Depressive symptomatology among pregnant women attended in primary health care in southern Santa Catarina / Brazil: Prevalence and associated factors
DOI:
https://doi.org/10.21527/2176-7114.2025.50.15486Keywords:
antenatal period, depression, pregnancy, screeningAbstract
Objective: This study aimed to evaluate the presence of depressive symptoms in pregnant women who underwent prenatal care at the Family Health Strategy Units (ESF) in the municipality of Tubarão/SC, from August to December 2022. Method: This is an observational epidemiological study with a cross-sectional design, carried out with pregnant, primiparous or multiparous women with gestational age above 27 weeks who agreed to participate in the study and underwent prenatal care in the city of Tubarão/SC. The researchers elaborated a protocol for data collection and the depressive symptomatology was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), a validated and self-administered instrument. For the association between the variables of interest, Pearson's Chi -Square or Fisher's Exact test was used and the pre-established confidence interval was 5%, p ≤ 0.05. Results: There was a prevalence of depressive symptoms in 25% of the evaluated pregnant women. There was an association between the EPDS instrument and: ethnicity, education, family income and planned pregnancy. Non-Caucasian pregnant women had a higher occurrence of depressive symptoms, as well as those with less education, low income and those who had not planned the pregnancy. Conclusions: In view of the prevalence of depressive symptoms found among the interviewees, the importance of the priority role of the Family Health Strategy (ESF) teams in minimizing the vulnerability of women in the peripartum period is evident.
References
1. Lima MDOP, Tsunechiro MA, Bonadio IC, Murata M. Sintomas depressivos na gestação e fatores associados: estudo longitudinal. Acta Paul Enferm. janeiro de 2017;30(1):39–46 DOI: http://dx.doi.org/10.1590/1982- 0194201700007
2. Suassuna AMV. Diagnóstico Pré-Natal: O Impacto Psicológico Profundo: As Repercussões Emocionais no Vínculo entre os Pais e seus Bebês [Internet]. Simplíssimo; 2020. Disponível em: https://books.google.com.br/books?id=kr7_DwAAQBAJ
3. Bonatti AT, Roberto APDSC, Oliveira T, Jamas MT, Carvalhaes MABL, Parada CMGL. Do depressive symptoms among pregnant women assisted in Primary Health Care services increase the risk of prematurity and low birth weight? Rev Lat Am Enfermagem. 2021 Sep 3;29:e3480. doi: 10.1590/1518-8345.4932.3480. PMID: 34495191; PMCID: PMC8432585.
4. Duko B, Ayano G, Bedaso A. Depression among pregnant women and associated factors in Hawassa city, Ethiopia: an institution-based cross-sectional study. Reprod Health. 2019 Feb 28;16(1):25. doi: 10.1186/s12978-019-0685-x. PMID: 30819195; PMCID: PMC6396522.
5. Pellowski JA et al. Depressão perinatal materna e estrutura cerebral infantil aos 2-3 anos em um estudo de coorte de nascimento na África do Sul. Psiquiatria Translacional [Internet]. [citado 14 de maio de 2023]; 13(96). Disponível em: https://www.nature.com/articles/s41398-023-02395-5 Doi https://doi.org/10.1038/s41398-023-02395-5
6. Silva, M. M. de J., Lima, G. S., Monteiro, J. C. dos S., & Clapis, M. J. (2020). Depressão na gravidez: fatores de risco associados à sua ocorrência. SMAD, Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 16(1), 1-12. https://doi.org/10.11606/issn.1806-6976.smad.2020.153332
7. Caldeira DMR, Lima C de A, Monção RA, Santos VM, Pinho L de, Silva RRV, et al.. DEPRESSIVE SYMPTOMS AND ASSOCIATED FACTORS IN PREGNANT WOMEN ATTENDED IN PRIMARY HEALTHCARE. Texto contexto - enferm [Internet]. 2024;33:e20230137. Available from: https://doi.org/10.1590/1980-265X-TCE-2023-0137en
8. Santos EA dos. Sintomas depressivos em gestantes: organização do processo de cuidado por meio de fluxograma descritor. Depressive symptoms in pregnant women: organization of the care process through a descriptive flowchart [Internet]. 24 de agosto de 2020 [citado 14 de maio de 2023]; Disponível em: https://repositorio.unesp.br/handle/11449/202168
9. Rondung E, Massoudi P, Nieminen K, Wickberg B, Peira N, Silverstein R, Moberg K, Lundqvist M, Grundberg Å, Hultcrantz M. Identification of depression and anxiety during pregnancy: A systematic review and meta-analysis of test accuracy. Acta Obstet Gynecol Scand. 2024 Mar;103(3):423-436. doi: 10.1111/aogs.14734. Epub 2023 Nov 28. PMID: 38014572; PMCID: PMC10867370.
10. Baptista MN. Avaliando Depressões: dos critérios diagnósticos às escalas psicométricas. Av. Psic. [Internet]. 15º de junho de 2018 [citado 1º de maio de 2023];17(3). Disponível em: https://submission-pepsic.scielo.br/index.php/avp/article/view/14265
11.Brasil. Ministério da Saúde. Como a APS impacta diretamente as vidas das mães brasileiras? [Internet]. 2021. [citado 14 de maio de 2023]. Disponível em: https://aps.saude.gov.br/noticia/12156
12.Monteiro FN de S, Freire BL da S, Moraes MEV de, Amorim MCA de, Leite SRR de F, Souza ASR de. Escala de depressão pós-parto de Edimburgo: revisão sistemática de estudos de validação em puérperas. Edinburgh postnatal depression scale: systematic review of studies validating in postpartum women [Internet]. 2020 [citado 27 de maio de 2023]; Disponível em: http://tcc.fps.edu.br:80/jspui/handle/fpsrepo/938
13.Brasil. Ministério da Saúde. Caderneta-da-Gestante-2018.pdf [Internet]. 2018. [citado 14 de maio de 2023]. Disponível em: https://portaldeboaspraticas.iff.fiocruz.br/wp-content/uploads/2019/02/Caderneta-da-Gestante-2018.pdf
14. Ministério da Saúde [Internet]. [citado 14 de maio de 2023]. Pré-natal. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/g/gravidez/pre-natal/pre-natal
15. Ministério da Saúde [Internet]. [citado 1o de maio de 2024]. Saúde do Adolescente e Jovens. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/s/saude-do-adolescente/saude-do-adolescente-e-jovens
16. Dadi AF, Miller ER, Bisetegn TA, Mwanri L. Global burden of antenatal depression and its association with adverse birth outcomes: an umbrella review. BMC Public Health. 2020 Feb 4;20(1):173. doi: 10.1186/s12889-020-8293-9. PMID: 32019560; PMCID: PMC7001252.
17. IBGE. Desigualdades Sociais por Cor ou Raça no Brasil. [Internet]. [citado 16 de maio de 2023]. Disponível em: https://cidades.ibge.gov.br/brasil/pesquisa/10091/82292
18. IBGE PNAD: pesquisa nacional por amostra de domicílios. [Internet]. [citado 15 de maio de 2023]. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/populacao/9127-pesquisa-nacional-por-amostra-de-domicilios.html
19. IBGE | Biblioteca | Detalhes | Síntese de indicadores sociais : uma análise das condições de vida da população brasileira : 2021 / IBGE, Coordenação de População e Indicadores Sociais [Internet]. [citado 17 de maio de 2023]. Disponível em: https://biblioteca.ibge.gov.br/index.php/biblioteca-catalogo?view=detalhes&id=2101892
20. Muskens L, Boekhorst MGBM, Kop WJ, van den Heuvel MI, Pop VJM, Beerthuizen A. The association of unplanned pregnancy with perinatal depression: a longitudinal cohort study. Arch Womens Ment Health. 2022 Jun;25(3):611-620. doi: 10.1007/s00737-022-01225-9. Epub 2022 Mar 26. PMID: 35347473; PMCID: PMC9072423.
21. Costa Júnior GA, Rêgo AS, Brito AP, Furtado PDSR, Pereira TTJ, Beckman LF, Mendonça YAA, da Cruz CN, Nitz MK, Batista MRV, Nunes MAS, Barbosa JMA, Leite JMS, Falcai Â, Pacheco MAB, Loyola CMD, Silva MRC, Firmo WDCA, Silva FMAM. Unplanned Pregnancy and Depressive Symptoms during the COVID-19 Pandemic. Int J Environ Res Public Health. 2022 Dec 30;20(1):652. doi: 10.3390/ijerph20010652. PMID: 36612973; PMCID: PMC9819821.
22. Nunes GP, Negreira AS, Costa MG, Sena FG, Amorim CB, Kerber NPC. Grupo de gestantes como ferramenta de instrumentalização e potencialização do cuidado. Cidadania em Ação: Revista de Extensão e Cultura [Internet]. 14 de janeiro de 2021 [citado 17º de maio de 2023];1(1):77-90. [citado 15 de maio de 2023]. DOI: https://doi.org/10.5965/cidea.v1i1.10932
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