Table 4.

Barriers to and Promoters of Seeking Services for Antenatal Depression

Type of Barrier/Promoter	Barriers	Promoters
Practical	Transportation
	Transitory/moving often
	Services weren’t offered
	Competing demands	Flexible scheduling
	Services (medication) did not work.
	Cannot/will not take medication
Psychological	Stigma
	Fear
	Denial of depression
	Denial of need for services
	Did not want services
	Did not want to talk about problems
Family	Parent disapproved of services	Family history of services
	Parent did not think services were working	Parental proactive involvement
	Parent forced patient to receive services
	Parent sought hospitalization
	Parent wanted participant to stop services
Cultural	Marianismo	Marianismo