title: Depression during pregnancy in the Brazilian public health care system.
abstract: OBJECTIVE
  To estimate the prevalence of depression and correlate clinical and demographic characteristics in pregnant women assisted by the public health system in the city of Pelotas, RS, Brazil.
  
  
  METHODS
  We performed a cross-sectional study focused on pregnant women assisted by the public health service. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for depression.
  
  
  RESULTS
  In a sample of 1,264 pregnant women aged 12-46 years, 21.1% (n = 255) presented a depressive episode during pregnancy. The presence of depression was associated with older age, lower education, lack of a cohabiting partner, not being primiparous, planned pregnancy, abortion thoughts, psychological or psychiatric treatment, smoking and alcohol consumption during pregnancy, and stressful events.
  
  
  CONCLUSIONS
  Pregnant women assisted by the Brazilian public health system presented a high prevalence of depression. Psychiatric history, lack of support, and stressful events increase the probability of antenatal depression.
authors.affiliation: Universidade Católica de Pelotas, Pelotas, RS, Brazil.
authors.forename: Ricardo Azevedo da
authors.initials: RA
authors.lastname: Silva
authors.forename: Karen
authors.initials: K
authors.lastname: Jansen
authors.forename: Luciano Dias de Mattos
authors.initials: LD
authors.lastname: Souza
authors.forename: Inácia Gomes da Silva
authors.initials: IG
authors.lastname: Moraes
authors.forename: Elaine
authors.initials: E
authors.lastname: Tomasi
authors.forename: Giovanna Del Grande da
authors.initials: Gdel G
authors.lastname: Silva
authors.forename: Michelle de Souza
authors.initials: Mde S
authors.lastname: Dias
authors.forename: Ricardo Tavares
authors.initials: RT
authors.lastname: Pinheiro
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D009035:Mothers / Q000523:psychology; D009313:National Health Programs; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000523:psychology; D011295:Prenatal Care / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires