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Associations between symptoms of depression and sociodemographic factors and pregnancy-related complaints among pregnant women in urban and rural Nepal.

Sørensen, Hjørdis Johanne
Master thesis
Published version
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[Embargo 2022-06-06] 207_43400994_5_mafys2019.pdf (1.150Mb)
URI
https://hdl.handle.net/10642/8530
Date
2019
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  • HV - Master i Fysioterapi [70]
Abstract
Background: Maternal morbidities such as depression, pelvic girdle pain (PGP), low back pain (LBP) and

pelvic organ prolapse (POP) appear to occur differently in developing countries. Nepal is a predominantly

rural country with 44% of households living below the poverty line and strong emigrational tendencies

among the male population. This leaves pregnant women exposed to higher workloads, which has been

linked to PGP, LBP and POP. There is limited knowledge as to the adverse effects these factors may have

on antenatal depression. Considering the maternal and neonatal risk-factors that have been associated

with antenatal depression, such as premature birth, low birth weight and intrauterine growth restriction, it is

important to understand and target the factors that may affect antenatal depression.

Purpose: To investigate the impacts of sociodemographic factors and pregnancy-related complaints on

symptoms of depression among pregnant women in Nepal.

Material and methods: A cross sectional study using standardized condition-specific questionnaires with

response from 1284 pregnant women who were attending antenatal check-ups in two hospitals in urban

and rural Nepal. Multivariate logistic regression analysis was used to determine variables associated with

symptoms of depression.

Results: Twenty-two percent of the women presented with symptoms of depression, while 29% of the

women with LBP and/or PGP showed symptoms of depression. Being housewife, having to fetch water

and having symptoms of POP was associated with symptoms of depression, while women who live with

their husband had lower odds of having depressive symptoms. For women with LBP and/or PGP, having

symptoms of POP, moderate to high pain intensity and self-reported severe disability was associated with

symptoms of depression, while women who live with their husband had lower odds of depressive

symptoms.

Conclusion: The results indicate that the experience of social support may act as a protective factor, while

certain work load characteristics may involve adverse impacts on symptoms of depression. Furthermore,

for pregnant women with LBP and/or PGP the results suggest that the presence of depressive symptoms

may impact on the experience of pain intensity and disability or vice versa.
Description
Master i fysioterapi
Publisher
OsloMet - storbyuniversitetet. Institutt for fysioterapi
Series
MAFYS;2019

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