Prevalence and risk factors of perinatal depression among women in rural Bihar: A community-based cross-sectional study

•Estimated prevalence of perinatal depression in rural Bihar, India was 23.9%.•Perinatal depression is associated with mother’s physical illness and previous abortions.•Poor financial status and ill-treatment by in-laws predicted perinatal depression. Perinatal depression (PND) is one of the most co...

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Bibliographic Details
Published in:Asian journal of psychiatry 2021-02, Vol.56, p.102552, Article 102552
Main Authors: Raghavan, Vijaya, Khan, Homam A., Seshu, Uttara, Rai, Surya Prakash, Durairaj, Jothilakshmai, Aarthi, G., Sangeetha, C., John, Sujit, Thara, R.
Format: Article
Language:English
Subjects:
Abortion
Community survey
Cross-Sectional Studies
Depression - epidemiology
Depression, Postpartum - epidemiology
Female
Humans
India - epidemiology
Perinatal depression
Physical health
Poverty
Pregnancy
Prevalence
Risk Factors
Rural
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Summary:•Estimated prevalence of perinatal depression in rural Bihar, India was 23.9%.•Perinatal depression is associated with mother’s physical illness and previous abortions.•Poor financial status and ill-treatment by in-laws predicted perinatal depression. Perinatal depression (PND) is one of the most common mental disorders occurring during the perinatal period among women. Few studies examined prevalence and risk factors of PND from rural settings in India. This study aimed to estimate the prevalence of perinatal depression and identify social risk factors for it among women from rural Bihar. A cross sectional study was conducted in a community setting in rural areas of Bihar. All perinatal women were screened through a door to door survey and recruited after obtaining informed consent. A semi-structured proforma was used to collect sociodemographic characteristics and family related variables. Edinburgh postnatal depression scale (EPDS) was used to screen for perinatal depression. A total of 564 perinatal women were recruited into the study. The estimated prevalence of PND was 23.9 % (95 % CI: 20.6,27.6). Multivariate analysis showed perinatal depression was associated with physical illness in the mother, previous history of abortion, poor financial status and ill-treatment by in-laws. Prevalence of perinatal depression among women is high in rural settings of North India. A multitude of factors ranging from physical, obstetric, economic and family related confer a high risk for PND. Comprehensive interventions are needed to address these risk factors of perinatal depression.
ISSN:1876-2018
1876-2026
1876-2026
DOI:10.1016/j.ajp.2021.102552