Gestation-related psychosocial factors in women from Medellin, Colombia

Rev Colomb Psiquiatr (Engl Ed). 2019 Jan-Mar;48(1):26-34. doi: 10.1016/j.rcp.2017.06.003. Epub 2017 Aug 4.
[Article in English, Spanish]

Abstract

Introduction: Perinatal stress and the impact generated by adverse conditions could affect fetal development negatively with long term and short term manifestations and could increase the risk of maternal depression.

Objective: To determine the psychosocial risk factors present in women with high-obstetric risk and hospitalized in a high complexity institution.

Methods: A cross-sectional study that included 112 pregnant or immediate postpartum women, who were evaluated using a scale designed by the researchers and the Edinburgh Postnatal Depression Scale.

Results: Median age was 24 (RIC 9) years; 39.3% of the women were pregnant, and 65.9% had a gestational age of more than 28 weeks. The main reason for hospitalization was threat of preterm delivery in 39.2%. 52.4% planned the pregnancy and 22.3% had depressive symptoms compatible with depression. Suicidal ideas and suicide attempts were more prevalent in the first trimester (7.2% and 3.6%).

Discussion: The high prevalence of depressive symptoms in the population studied coincides with what was reported in similar studies in Latin America. The fact that pregnancy does not protect against suicide was confirmed.

Conclusions: Psychosocial screening is recommended in every pregnant woman and women in immediate postpartum to detect symptoms and risk factors for depression.

Keywords: Depresión; Depression; Embarazo; Factores de riesgo; Impacto psicosocial; Pregnancy; Psychosocial impact; Risk factors.

MeSH terms

  • Adolescent
  • Adult
  • Colombia / epidemiology
  • Cross-Sectional Studies
  • Depression, Postpartum / diagnosis
  • Depression, Postpartum / epidemiology*
  • Female
  • Hospitalization / statistics & numerical data
  • Humans
  • Mass Screening / methods
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications / epidemiology*
  • Pregnancy Complications / psychology
  • Premature Birth / epidemiology
  • Prevalence
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Suicidal Ideation*
  • Suicide, Attempted / statistics & numerical data*
  • Young Adult