Is unintended pregnancy a risk factor for depression in Iranian women?
A study was carried out to determine the association between unintended pregnancy and pre- and postpartum depression in 163 women in Kermanshah city, Islamic Republic of Iran. Using the self-administered Beck Depression Inventory for educated women and a special interview for illiterate women, 105 intended and 58 unintended pregnancies were studied. Of the 58 women with unintended pregnancy, 43% reported attempting to abort the fetus. Depression at 37 weeks' gestation was slightly higher in the unintended than the intended pregnancy group (53.4% versus 41.0%; relative risk = 1.3) and depression 10 days postpartum was much higher in the unintended group (48.7% versus 25.6%; relative risk = 1.9). Screening for depression is recommended for pregnant women with unintended pregnancy.
Iranfar
S
S
Educational Development Centre and Reproductive Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Islamic Republic of Iran. siranfar@yahoo.com
Shakeri
J
J
Ranjbar
M
M
NazhadJafar
P
P
Razaie
M
M
D000024:Abortion, Illegal / Q000523:psychology; D000328:Adult; D019052:Depression, Postpartum / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D004522:Educational Status; D005260:Female; D020073:Gravidity; D006301:Health Services Needs and Demand; D006801:Humans; D007182:Income; D007492:Iran / Q000453:epidemiology; D008403:Mass Screening; D008423:Maternal Age; D009790:Occupations / Q000706:statistics & numerical data; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D049168:Pregnancy, Unplanned / Q000523:psychology*; D011275:Pregnancy, Unwanted / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012306:Risk; D012307:Risk Factors; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D014505:Urban Population / Q000706:statistics & numerical data