Evidence map›Paper›PMID 27914247›Full record

ArticleJournal of affective disorders2017

Antenatal depressive symptoms among pregnant women: Evidence from a Southern Brazilian population-based cohort study.

Carolina de Vargas Nunes Coll, Mariângela Freitas da Silveira, Diego Garcia Bassani, Elena Netsi, Fernando César Wehrmeister, Fernando César Barros, Alan Stein

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of affective disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03271723 (The 2015 Pelotas), which is not on this map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03271723 completednot on this map

The 2015 Pelotas (Brazil) Birth Cohort Study

TypeobservationalSponsorFederal University of PelotasRan2014 to 2015Enrolled4,275ConditionsMother-Child Relations, Preterm Birth, Infant Development, Breast FeedingArmsObservational study
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Exercise in Pregnancy and Risk of Postpartum Depression: A Randomised Controlled Trial.BJOG : an international journal of obstetrics and gynaecology · 2026
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Risk of depression during pregnancy in usual risk antenatal care.Revista latino-americana de enfermagem · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carolina de Vargas Nunes CollPostgraduate Program in Epidemiology, Federal University of Pelotas, Brazil. Electronic address: carolinavncoll@gmail.com.
Mariângela Freitas da SilveiraPostgraduate Program in Epidemiology, Federal University of Pelotas, Brazil.
Diego Garcia BassaniCentre for Global Child Health, The Hospital for Sick Children, Toronto, Canada; Department of Paediatrics and Dalla Lana School of Public Health, University of Toronto, Canada.
Elena NetsiDepartment of Psychiatry, University of Oxford, Oxford, UK.
Fernando César WehrmeisterPostgraduate Program in Epidemiology, Federal University of Pelotas, Brazil.
Fernando César BarrosPostgraduate Program in Epidemiology, Federal University of Pelotas, Brazil; Catholic University of Pelotas, Brazil.
Alan SteinDepartment of Psychiatry, University of Oxford, Oxford, UK.

Funding

Wellcome Trust 095582/Z/11/Z
6 · The paper itself

Abstract

backgroundAntenatal depression (AD) is a major public health issue but evidence regarding its prevalence and associated factors in low and middle-income countries (LMICs) is limited. The aim of the study was to estimate the prevalence and identify risk factors for AD among Brazilian pregnant women.

methodsAll women living in the urban area of the city of Pelotas, Southern Brazil, with confirmed pregnancy and estimated delivery date in the year 2015, were invited to take part. Eligible pregnant women were recruited from health services. Symptoms of antenatal depression were assessed using the Edinburgh Postnatal Depression Scale (EPDS) by face-to-face interviews. A cutoff-point of 13 or more was used to define probable AD.

resultsEPDS scores were available for 4130 women. The prevalence of AD was 16% (95%CI 14·9-17·1). After adjustment for potential confounders, the factors most strongly associated with higher EPDS scores were a previous history of depression (PR 2·81; 95%CI 2·44-3·25), high parity (PR 1·72; 95%CI 1·38-2·15 - ≥2 children vs. 1 child) and maternal education (PR 5·47; 95%CI 4·22-7·09 - 0-4 vs. ≥12 years of formal education). LIMITATIONS: EPDS was administered through face-to-face interviews rather than questionnaires and some women may have felt uncomfortable reporting their symptoms leading to underreporting and consequently underestimation of the prevalence found.

conclusionAD prevalence is substantially higher in Brazil than in high-income countries (HICs) but similar to other LMICs. Our study identified relevant risk factors that may be potential targets to plan interventions, particularly a history of depression.

Indexed as

AdolescentAdultBrazilCohort StudiesDepressionDepressive DisorderFemaleHumansParityPovertyPregnancyPregnancy ComplicationsPregnant PeoplePrevalenceRisk FactorsSurveys and QuestionnairesDepressionEpidemiologyLMICsMental healthPerinatal healthPregnancy

Identifiers

PMID27914247
PMCPMC5282400

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.