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Sousa, V. F. Depression during pregnancy and puerperal cycle of women attended in an outpatient clinic in a general hospital. 2008. 138p. Thesis (Master) – University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, 2008. The pregnancy and puerperal cycle are periods that involve deep changes for women in the physical, psychic and social aspects, and during its course there can be important alterations in their personality, developing psychic suffer in different intensities. This can become a factor that raises difficulties for the establishment of a future safe affective bonding between mother and child, interfering specially in interpersonal relationships. This study aimed to identify the existence of depressive states during pregnancy and puerperal cycle and their biopsychosocial risk factors, as well as describing the obstetric and pediatric results of women with depressive symptoms. It is an epidemiologic, descriptive and cross-sectional study, carried out at a prenatal outpatient clinic in a general hospital in three stages, one during pregnancy, other during puerperium and lastly through searches in their medical records. Data were collected using 5 instruments, two questionnaires with general information, applied during pregnancy and puerperium; a data collection worksheet, with information regarding labour, delivery, immediate puerperium and newborns’ data; the Beck Depression Inventory and the Edinburgh Postnatal Depression Scale, to identify depression during pregnancy and during puerperium, respectively. The subjects were 47 women who accepted to participate and met the established inclusion criteria. The results showed that, among the participants, 51,07% had depression in some stage of pregnancy and puerperal cycle, among those, 42,55% presented depression during pregnancy and 29,79% in puerperium. The statistically significant risk factors for depression during pregnancy were: having two or less pregnancies and undesired pregnancy. The obstetric and pediatric results with statistic significance showed that the women with depression presented less intercurrence, and their child were born with better weights and sizes. The statistically significant risk factors for depression during puerperium were: no religion, unemployed partner, depression during pregnancy, lack of support, lack of help and lack of help from the partner. The results allowed concluding that depression is a reality in pregnant women and puerpera’s life, and prenatal care can be an excellent opportunity to unite efforts aiming to improve the detection of depressive states. This could improve women’s psychosocial conditions in this vulnerable moment, avoiding complications during labour, postnatal depression itself and also consequences for their future babies.

A depressão no ciclo gravídico-puerperal de mulheres atendidas em um ambulatório de hospital geral