scholarly journals Anxiety and depression in pregnancy: prevalence and associated risk factors among pregnant women attending antenatal clinic in Aminu Kano Teaching Hospital Kano, Nigeria

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Muktar Ahmed Gadanya ◽  
Aisha Aliyu Abulfathi ◽  
Fatima Adam Ahmad

Pregnancy is not considered as a pathological state, however pregnancy heightens the vulnerability to emotional and psychological condition such as anxiety and depression. Untreated depression and anxiety during pregnancy may have negative effects on both the mother and the fetus. The objective of this study was to estimate the prevalence and associated risk factors of anxiety and depression during pregnancy. Cross sectional descriptive study using systematic sampling technique was used to collect data among 297 pregnant women attending antenatal clinic in Aminu Kano Teaching Hospital, Kano. Data was collected using a structured questionnaire, Mini International Neuropsychiatric Interview (MINI 6.0). About one-third of the respondents were in the age group 20- 25 years. The prevalence of anxiety and depression during pregnancy were found to be 23.2% and 26.6% respectively. Risk factors that were significantly associated with anxiety during pregnancy were co-morbid depression during pregnancy (P=0.01), and partner abuse (P=0.04), with 37.5% anxious among those abused compared to 21.5% among those not abused. Risk factors associated with depression during pregnancy were co-existing medical condition (P=0.04) with 45.7% of respondents with coexisting medical condition found to be depressed compared to 24.0% without co-existing medical condition. Anxiety and depression in pregnancy were found to be prevalent among the study subjects. Measures to detect anxiety and depression during pregnancy especially in those with risk factors should be introduced during routine antenatal care.

2019 ◽  
Vol 45 (1) ◽  
pp. 76-82
Author(s):  
Beril Gürlek ◽  
Ülkü Mete Ural ◽  
Sibel Tuğcugil ◽  
Medeni Arpa ◽  
Özgür Önal

Abstract Objective Striae gravidarum (SG) is the most common dermatological defect in pregnancy leading to cosmetic anxiety with unknown etiopathogenesis. The aim of the study was to analyze the relation between serum elastin levels and striae and identify possible independent associated risk factors. Materials and methods This was a prospective observational study. In total, 138 primipara pregnant women were examined before delivery. Participants were separated into two groups according to the presence of SG. Striae assessment was performed according to Davey score. Before the active phase of labor patients were physically examined and blood samples were collected. Personal characteristics, features of birth, skin findings and serum elastin levels were compared between groups. Results Term pregnant women with SG had significantly higher serum elastin levels than those without SG (99.46 ± 32.92 vs. 88.36 ± 19.12, respectively; p = 0.018). Conclusions Serum elastin levels were increased in women with SG. However, the newly synthesized elastin may not be functional as it is thin and disorganized. Therefore, increased elastin production may not prevent the formation of striae. This finding may provide an impetus to explore the pathomechanisms of striae. Further controlled trials are warranted to determine the clinical significance of serum elastin levels in the formation of SG.


Med Phoenix ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 54-63
Author(s):  
Ravi Kumar Shah ◽  
Jagat Prasad Deep ◽  
Zarin Rahman ◽  
Pravin Shah ◽  
Neha Nayak ◽  
...  

Background: Anaemia in pregnancy is a global health challenge. It is the commonest medical disorder of pregnancy and a major cause of morbidity and mortality in developing countries. Main cause of anaemia in obstetrics is iron deficiency. There are specific risks for the mother and the fetus such as intrauterine growth retardation, prematurity, and blood transfusion. Hence, the importance of giving iron in the antenatal period and to be continued postnatally. Objectives: The study was conducted to determine the overall prevalence of anaemia among pregnant women presenting in third trimester and its effect on pregnancy outcome. Methods: This is a cross sectional descriptive study done at National Medical College & Teaching Hospital from September 2015 to August 2016. During the study period 2048 pregnant women attended antenatal clinic in third trimester. Among 2048, 1200 were booked cases and out of these women with haemoglobin less than 11gm/dl were labeled as anaemia. The prevalence was calculated along with the maternal and fetal outcome. Result: Among 2048, 1200 were booked cases, 368 (30.66%) were anemic, 66.30% were multigravida, 67.93% in age group of 21-30 years, 284 patients came for delivery. In 14.08% patients there was preterm labour, apgar score less than 7 in 66.19% babies. Majority of neonate weighed between 2.0 - 2.5kg (49.29%). Perinatal deaths were 2.81%. Conclusion: Anaemia in pregnancy need awareness about early and regular antenatal care with oral iron supplementation. Correction of anaemia will reduce the maternal and fetal complications.  


Author(s):  
Chibuzo Christian Uba ◽  
Moses Nkechukwu Ikegbunam ◽  
Emmanuel Chigozie Udegbunam ◽  
Chioma Abana ◽  
Stephen Nnaemeka Ezekwueche ◽  
...  

Each year, an estimated number of 300–500 million people are infected with malaria parasite, with an undesirable effect of over one million deaths. Pregnant women as well as young children, non-immune travellers visiting malaria-endemic zones are at the highest risk of suffering or experiencing life - threatening malaria infection. Maternal immunity, parasite density, parity, inadequate antenatal care services, drug misuse and abuse as well intermitted preventive treatment drug failure cum resistance are the most associated risk factors of malaria in pregnancy obtainable in endemic regions of sub-Saharan Africa. Identification and understanding of these factors will play a major role in reducing the burden as well as eliminating malaria disease among pregnant women living in endemic regions.


2019 ◽  
Vol 8 (2) ◽  
pp. 30-35
Author(s):  
R. Sharma ◽  
P. Thapa ◽  
P.K. Chakrabortty ◽  
J.B. Khattri ◽  
K. Ramesh

Introduction: Pregnancy increases the risk of various psychiatric illness including depression. Such illness can result in prematurity, low birth weight and mother-child bonding. Depression is more common in women who have had negative experiences in previous pregnancies, have prior history of psychiatric disorder or are experiencing stressful life events. Unfortunately, psychiatric disorders among pregnant women are still undiagnosed and untreated, especially in developing country like Nepal. The aim of this study was to find out the prevalence and correlates of depression in pregnancy. Material and Method: A cross-sectional, hospital based, descriptive study was conducted among 135 pregnant women attending Manipal Teaching Hospital’s antenatal clinic. Sociodemographic data and relevant clinical variables were collected using a predesigned proforma after obtaining informed written consent. The subjects were interviewed with Beck’s Depression Inventory (BDI). For the assessment of correlates, regression analysis was carried out. All statistical analyses were done using SPSS v 20.0. P values < 0.05 were considered significant. Results: The prevalence of depression was 13.3 % according to BDI with additional 19% fulfilling criteria of mild mood disturbance. Factors such as history of sub fertility, pregnancy-induced illness and presence of domestic violence were found to be statistically significant predictors of depression during pregnancy. Conclusion: Depression can occur frequently among pregnant women. Certain factors can be identified, which further increase the risk of such mental illnesses. Thus, pregnant women who are at high risk such as with pregnancy induced illness, have history of sub fertility, exposed to domestic violence etc., must be identified and diagnosed so that they can be treated timely.


2020 ◽  
Vol 21 (2) ◽  
pp. 123-131
Author(s):  
N.F. Nguemaïm ◽  
W.A. Takang ◽  
W.P. Dobgima ◽  
B.M. Guebidiang ◽  
P. Foumane ◽  
...  

Background: Toxoplasma gondii is a ubiquitous, coccidian parasite that causes toxoplasmosis. This infection, if acquired during pregnancy may result in severe damage. It affects a third of the world’s population. In many developing countries, its prevalence is unknown, and data concerning its seroprevalence among pregnant women is scarce in our study area. The objective of this study is to determine the seroprevalence of T. gondii infection and the associated risk factors among pregnant women attending the antenatal clinic (ANC) at the Bamenda Regional Hospital in Cameroon. The results obtained will be useful in giving an estimate of the prevalence among pregnant women thus informing policy on preventive measures. Methodology: This is a descriptive cross-sectional study of pregnant women recruited between January and April 2018 using systematic random sampling technique. Socio-demographic data of participants and predisposing factors to toxoplasmosis were collected using a pretested structured questionnaire administered to them. Five milliliters of blood were collected and the serum screened for IgG and IgM antibodies against T. gondii using the cassette and buffer immunochromatographic method. The positive IgG cases were tested further by ELISA technique. Data were analyzed using SPSS version 20. Associations between variables were tested by Chi square and p value < 0.05 was considered statistically significant.Results: Of 127 women tested, 44 were seropositive for IgG T. gondii infection (34.6%) by cassette and buffer method and only 1 with both IgG and IgM antibodies(0.8) were found among them with Elisa test. Pet ownership and handling of their litters were risk factors significantly associated with toxoplasmosis (p=0.013 and 0.006 respectively). Although the frequencies of consumption of raw dried meat and farming among the subjects were high, their associations with toxoplasmosis were not statistically significant.Conclusion: The overall seroprevalence of T. gondii antibodies among the pregnant women is still high compared with previous finding in the same area (34.6 % for IgG and 0.8% for IgG and IgM). Pet ownership and handling of their litters were risk factors significantly associated with toxoplasmosis in this study. Screening of pregnant women during ANC and treatment of positive cases, are necessary to prevent congenital infections in the newborn. Health education on how to minimize exposure to the risk factors should be given.Keywords: Risk factors, toxoplasmosis, congenital transmission, serological diagnosis.


2015 ◽  
Vol 15 (3) ◽  
pp. 147-154 ◽  
Author(s):  
Idris Abdullahi Nasir ◽  
Adekola Hafeez Aderinsayo ◽  
Hadiza Umar Mele ◽  
Maryam Muhammad Aliyu

2021 ◽  
Vol 18 (1) ◽  
pp. 19-25
Author(s):  
N. Enock ◽  
S.M. Pukuma ◽  
L.M. Augustine ◽  
L.B. Gundiri ◽  
N.M. Zamdayu ◽  
...  

This study determined the prevalence and associated risk factors of malaria infection among pregnant women attending antenatal clinic in Yola North, Adamawa State, Nigeria, between December 2017 and April 2018. Both direct microscopy and rapid diagnostic test were employed in this study to establish infection. Structured questionnaires were used to collect information from the participants. The study showed that 63 pregnant women were positive for malaria infection out of the 270 sampled. Overall malaria prevalence of 23.3% was recorded during this study. There was no significant association between malaria infection and the clinics sampled (p>0.05). Results have shown that the prevalence was relatively low, and this could be attributed to low transmission rate of malaria during dry season in Adamawa State. In relation to parity, prevalence of malaria were; primigravidae (21.6%), secundravidae (20.0%) and multigravidae (26.7%). Similarly, in relation to gestational age prevalence was first trimester (27.9%), second trimester (25.0%) and thirdtrimester (20.0%). There were no significant associations between malaria infection, parity and gestational age (p>0.05). The age-group 38 ≥ years had highest prevalence while 15-23 years had least. There was no significant association between malaria infection, educational level and occupation (p>0.05). Relating to the participants occupation, prevalence of malaria was reported as 30.0, 22.9 and 23.5% for civil servants, unemployed and business respectively. It is therefore recommended that early attendance and utilization of focused antenatal care services by all pregnant women will reduce the risk of malaria in pregnancy. Keywords: Risk factors; malaria; pregnant women; antenatal; Yola North.


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