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Cited by 6Maternal Mental Health During Pregnancy and PostpartumGlobal Maternal and Child HealthMaternal and Neonatal Healthcare

Effect of antenatal depression on ANC service utilization in northwest Ethiopia

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Beyene, Getnet Mihretie, Azale, Telake, Gelaye, Kassahun Alemu, Ayele, Tadesse Awoke·2023·Scientific Reports
DOI 10.1038/s41598-023-37382-9PMC PMC10475009
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Abstract

Maternal morbidity and mortality remain high among women who did not attend antenatal care (ANC). Antenatal care is one of the interventions given to pregnant women to detect existed problems or problems that can develop during pregnancy, which harm the health of pregnant women and fetuses. In Ethiopia, however, there is limited evidence that revealed the effect of antenatal depression on ANC service utilization. Hence, this study aimed to see the effect of antenatal depression on ANC visits among women in urban northwest Ethiopia. A population-based, prospective cohort study was done from June 2019 to March 2020. The Edinburgh postnatal depression scale was administered to 970 women in the second and third trimesters of pregnancy to screen for antenatal depression. Additional data were collected on ANC visits, the mother’s socio-demographic, obstetric, clinical, psychosocial, and behavioral factors. A logistic regression model was used to adjust confounders and determine associations between antenatal depression and inadequate ANC visits. The cumulative incidence of inadequate ANC visits was 62.58% (95% CI: 59.43, 65.63). The cumulative incidence of inadequate ANC visits among depressed pregnant women was 75% as compared to 56% in non-depressed. The incidence of inadequate ANC visits in the exposed group due to antenatal depression was 25.33%. After multivariable analysis, antenatal depression at the second and third trimesters of pregnancy remained a potential predictor of inadequate ANC visits (AOR = 1.96: (95% CI 1.22, 3.16)). In addition, antenatal depression, long travel time for ANC visits (AOR = 1.83 (95% CI 1.166, 2.870)), and late initiation of ANC visits (AOR = 2.20 (95% CI 1.393, 3.471)) were the predictors of inadequate ANC visits as compared to their counterpart. This study suggested that antenatal depression affects ANC visits in Ethiopian urban settings. Therefore, early detecting and treating depression symptoms during the antenatal period reduced significantly the impacts of depression on the health of the mother and fetus.

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  • One study in Ethiopia found that maternal depression, long walking distances, and late initial engagement in antenatal care predicted inadequate service utilization among antenatal patients.

    “One study in Ethiopia found that maternal depression, long walking distances, and late initial engagement in antenatal care predicted inadequate service utilization among antenatal patients [12].”

    From Exploring the effects of mental health on bonding and caregiving among pregnant and postpartum persons with likely depression and/or PTSD in South Africa: a qualitative analysis (2026) · cites this paper as [12]

    The Results section reports that antenatal depression, late initiation of ANC visits, and long travel time to ANC were associated with increased odds of inadequate visits. The Methods section defines the travel measure by time (at least 30 minutes), not walking distance; the source does not establish that patients walked or measure distance. (LLM, conf=0.86)

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Cited by

Sorted by citations

Authors
Beyene, G. M., Azale, T., Gelaye, K. A., & Ayele, T. A.
Affiliations
  • Debre Tabor University (ET)
  • University of Gondar (ET)
Corresponding author
Beyene, Getnet Mihretie
ORCID
Venue
Scientific Reports
Publisher
Springer Science and Business Media LLC
Published
2023-09-02
Volume
13
Issue
1
Pages
14443-14443
ISSN
2045-2322 (ISSN-L)
DOI
10.1038/s41598-023-37382-9
PMC
PMC10475009
OpenAlex
W4386387664
Cited by
6
References
2
Citations by year
2026: 4 · 2025: 1 · 2024: 1
FWCI
1.40
Type
journal article
Language
en
Open access
Licence
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
University of Gondar
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
antenatal depression, antenatal care utilization, pregnancy, Edinburgh Postnatal Depression Scale, maternal mental health, Northwest Ethiopia
MeSH terms
Adult, Depression, Ethiopia, Female, Humans, Pregnancy, Pregnancy Complications, Prenatal Care, Cohort Studies

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