BMJ Open
Volume 8, Issue 1, 2018

Migrant perinatal depression study: A prospective cohort study of perinatal depression on the Thai-Myanmar border (Article) (Open Access)

Fellmeth G.* , Plugge E.H. , Carrara V. , Fazel M. , Oo M.M. , Phichitphadungtham Y. , Pimanpanarak M. , Wai N.K. , Mu O. , Charunwatthana P. , Nosten F. , Fitzpatrick R. , McGready R.
  • a Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom, Faculty of Tropical Medicine, Mahidol University, Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, MaeSot, Thailand
  • b Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom
  • c Faculty of Tropical Medicine, Mahidol University, Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, MaeSot, Thailand
  • d Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, United Kingdom
  • e Faculty of Tropical Medicine, Mahidol University, Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, MaeSot, Thailand
  • f Faculty of Tropical Medicine, Mahidol University, Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, MaeSot, Thailand
  • g Faculty of Tropical Medicine, Mahidol University, Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, MaeSot, Thailand
  • h Faculty of Tropical Medicine, Mahidol University, Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, MaeSot, Thailand
  • i Faculty of Tropical Medicine, Mahidol University, Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, MaeSot, Thailand
  • j Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
  • k Faculty of Tropical Medicine, Mahidol University, Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, MaeSot, Thailand, Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom
  • l Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
  • m Faculty of Tropical Medicine, Mahidol University, Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, MaeSot, Thailand, Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom

Abstract

Purpose Perinatal depression is a significant contributor to maternal morbidity. Migrant women in resource-poor settings may be at increased risk, yet little research has been conducted in low-income and middle-income settings. This prospective cohort study of migrant women on the Thai-Myanmar border aims to establish prevalence of perinatal depression, identify risk factors for perinatal depression and examine associations with infant outcomes. Participants Participating women are labour migrants and refugees living on the Thai-Myanmar border. A total of 568 women were recruited in their first trimester of pregnancy and are being followed up to 1-year postpartum. Findings to date At baseline, women in our study had a median age of 25 years, the predominant ethnicity was Sgaw Karen (48.9%), agriculture was the main employment sector (39.2%) and educational attainment was low with a median of 4 years of education. In the first trimester of pregnancy, a quarter (25.8%; 95% CI 22.3 to 29.5) of all women were depressed as diagnosed by the Structured Clinical Interview for the Diagnosis of DSM-IV Disorders. Future plans Follow-up is ongoing and expected to continue until January 2018. The prevalence of depression at later stages of pregnancy and during the first postpartum year will be identified, and associations between depression status and demographic, social, migration-related, medical, obstetric and infant factors will be quantified. Trial registration number NCT02790905. © 2018 Article author(s).

Author Keywords

Mental health maternal medicine Preventive medicine Public health

Index Keywords

Thai (people) prospective study depression refugee Thailand pregnancy complication Pregnancy Complications follow up Prospective Studies human Burmese Pregnant Women controlled study comparative study social support academic achievement Young Adult migrant worker Humans Pregnancy Trimester, First psychology female Socioeconomic Factors risk factor Risk Factors socioeconomics pregnancy Myanmar refugee camp prevalence Article pregnancy outcome perinatal depression adult major clinical study migration cohort analysis pregnant woman Transients and Migrants maternal health service disease burden Maternal Health Services first trimester pregnancy DSM-IV puerperium gestational age
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040556681&doi=10.1136%2fbmjopen-2017-017129&partnerID=40&md5=0d1497802b41422cbd96b8ff207d2b58
DOI: 10.1136/bmjopen-2017-017129
ISSN: 20446055
Cited by: 2
Original Language: English