Depressive symptoms in pregnancy and associated factors: longitudinal study

Abstract

Objective

To identify the frequency of depressive symptoms during pregnancy and verify their association with sociodemographic, obstetric and health variables.

Methods

A longitudinal study conducted with 272 pregnant women in 12 health units in the city of São Paulo. Data were obtained using a form for the independent variables, and the Edinburgh Postpartum Depression Scale applied at the 20^th, 28^th and 36^th gestational weeks. A model of generalized estimating equations was used to evaluate the associated factors and odds ratio.

Results

The frequency of depressive symptoms was 27.2%, 21.7% and 25.4%. Higher educational level, planned pregnancy and continuity of gestation were protective factors. Suffering or having suffered psychological violence was an independent risk factor of the gestational period.

Conclusion

The frequency of depressive symptoms during pregnancy was high. The associated factors were higher educational level, planned pregnancy, continuity of pregnancy, and suffering or having suffered psychological violence.

Depression; Pregnancy; Prenatal care; Pregnancy complications; Obstetric nursing