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35, 95% CI 1.19-1.52), LBW (RR=1.86, 95% CI 1.32-2.62) and IUGR (RR=4.39, 95% CI 2.45-7.86). Control for confounders, time of assessing depression, among others altered the risk of LBW due to depression. In addition, depressed women in developing countries had a higher risk of PTB (RR=2.07, 95% CI 1.13-3.81). This study identifies a significant risk of PTB, LBW and IUGR due to antennal depression and recognises a need for targeted preventive interventions such as prompt screening to improve and promote maternal mental health care. This stu