Association of contraception use and pregnancy intention with perinatal depression risk among Omani mothers—a longitudinal cohort study
BackgroundUnplanned pregnancy is significantly associated with an increased risk of perinatal depression (antenatal and postnatal depression), emphasizing its prevalence and its potentially detrimental effects on both maternal and child health. This study aimed to investigate the association of cont...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2025.1497698/full |
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| author | Atika Khalaf Atika Khalaf Nawal Al Amri Pernilla Ny Rebecca Mathew |
| author_facet | Atika Khalaf Atika Khalaf Nawal Al Amri Pernilla Ny Rebecca Mathew |
| author_sort | Atika Khalaf |
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| description | BackgroundUnplanned pregnancy is significantly associated with an increased risk of perinatal depression (antenatal and postnatal depression), emphasizing its prevalence and its potentially detrimental effects on both maternal and child health. This study aimed to investigate the association of contraception use and pregnancy intention with the risk of perinatal depression among Omani mothers.MethodsA prospective longitudinal study design was employed to investigate perinatal depression risk in mothers attending antenatal health care services in Oman. Perinatal depression risk was assessed using the Edinburgh Postpartum Depression Scale during the third trimester and postpartum visits. Multiple linear regression analyses were utilized to explore relationships between the risk of perinatal depression and pregnancy-related factors, contraception use, and sociodemographic variables.ResultsThe study involved 300 participants with a mean age of 30.8 years (SD = 5.47). The majority of participants reported planned pregnancy (74.0%), no use of contraception (66.0%), and being multiparous (72.7%). A significantly higher proportion (87.8%) of women with planned pregnancies were primiparous (p < 0.001). Besides family structure (core family, p = 0.025) and monthly income (1,000 OMR or below, p = 0.021), mothers who were pregnant for the first time (p < 0.001), and those who were primiparous (p < 0.001) did not use contraception. The regression models showed a significant association between the antenatal and postnatal depression scores (p < 0.001, 95% CI 0.401–0.603) according to the Edinburgh Postpartum Depression Scale.ConclusionsThe findings suggest that women with unplanned pregnancies warrant attention for early detection and preventive interventions, irrespective of their emotional stance. Incorporating routine mental health screening into perinatal care can facilitate early detection, and targeted interventions, contributing to improved maternal mental well-being. |
| format | Article |
| id | doaj-art-b4208dbfac2f4f11ad5e3eea1ff254a2 |
| institution | Kabale University |
| issn | 2673-5059 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj-art-b4208dbfac2f4f11ad5e3eea1ff254a22025-02-03T13:11:42ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592025-01-01610.3389/fgwh.2025.14976981497698Association of contraception use and pregnancy intention with perinatal depression risk among Omani mothers—a longitudinal cohort studyAtika Khalaf0Atika Khalaf1Nawal Al Amri2Pernilla Ny3Rebecca Mathew4The PRO-CARE Group, Faculty of Health Science, Kristianstad University, Kristianstad, SwedenHind Bint Maktoum College of Nursing and Midwifery, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, United Arab EmiratesMaternal and Child Health Department, College of Nursing, Sultan Qaboos University, Muscat, OmanDepartment of Health Science, Faculty of Medicine, Lund University, Lund, SwedenInstructor Nursing, Fatima College of Health Sciences, Ajman, United Arab EmiratesBackgroundUnplanned pregnancy is significantly associated with an increased risk of perinatal depression (antenatal and postnatal depression), emphasizing its prevalence and its potentially detrimental effects on both maternal and child health. This study aimed to investigate the association of contraception use and pregnancy intention with the risk of perinatal depression among Omani mothers.MethodsA prospective longitudinal study design was employed to investigate perinatal depression risk in mothers attending antenatal health care services in Oman. Perinatal depression risk was assessed using the Edinburgh Postpartum Depression Scale during the third trimester and postpartum visits. Multiple linear regression analyses were utilized to explore relationships between the risk of perinatal depression and pregnancy-related factors, contraception use, and sociodemographic variables.ResultsThe study involved 300 participants with a mean age of 30.8 years (SD = 5.47). The majority of participants reported planned pregnancy (74.0%), no use of contraception (66.0%), and being multiparous (72.7%). A significantly higher proportion (87.8%) of women with planned pregnancies were primiparous (p < 0.001). Besides family structure (core family, p = 0.025) and monthly income (1,000 OMR or below, p = 0.021), mothers who were pregnant for the first time (p < 0.001), and those who were primiparous (p < 0.001) did not use contraception. The regression models showed a significant association between the antenatal and postnatal depression scores (p < 0.001, 95% CI 0.401–0.603) according to the Edinburgh Postpartum Depression Scale.ConclusionsThe findings suggest that women with unplanned pregnancies warrant attention for early detection and preventive interventions, irrespective of their emotional stance. Incorporating routine mental health screening into perinatal care can facilitate early detection, and targeted interventions, contributing to improved maternal mental well-being.https://www.frontiersin.org/articles/10.3389/fgwh.2025.1497698/fullpregnancy planningcontraception useantenatal depressionpostnatal depressionOman |
| spellingShingle | Atika Khalaf Atika Khalaf Nawal Al Amri Pernilla Ny Rebecca Mathew Association of contraception use and pregnancy intention with perinatal depression risk among Omani mothers—a longitudinal cohort study Frontiers in Global Women's Health pregnancy planning contraception use antenatal depression postnatal depression Oman |
| title | Association of contraception use and pregnancy intention with perinatal depression risk among Omani mothers—a longitudinal cohort study |
| title_full | Association of contraception use and pregnancy intention with perinatal depression risk among Omani mothers—a longitudinal cohort study |
| title_fullStr | Association of contraception use and pregnancy intention with perinatal depression risk among Omani mothers—a longitudinal cohort study |
| title_full_unstemmed | Association of contraception use and pregnancy intention with perinatal depression risk among Omani mothers—a longitudinal cohort study |
| title_short | Association of contraception use and pregnancy intention with perinatal depression risk among Omani mothers—a longitudinal cohort study |
| title_sort | association of contraception use and pregnancy intention with perinatal depression risk among omani mothers a longitudinal cohort study |
| topic | pregnancy planning contraception use antenatal depression postnatal depression Oman |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2025.1497698/full |
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