Estimated Impact of Pressure to Conceive on Maternal Depression in Lesotho: A Quasi-experimental Propensity Score Matching using DHS Data

This evaluation found that spouse or family pressure to become pregnant significantly increases the risk of depression. These findings underscore pregnancy pressure, pressing attention to reproductive coercion and community-based initiatives to mitigate its mental health consequences. Thus, policymakers and programmers should strengthen reproductive autonomy protection in mental health policies. Additionally, health care providers should screen for reproductive coercion during routine antenatal visits and offer counseling services to decrease the risk of depression. Community-based education campaigns and peer support groups involving men and families are also recommended to help reduce fertility-related pressures.