregnant women at urban health centre of Bangalore, India. Int J Comm Public Health. 2016;3(4):897-9.

Rehman B, Ahmad J, Kaul RR, Ul Haque MK. An epidemiological study to assess the mental health status of pregnant women in a tertiary care hospital, Srinagar, Jammu and Kashmir, India. Int J Reprod Contracept Obstet Gynecol. 2017;6(6):2580-3.

Sheeba B, Nath A, Metgud CS, Krishna M, Venkatesh S, Vindhya J, et al. Prenatal depression and its associated risk factors among pregnant women in bangalore: a hospital based prevalence study. Frontiers Public Health. 2019;7:108.

Kumar N, Bhagwan D, Singh N, D’Souza M, Bhaskaran U, Thapar R, et al. Risk factors for antenatal depression among women attending tertiary care hospitals in coastal part of South India. National J Comm Med. 2017;8(9).

Mina S, Balhara YPS, Verma R, Mathur S. Anxiety and depression amongst the urban females of delhi in ante-partum and post-partum period. Delhi Psyc J. 2012;15(2):347-51.

Ajinkya S, Jadhav PR, Srivastava NN. Depression during pregnancy: prevalence and obstetric risk factors among pregnant women attending a tertiary care hospital in Navi Mumbai. Indian Psychiatry J. 2013;22(1):37-40.