scholarly journals The Prevalence of and Factors Associated With Antenatal Depression Among All Pregnant Women Attending the Obstetrics Clinic for the First Time in A Comprehensive Teaching Hospital

2021 ◽  
Author(s):  
Jiamei Guo ◽  
Anhai Zheng ◽  
jinglan He ◽  
Ming Ai ◽  
Yao Gan ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Pregnant Women ◽  
Teaching Hospital ◽  
Early Pregnancy ◽  
Univariate Analysis ◽  
Screening Method ◽  
Somatic Symptoms ◽  
Antenatal Depression ◽  
Pregnancy Anxiety

Abstract Background: Antenatal depression is one of the most common complications among women. However, few policy-related studies have examined this problem. This study aimed to determine the prevalence of and risk factors for antenatal depression among all pregnant women first attending the obstetrics clinic in a comprehensive teaching hospital.Methods: From June to December 2019, 5780 pregnant women completed online mental health questionnaires, and data from 5728 of the women were analyzed. The women were categorized into two groups according to the presence or absence of depression. Depression was assessed by the PHQ-9, and the cutoff point for depression was 10. Anxiety and somatic symptoms were measured by the GAD-7 and PHQ-15, respectively. Univariate analysis and binary logistic regression analysis were used to determine the association among antenatal depression, anxiety, somatic symptoms and participants’ characteristics.Results: The prevalence of antenatal depression was 16.3%. Having a low level of education (P=0.012), being a rural resident (P=0.008), having an early pregnancy (P＜0.0001), having a higher GAD-7 score (P＜0.0001) and having a higher PHQ-15 score (P＜0.0001) were risk factors for antenatal depression among women.Conclusions: One in six women was depressed throughout the pregnancy. Online mental health assessment is an effective and convenient screening method that should be widely used for pregnant women in obstetric clinics, and special attention should be paid to some risk factors (i.e., early pregnancy, anxiety symptoms, somatic symptoms, low levels of education, rural residence).

scholarly journals The prevalence of and factors associated with antenatal depression among all pregnant women first attending antenatal care: a cross-sectional study in a comprehensive teaching hospital

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jiamei Guo ◽  
Anhai Zheng ◽  
Jinglan He ◽  
Ming Ai ◽  
Yao Gan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Teaching Hospital ◽  
Somatic Symptoms ◽  
Antenatal Depression ◽  
Anxiety Symptoms ◽  
Health Questionnaire ◽  
Psychological Assessments ◽  
Patient Health

Abstract Background Antenatal depression has become a common and serious problem, significantly affecting maternal and fetal health. However, evaluation and intervention methods for pregnant women in obstetric clinics are inadequate. This study aimed to determine the prevalence of and risk factors for depression among all pregnant women at their first attending antenatal care in the obstetrics clinic, a comprehensive teaching hospital, southwest of China. Methods From June to December 2019, 5780 pregnant women completed online psychological assessments, and data from 5728 of the women were analyzed. The women were categorized into two groups according to the presence or absence of depression. Depression was assessed by the Patient Health Questionnaire-9 (PHQ-9), with a cutoff point of 10 for depression. Anxiety and somatic symptoms were measured by the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-15 (PHQ-15), respectively. Univariate analysis and binary logistic regression analysis were used to determine the association among antenatal depression, anxiety, somatic symptoms and participants’ characteristics. Results The prevalence of antenatal depression among all the pregnant women at their first attending antenatal care was 16.3%, higher in the first trimester (18.1%). Anxiety symptoms (Mild anxiety AOR = 2.937; 95% CI: 2.448–3.524) and somatic symptoms (Mild somatic symptoms AOR = 3.938; 95% CI: 2.888–3.368) were major risk factors for antenatal depression among women and the risk increased more with the anxiety level or somatic symptoms level. Gestational weeks (second trimester AOR = 0.611; 95% CI: 0.483–0.773; third trimester AOR = 0.337; 95% CI: 0.228–0.498) and urban residence (AOR = 0.786; 95% CI: 0.652–0.947) were protective factors for antenatal depression among women. Conclusions About one in six pregnant women would experience depression, and special attention should be paid to some risk factors (i.e., early pregnancy, anxiety symptoms, somatic symptoms, rural residence). Online psychological assessments might be a time-saving and convenient screening method for pregnant women in obstetric clinics.

Profile of depression in women attending antenatal clinics in Blantyre District, Malawi

2017 ◽  
Vol 41 (S1) ◽  
pp. S419-S419
Author(s):  
G. Chorwe-Sungani ◽  
J. Chipps
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Psychosocial Support ◽  
Psychosocial Interventions ◽  
Antenatal Depression ◽  
Ethical Approval ◽  
History Of ◽  
Antenatal Clinics ◽  
Competing Interest ◽  
Associated Risk Factors

IntroductionDepression is one of major health problems affecting pregnant women in low resource settings. It can lead to poor uptake of antenatal services. Data about prevalence of antenatal depression and associated risk factors remain scanty in Malawi. The study settings were eight selected antenatal clinics in Blantyre district, Malawi. The aim of this study was to assess prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Blantyre district, Malawi.MethodsThis was a quantitative study which used a random sample of 97 pregnant women. Ethical approval was granted by relevant bodies. Descriptive and inferential statistics were used to analyse data.ResultsPrevalence of antenatal depression in Blantyre district was 25.8% (n = 25). Risk factors associated with antenatal depression included: “being distressed by anxiety or depression for more than two weeks during this pregnancy”; “feeling that pregnancy has been a positive experience”; “having a history of feeling miserable or depressed for two weeks or more before this pregnancy”; “relationship with partner is an emotionally supportive one”; “experiencing major stresses, changes or losses in the course of this pregnancy”; “having history of physical abuse when growing up”, and “having concerns about being or becoming a mother”.ConclusionThis study has shown that antenatal depression is prevalent in Malawi. It suggests that psychosocial interventions targeting pregnant women may be necessary to reduce antenatal depression and associated risk factors. However, further research regarding ways for assisting pregnant women to build and strengthen their psychosocial support structures is needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Domestic violence, food insecurity and mental health of pregnant women in the COVID-19 lockdown in Cape Town, South Africa

2020 ◽  
Author(s):  
Zulfa Abrahams ◽  
Sonet Boisits ◽  
Marguerite Schneider ◽  
Martin Prince ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
South Africa ◽  
Psychological Distress ◽  
Food Insecurity ◽  
Pregnant Women ◽  
Poisson Regression ◽  
Common Mental Disorders ◽  
Cape Town ◽  
Perinatal Women

Abstract Introduction Common mental disorders (CMD) such as depression and anxiety are associated with low household income, food insecurity and intimate partner violence in perinatal women. The national COVID-19 lockdown in South Africa resulted in increased levels of poverty and food insecurity. We aimed to explore the relationship between CMDs, food insecurity and experiences of violence among pregnant women during the COVID-19 lockdown.Methods Perinatal women, attending 14 healthcare facilities in Cape Town, were enrolled in the study during baseline data collection before the COVID-19 lockdown. During the lockdown period, fieldworkers telephonically contacted the perinatal women who were enrolled in the study and had provided contact details. The following data was collected from those who consented to the study: socio-demographic information, mental health assessment, food insecurity status and experiences of abuse. Poisson regression was used to model the associations of a number of risk factors with the occurrence of CMDs.Results Of the 2149 women enrolled in the ASSET study, 885 consented to the telephonic interviews. We found that 12.5% of women had probable CMDs and 43% were severely food insecure. Psychological distress increased significantly during the lockdown period, compared to before the COVID-19 outbreak. The strength of the association between key risk factors measured during the lockdown and psychological distress increased during the COVID-19 lockdown. Using multivariate Poisson regression modelling, we showed that the risk of CMDs was almost three times more likely in women who were severely food insecure or who experienced psychological or sexual abuse. Conclusions This study provides evidence of the effect of the COVID-19 lockdown on the mental health status of perinatal women living in low resource settings in Cape Town, and highlights how a crisis such as the COVID-19 lockdown amplifies the psycho-social risk factors associated with CMDs in perinatal women.

scholarly journals The Prevalence of Mental Health Problems and Associated Risk Factors among Military Health Workers of COVID-19 Specialized Hospitals in Wuhan, China: A Cross-Sectional Survey

2020 ◽  
Author(s):  
Xiao Pan ◽  
Ying Xiao ◽  
Ding Ren ◽  
Zhengmei Xu ◽  
Qian Zhang ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Health Workers ◽  
Somatic Symptoms ◽  
Generalized Anxiety ◽  
Poor Sleep ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Military Health ◽  
Patient Health

Abstract Background China has been severely affected by COVID-19 (Coronavirus Disease 2019) since December 2019.In the combat against COVID-19, military health workers in China suffered from many pressures. This study aimed to investigate the current psychological status and risk factors of the military health workers.Methods Using a web-based cross-sectional survey, we collected data from 194 military health workers from three inpatient wards in two COVID-19 specialized hospitals. The survey questions consisted of demographic information, Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-15 (PHQ-15). Hierarchical regression analysis was used to explore potential risk factors for mental health problem.Results The overall prevalence of depressive symptoms, generalized anxiety and somatic symptoms were37.6%, 32.5% and 50%, respectively. Severe depression, generalized anxiety and somatic symptoms was 5.2%, 3.6% and 15.5%. In 22.7% of cases, comorbidities existed between depression, generalized anxiety and somatization. Junior-grade professional title was associated with depression, older age was associated with generalized anxiety and somatization, and less sleep duration and poor sleep quality were associated with all three symptoms.Conclusion The prevalence of depression, generalized anxiety and somatic symptoms were high in military health workers of COVID-19 specialized hospitals during the COVID-19 outbreak. Junior-grade professional title, older age, less sleep duration, and poor sleep quality have significant effects on the mental health of military health workers. Continuous surveillance and monitoring of the psychological consequences of the COVID-19outbreak should become routine to promote the mental health of military health workers.

scholarly journals Cognitive–behavioral therapy-based intervention to treat symptoms of anxiety in pregnancy in a prenatal clinic using non-specialist providers in Pakistan: design of a randomised trial

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e037590 ◽  
Author(s):  
Pamela J Surkan ◽  
Syed Usman Hamdani ◽  
Zill-e Huma ◽  
Huma Nazir ◽  
Najia Atif ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Low Income ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Relaxation Techniques ◽  
Third Trimester ◽  
The Third

IntroductionPrenatal anxiety is a prevalent condition that is harmful for women and a strong predictor of postpartum depression. This trial assesses an intervention initiated in early pregnancy to mid pregnancy among women with clinical or subclinical symptoms of anxiety in Pakistan.Methods and analysisHappy Mother, Healthy Baby(HMHB) is a phase three, two-arm, single-blind, individual randomised clinical trial conducted in the outpatient department of Holy Family Hospital, a large public tertiary care facility affiliated with Rawalpindi Medical University (RMU). Pregnant women (enrolled at ≤22 weeks of gestation) receive six individual HMHB sessions based on cognitive–behavioral therapy (CBT) and relaxation techniques that are administered by non-specialist providers and tailored to address anxiety symptoms. Two to six booster sessions are given between the fifth consecutive weekly core session and the sixth core session that occurs in the third trimester. Apart from baseline data, data are collected in the third trimester, at birth and at 6-weeks postpartum. Primary outcomes include diagnoses of postpartum common mental disorders. Secondary outcomes include symptoms of anxiety and of depression, and birth outcomes including small-for-gestational age, low birth weight and preterm birth. An economic analysis will determine the cost effectiveness of the intervention.EthicsEthics approval was obtained from the Johns Hopkins Bloomberg School of Health Institutional Review Board (Baltimore, USA), the Human Development Research Foundation Ethics Committee (Islamabad, Pakistan), the RMU Institutional Research Forum (Rawalpindi, Pakistan) and the National Institute of Mental Health-appointed Global Mental Health Data Safety and Monitoring Board.DisseminationResults from this trial will build evidence for the efficacy of a CBT-based intervention for pregnant women delivered by non-specialised providers. Identification of an evidence-based intervention for anxiety starting in early pregnancy to mid pregnancy may be transferable for use and scale-up in other low-income and middle-income countries.Trial registration numberNCT03880032.

Prevalence and Significance of Social and Psychological Risk Factors During Pregnancy

1992 ◽  
Vol 8 (S1) ◽  
pp. 123-128 ◽  
Author(s):  
Gunilla Sydsjö
Keyword(s):  
Risk Factors ◽  
Child Development ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Psychosocial Problems ◽  
Psychological Risk Factors ◽  
Obstetrical Complications ◽  
Psychological Risk

AbstractModerate psychosocial problems identified during early pregnancy in 78 women were found to predispose for various “complications” during gestation, but not for prematurity or obstetrical complications during delivery. However, from a normal postnatal status the children of these mothers demonstrated a significantly unfavorable somatic, as well as psychomotoric development, until the age of 4. Pregnant women with certain psychosocial problems must be early identified and property attended to in order to preclude an adverse child development.

Sero-epidemiology of human T-cell lymphotropic viruses-1 and -2 infection among pregnant women attending Abuja Teaching Hospital, Nigeria

2021 ◽  
pp. 1-8
Author(s):  
Amos Dangana ◽  
Idris Nasir Abdullahi ◽  
Olasoji Matthew Adeyemi Billyrose ◽  
Anthony Uchenna Emeribe ◽  
Joel Monday Abu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Teaching Hospital ◽  
Hiv Infections ◽  
Demographic Variables ◽  
Enzyme Linked Immunosorbent Assay ◽  
Multiple Sexual Partners ◽  
Human T Cell ◽  
Increased Risk ◽  
History Of

BACKGROUND: There is the paucity of HTLV-1/-2 studies on Nigerian pregnant women despite the medical and public health significance of maternal-to-child transmission of HTLV-1/-2. OBJECTIVE: This study aims to determine the seroprevalence and risk factors of HTLV-1/-2 infections among pregnant women attending the University of Abuja Teaching Hospital (UATH), Abuja, Nigeria. MATERIALS AND METHODS: Blood samples were collected from consented pregnant women and analysed for ant-HTLV-1/-2 total antibodies using a commercial Enzyme-Linked Immunosorbent Assay (ELISA) kit. Pretested structured questionnaires were used to collate participants’ socio-demographic variables and risk factors of HTLV infection. RESULTS: Out of the 156 pregnant women tested for HTLV-1/-2 antibodies, 16 (10.3%) were seropositive. There was no significant association between the socio-demographic variables collated and seroprevalence of HTLV-1/-2 infection among pregnant women (p> 0.05). Pregnant women with HIV infection had a lower prevalence of HLTV-1/-2 infection than those without HIV infections (7.5% versus 11.7%). Pregnant women with multiple sexual partners had a higher risk of HTLV-1/-2 infection than those who had single (OR = 2.08, 95% CI: 0.53–8.18). Women with a history of needles injury had a higher risk of HTLV-1/-2 infection than those who do not (OR = 1.24, 95% CI: 0.38–4.08). The history of blood transfusion was significantly associated with HTLV-1/-2 infection (p= 0.027). However, no significant association existed between other risk factors of HTLV-1/-2 infection among pregnant women (p> 0.05). CONCLUSION: Considering the 3% pooled national prevalence of HTLV-1/-2 infection in Nigeria, the seroprevalence reported in this study is relatively high. Thus, there is a need for more large cohort studies and routine screening of population at increased risk of infection.

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