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Risk of depression during pregnancy in usual risk antenatal care* * Supported by Programa de Apoio de Novos Docentes USP – Portaria PRP 775/2020, Process 20.1.4175.1.0.

Objective:

to identify the risk of depression during pregnancy among pregnant women receiving routine prenatal care and the associated factors.

Method:

a cross-sectional study, carried out with 201 pregnant women, in a routine prenatal clinic of a university maternity hospital. Data were collected using an electronic form containing a characterization instrument and the Escala de Risco de Depressão na Gravidez (Depression during Pregnancy Scale). The dependent variable was the risk of depression during pregnancy. Statistical analysis was performed by calculating the Odds Ratio and using the Chi-square and Fischer’s Exact tests.

Results:

among the participants, 68.2% had a higher risk of depression during pregnancy. There was a statistically significant association between a higher risk of depression during pregnancy and occupation (p=0.04), that is, unemployment (OR=2.00) doubled the risk of depression.

Conclusion:

the high prevalence of the risk of depression during pregnancy indicates the necessity of planning, prioritizing, and integrating mental health into prenatal health services, especially in the primary healthcare environment, by health managers and policymakers.

Descriptors:
Depression; Pregnancy; Prenatal Care; Primary Health Care; Nursing; Obstetric Nursing


Highlights:

(1) Presents the risk of depression during pregnancy in usual risk antenatal care.

(2) Highlights the importance of screening for the risk of depression during prenatal care.

(3) Concludes that a higher risk of depression in pregnancy is associated with unemployment.

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br