THE PREVALENCE AND RISK FACTORS ASSOCIATED WITH ANTENATAL DEPRESSION AT KING EDWARD HOSPITAL, DURBAN

Liane Manikkam, Prof DL Mkize

Abstract


Internationally, data on the prevalence of antenatal depression has been conflicting. Thus far, there has been a lack of prevalence figures in the South African context as well as information  about whether  associated sociodemographic  risk factors identified internationally are relevant in our population. There is also a lack of data on whether HIV status affects the prevalence of antenatal depression, hence this study.

This study will be conducted at the antenatal clinic in King Edward VIII Hospital, which is the 2nd largest hospital in the Southern Hemisphere, providing district, regional and tertiary services to the whole of the province of Kwa Zulu Natal. It is a 922 bedded hospital , with 13987 patients seen at the antenatal clinic in 2008 and 6912 seen in the first half of 2009,with an average of 1150 a month. Most users at the antenatal clinic are from a lower socioeconomic background and are cases referred from primary health care clinics for eg. Previous caesarean sections,  twin pregnancies, comorbid medical diseases like diabetes. Kwa Zulu Natal is a province characterised by high HIV prevalence rates, as well as high rates of unemployment, poverty and violence.