Sintomatologia depressiva no termo da gestação, em mulheres de baixo risco

Translated title of the contribution: Depressive symptomatology at full-term pregnancy in low risk women

Vanessa Silva*, Cátia Ferreira, Adriana Basílio, Ana Beatriz Ferreira, Berta Maia, Rui Miguelote

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Objectives: The aims of the study were to estimate the prevalence of depressive symptomatology in full-term pregnancy (low risk), evaluate their predictors and maternal-fetal outcomes. To this end, the applicability of Postpartum Depression Screening Scale (PDSS 24) will be evaluated, at full-term pregnancy. Methods: PDSS 24 and a sociodemographic, psychosocial, pathological and obstetrical background questionnaire were self-administered to 403 pregnant women (37-40 weeks gestation), with a mean age of 30.5 years (SD = 4.67). Data from maternal, fetal and neonatal outcomes were collected from the patient clinical process. Results: PDSS 24 revealed adequate psychometric properties to screening depressive symptomatology in full-term pregnancy. The prevalence of depressive symptomatology was 41.7%. Pregnant women with lower study levels, who weren’t married, whose pregnancy was unplanned and with a previous history of significant life events present twice the risk to present depressive symptomatology. Pregnant women who hadn’t received the desired social support in pregnancy and with a history of depression present about a 3-fold increased risk to present depressive symptomatology. For maternal-fetal outcomes (pre-eclampsia, fetal growth restriction, Apgar score at 1st/5th minute, type of delivery, weight percentile, oligohydramnios and need for neonatal intensive care), the differences were not significant. Conclusion: Screening for prenatal depression should be conducted during pregnancy. However, in full-term pregnancy women, the use of PDSS 24 as a screening tool for depressive symptomatology should be done with caution. The high prevalence of sleep-related symptoms, in full-term pregnancy, may lead to overdiagnosis, using PDSS 24.

Translated title of the contributionDepressive symptomatology at full-term pregnancy in low risk women
Original languagePortuguese
Pages (from-to)65-72
Number of pages8
JournalJornal Brasileiro de Psiquiatria
Volume68
Issue number2
DOIs
Publication statusPublished - 1 Apr 2019

Keywords

  • Prenatal depression
  • Depressive symptomatology
  • Screening
  • Postpartum depression screening scale
  • Risk factors
  • Adverse outcomes

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