scholarly journals The hidden burden of adolescent pregnancies in rural Sri Lanka; findings of the Rajarata Pregnancy Cohort

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Thilini Chanchala Agampodi ◽  
Nuwan Darshana Wickramasinghe ◽  
Hemali Gayathri Jayakodi ◽  
Gayani Shashikala Amarasinghe ◽  
Janith Niwanthaka Warnasekara ◽  
...  
Keyword(s):  
Mental Health ◽  
Sri Lanka ◽  
Pregnant Women ◽  
Adolescent Mothers ◽  
Depression Scale ◽  
Ultra Sound ◽  
Physical And Mental Health ◽  
Pregnancy Cohort ◽  
Contraceptive Usage ◽  
Adolescent Pregnancies

Abstract Background Adolescent fertility is a main indicator of the Sustainable Developmental Goal (SGD) three. Although Sri Lanka is exemplary in maternal health, the utilization of Sexual and Reproductive Health services (SRH) by adolescents is less documented. We describe the hidden burden, associated biological and psychosocial factors and utilization patterns of pre-conceptional services among pregnant adolescents in rural Sri Lanka. Methods The study is based on the baseline assessment of the Rajarata Pregnancy Cohort (RaPCo) in Anuradhapura. Pregnant women newly registered from July to September 2019 were recruited to the study. The period of gestation was confirmed during the second follow-up visit (around 25–28 weeks of gestation) using ultra sound scan data. A history, clinical examination, anthropometric measurements, blood investigations were conducted. Mental health status was assessed using the Edinburgh Postpartum Depression Scale (EPDS). Results Baseline data on gestation was completed by 3,367 pregnant women. Of them, 254 (7.5%) were adolescent pregnancies. Among the primigravida mothers (n = 1037), 22.4% (n = 233) were adolescent pregnancies. Maternal and paternal low education level, being unmarried, and less time since marriage were statistically significant factors associated with adolescent pregnancies (p < 0.05). Contraceptive usage before pregnancy, utilization of pre-conceptional health care services, planning pregnancy and consuming folic acid was significantly low among adolescents (p < 0.001). They also had low body mass index (p < 0.001) and low hemoglobin levels (p = 0.03). Adolescent mothers were less happy of being pregnant (p = 0.006) and had significantly higher levels of anxiety (p = 0.009). Conclusion One fifth of women in their first pregnancy in this study population are adolescents. Nulli-parous adolescents exert poor social stability and compromised physical and mental health effects. The underutilization and/or unavailability of SRH services is clearly associated with adolescent pregnancies.

scholarly journals The Hidden Burden of Adolescent Pregnancies in Rural Sri Lanka; Findings of The Rajarata Pregnancy Cohort

2021 ◽  
Author(s):  
Thilini Chanchala Agampodi ◽  
Nuwan Darshana Wickramasinghe ◽  
Hemali Gayathri Jayakodi ◽  
Gayani Shashikala Amarasinghe ◽  
Janith Niwanthaka Warnasekara ◽  
...  
Keyword(s):  
Mental Health ◽  
Sri Lanka ◽  
Pregnant Women ◽  
Adolescent Mothers ◽  
Depression Scale ◽  
Ultra Sound ◽  
Physical And Mental Health ◽  
Pregnancy Cohort ◽  
Contraceptive Usage ◽  
Adolescent Pregnancies

Abstract BackgroundAdolescent fertility is a main indicator of the Sustainable Developmental Goal (SGD) three. Although Sri Lanka is exemplary in maternal health the utilization of Sexual and Reproductive Health services (SRH) by adolescents is less documented. We describe the hidden burden, associated biological and psychosocial factors and utilization patterns of pre-conceptional services among pregnant adolescents in rural Sri Lanka. MethodsThe study is based on the baseline assessment of the Rajarata Pregnancy Cohort (RaPCo) in Anuradhapura. Pregnant women newly registered from July to September 2019 were recruited to the study. The period of gestation was confirmed during the second follow-up visit (around 25-28 weeks of gestation) using ultra sound scan data. A history, clinical examination, anthropometric measurements, blood investigations were conducted. Mental health status was assessed using the Edinburgh Postpartum Depression Scale (EPDS). ResultsBaseline data on gestation was completed by 3,367 pregnant women. Of them, 253 (7.5%) were adolescent pregnancies. Among the primiparous mothers (n=1037), 22.4% (n=232) were adolescent pregnancies. Maternal and paternal low education level, being unmarried, and less time since marriage were statistically significant factors associated with adolescent pregnancies (p<0.05). Contraceptive usage before pregnancy, utilization of pre-conceptional health care services, planning pregnancy and consuming folic acid was significantly low among adolescents (p<0.001). They also had low body mass index (p<0.001) and low hemoglobin levels (p<0.03). Adolescent mothers were less happy of being pregnant (p<0.006) and had significantly higher levels of anxiety (p<0.009).ConclusionOne fifth of women in their first pregnancy in this study population are adolescents. Primi-parous adolescents exert poor social stability and compromised physical and mental health effects. The underutilization and/or unavailability of SRH services is clearly associated with adolescent pregnancies.

scholarly journals The sustained adverse impact of COVID-19 pandemic on mental health among pregnant women in Sri Lanka: a reassessment during the second wave

2022 ◽  
Vol 15 (1) ◽  
Author(s):  
Malitha Patabendige ◽  
Dhanushka Wanniarachchi ◽  
Malika Weerasinghe ◽  
Pramith Ruwanpathirana ◽  
DMCS Jayasundara ◽  
...  
Keyword(s):  
Mental Health ◽  
Sri Lanka ◽  
Pregnant Women ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Street Hospital ◽  
Maternity Hospitals ◽  
Second Wave

Abstract Objective To study the change in trend of antenatal mental health and associated factors among a cohort of pregnant women during the second wave of COVID-19 using Hospital Anxiety and Depression Scale (HADS). Previous study using the same scale, during the first wave reported a higher prevalence of anxiety and depression. Results A descriptive cross-sectional study was carried out at the two large maternity hospitals in Colombo, Sri Lanka: Castle Street Hospital for Women (CSHW) and De Soysa Hospital for Women (DSHW). Consecutively recruited 311 women were studied. Out of which, 272 (87.5%) were having uncomplicated pregnancies at the time of the survey and 106 (34.1%) were either anxious, depressed, or both. Prevalence of anxiety was 17.0% and depression 27.0%. Overall, continuing COVID-19 pandemic increased antenatal anxiety and depression. The trend was to aggravate depression more intensively compared to anxiety in this cohort of women studied. Special support is needed for pregnant mothers during infectious epidemics taking more attention to antenatal depression.

The Mental Health Characteristics of Pregnant Women With Depressive Symptoms Identified by the Edinburgh Postnatal Depression Scale

2014 ◽  
Vol 75 (04) ◽  
pp. 393-398 ◽  
Author(s):  
Linda B. Lydsdottir ◽  
Louise M. Howard ◽  
Halldora Olafsdottir ◽  
Marga Thome ◽  
Petur Tyrfingsson ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Pregnant Women ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale

scholarly journals Perceptions, Uses of, and Interests in Complementary Health Care Approaches in Depressed Pregnant Women

2016 ◽  
Vol 22 (1) ◽  
pp. 81-95 ◽  
Author(s):  
Jennifer Matthews ◽  
Jennifer L. Huberty ◽  
Jenn A. Leiferman ◽  
Darya McClain ◽  
Linda K. Larkey
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Lifestyle Behaviors ◽  
Health And Wellness ◽  
Physical And Mental Health ◽  
Unhealthy Lifestyle ◽  
Complementary Health Approaches ◽  
Increased Risk ◽  
Women’S Perceptions ◽  
Study Participants

Depression affects up to 23% of pregnant women and is associated with adverse physical/mental health outcomes for both the mother and baby. Depressed pregnant women may be more likely to engage in unhealthy lifestyle behaviors that contribute to an increased risk for chronic disease. Little is known regarding depressed pregnant women’s perceptions, uses of, and interests in complementary health approaches. Study participants (mean age 28.7 ± 6.8; n = 1032) included pregnant women ≥8 weeks gestation who responded to a survey assessing physical and mental health and wellness practices. Of those completing the survey, depressed pregnant women (n = 272) had significantly higher levels of anxiety ( P < .001) and stress ( P < .001) and had poorer sleep quality ( P < .001), mindfulness ( P < .001), and social support ( P < .001) compared to nondepressed pregnant women (n = 760). A majority (84%) of depressed pregnant women would consider using a complementary health approach for weight and/or stress management during pregnancy, and more than 50% were interested in yoga.

scholarly journals FEATURES OF DEPRESSIVE DISORDER IN WOMAN DURING PREGNANCY

2020 ◽  
Vol 1 (1) ◽  
pp. 38-48
Keyword(s):  
Mental Illness ◽  
Depressive Disorder ◽  
Pregnant Women ◽  
Negative Impact ◽  
Depression Scale ◽  
Maternity Hospital ◽  
High Risk Group ◽  
Social Adaptation ◽  
Hamilton Depression Scale ◽  
Physical And Mental Health

Purpose of the article is to show features of depressive disorder during pregnancy and how it can be different according to various personal indicators. Pregnancy and depression often go hand in hand. This condition affects about every tenth pregnant woman. According to recent research, sudden surges and changes in the hormonal background that accompany the entire pregnancy can really affect brain biochemistry, which in turn can lead to real clinical depression. The procedure of research registered at the women's consultation and obstetric ward and pathology department of pregnancy in Maternity hospital No. 3 (Kyiv). It lasted for 5 months. The group of pregnant women consisted of 100 people aged 18 to 42 years. Among them were 35 women in 1 trimester of pregnancy, 40 women in 2 trimester of pregnancy, 25 women in 3 trimester of pregnancy. To identify the presence and severity of depression among pregnant women, we used the following methods: Hamilton Depression Scale, Behterev Depression Questionnaire (female version). Anxiety and depression in women during pregnancy require early detection and correction due to their significant negative impact on pregnancy, childbirth, postpartum and further psychophysical development and social adaptation of children. Different indicators of age and trimester affect the level of expression of the depressive disorder. If woman had problems with conception or she was treated for infertility, the probability of her depression in her pregnancy increases by 10 times. Depression may be more likely to eclipse pregnancy and women who have suffered mental illness, anxiety, or depression before conception. This disorder may also occur in problematic relationships, as well as in situations where relatives have had a depression or mental illness, a woman has already had a miscarriage or her current pregnancy is a high-risk group. Depression during pregnancy has significant implications for pregnancy outcomes and maternal and child health. There is a need to identify which family, physical and mental health factors are associated with depression during pregnancy.

scholarly journals Development and Evaluation of a Program to Improve Understanding of Physical and Mental Health of Older Primiparas and Strengthen Marital Relationships: A Semi-Experimental Study without Control Groups

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Nakajima K ◽  
◽  
Hirose A ◽  
Nameda T ◽  
◽  
...  
Keyword(s):  
Mental Health ◽  
Experimental Study ◽  
Edinburgh Postnatal Depression Scale ◽  
Mental Health Problems ◽  
Depression Scale ◽  
Outcome Evaluation ◽  
Mutual Understanding ◽  
Physical And Mental Health ◽  
Control Groups ◽  
Maternity Hospitals

Objectives: Older primiparas are more likely to be at risk for physical and mental health problems. The purpose of this study is to develop and evaluate a program to understand the physical and mental health of older primiparas and strengthen their marital relationship. Design: A semi-experimental study of one group without control groups. Method: Participants included 15 older primiparas Japanese couples who attended regular childbirth and childcare preparation classes held at two maternity hospitals in Japan. Participants responded to sociodemographic questions, Edinburgh Postnatal Depression Scale (EPDS), questions regarding understanding, satisfaction, and utilization of the program (process evaluation), and the Quality Marriage Index (QMI; outcome evaluation). Data was collected before the pregnancy program and one and three months after childbirth. Results: Participants understood and were satisfied with the information provided in the program. There was no significant decrease in postpartum marital satisfaction after participating in the program. However, the usefulness assessment of the pregnancy program dropped to about 80% at one and three months after childbirth. Conclusions: Findings indicate that this program improves mutual understanding and sharing of thoughts and feelings between couples. It was suggested that a postnatal program be held so that the couple could continue learning after childbirth.

Pregnant women’s psychological state and influence factors: anxiety, and depression during COVID-19 outbreak

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Yuming Cao ◽  
Juan Liu ◽  
Yuanzhen Zhang ◽  
Yating Li ◽  
Zhenlie Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Influence Factors ◽  
Psychological Status ◽  
Psychological State ◽  
The Internet ◽  
Fetal Malformation ◽  
Physical And Mental Health ◽  
Factors Affecting ◽  
Adverse Pregnancy

Abstract Objectives The outbreak of COVID-19 affects both physical and mental health of pregnant women. This study focuses on their psychological status, and analyzes the main factors affecting their emotions of pregnant women so as to provide guidance for psychological counseling and social intervention during epidemics. Methods Multiple researchers distributed a questionnaire online via the Internet. Pregnant women volunteered, and the questionnaire was automatically collected in the background. Results The 298 valid questionnaires recovered showed that 82 cases of pregnant women were in states of anxiety, accounting for 27.51%, of which 78.05% were mild (82 cases), 19.51% were moderate (16 cases), and 2.44% were severe (2 cases). Moreover, 31.21% of pregnant women were in states of depression (93 cases), of which 52.69% were mild (49 cases), 40.86% were moderate (38 cases), and 6.45% were severe (6 cases). The risk factors for states of anxiety or depression were fear of fetal malformation or genetic disease, history of adverse pregnancy, can’t do routine prenatal examination, and insufficient support and care from husbands and families. Besides, 16 cases had sought psychological help during the epidemic, among whom 62.50% (10 cases) experienced anxiety, 68.75% (11 cases) had depression. Conclusions During the outbreak of COVID-19, obstetricians may take use of the Internet, based on the advantages in epidemic prevention, controlling health education, and popularizing science. In addition, husbands and family members should provide greater care for pregnant women, to protect their mental health during public health incidents.

Exercise during pregnancy: a comparative review of guidelines

2020 ◽  
Vol 48 (6) ◽  
pp. 519-525
Author(s):  
Ioannis Tsakiridis ◽  
Dimitra Rafailia Bakaloudi ◽  
Artemis Christina Oikonomidou ◽  
Themistoklis Dagklis ◽  
Michail Chourdakis
Keyword(s):  
Mental Health ◽  
Pregnant Woman ◽  
Pregnant Women ◽  
Physical Activities ◽  
Physical And Mental Health ◽  
Comparative Review ◽  
Zealand College ◽  
Exercise In Pregnancy ◽  
Exercise During Pregnancy ◽  
In Pregnancy

AbstractExercise during pregnancy may be beneficial provided that there are no contraindications. The aim of this study was to summarize and compare recommendations regarding exercise in pregnancy. Thus, a comparative descriptive review was conducted and included guidelines by the American College of Obstetricians and Gynecologists, the Society of Obstetricians and Gynaecologists of Canada and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists. All compared guidelines recommend that pregnant women without contraindications should undertake physical activities regularly, however, the type of workout performed should be adjusted based on the previous exercise experience and the physical condition of each pregnant woman. A variation among the reviewed guidelines was identified on appropriate and inappropriate activities and on indications to interrupt exercise. To summarize, the adoption of an international up-to-date consensus regarding appropriate exercise during pregnancy may be beneficial in ensuring the safety of the pregnant women while promoting their physical and mental health.

scholarly journals The Distribution of Congenital Malformations in Adolescent Pregnancies: A Single Tertiary Center Experience in Turkey

2020 ◽  
Vol 2 (3) ◽  
pp. 14-18
Author(s):  
Mustafa Behram ◽  
Süleyman Cemil Oğlak ◽  
Zeynep Gedik Özköse ◽  
Sema Süzen Çaypınar ◽  
Yusuf Başkıran ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Adolescent Mothers ◽  
Intrauterine Growth Restriction ◽  
Congenital Malformations ◽  
Growth Restriction ◽  
Care Providers ◽  
Intrauterine Growth ◽  
Increased Risk ◽  
Tertiary Center ◽  
Adolescent Pregnancies

Objective: Adolescent pregnancies are more severe and dangerous for both mother and baby than adult pregnancies. Low birth weight, infections, intrauterine growth restriction, sudden infant death syndrome, and death risk are higher in neonates of adolescent pregnant women. Besides, anomalies of central nervous, gastrointestinal, and musculoskeletal systems are also seen frequently. The purpose of this study is to investigate congenital malformations of infants born from adolescent mothers. In this study, malformations were grouped according to the systems. Material and Methods: In this retrospective study, 166 pregnant women aged 18 and under who had fetal anomaly were included in the study and their charts reviewed. Descriptive information about the adolescents and information about the fetuses and anomalies were recorded. Maternal and neonatal characteristics were calculated as frequency and percentage. Results: The most common anomalies were the central nervous (40.5%), cardiovascular (15.8%), and urinary (10.8%) system. The anomalies related to the skin and phalanges, including the face, accounted for 8.1% of the cases. Ventricular dilatation (10,4%), neural tube defect (7,2%), and hydrocephalus (7,2%) were the most common abnormalities of the central nervous system. Ventricular septal defect (5,9%), pulmonary artery anomaly (2,7%), and tricuspid valve anomaly (2,3%) were the most common cardiovascular system anomalies. Intrauterine growth restriction (3,6%), pleural effusion/hydrothorax (3,2%), pes equinovarus (2,7%), diaphragmatic hernia (2,3%), cystic hygroma (2,3%), oligohydramnios (2,3%), polyhydramnios (2,3%), and cleft palate/lip (2,3%) were the most common anomalies among the other system and organ anomalies. Conclusion: Adolescent pregnancy was partially associated with an increased risk of severe neonatal anomalies especially in the central nervous, cardiovascular, and urinary systems. Pediatric health care providers should have a low threshold for suspecting pregnancy in adolescents.

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