Psychological Factors affecting Outcome of Pregnancy

Kumar, BK Shiva; Krishnamurthy, C. N.

doi:10.5958/2322-0422.2015.00010.7

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“…There is ample evidence that anxiety and similar mental conditions during pregnancy could increase the risk of adverse pregnancy outcomes and offspring neurodevelopment 5,6. The adverse outcomes include low birth weight, prolonged labour, preterm delivery and a higher incidence of caesarean section 7–10. When compared with general anxiety, pregnancy-related anxiety appears to be a stronger determinant for poor obstetric consequences 4…”

Section: Introductionmentioning

confidence: 99%

<p>The prevalence and determinants of pregnancy-related anxiety amongst pregnant women at less than 24 weeks of pregnancy in Bangalore, Southern India</p>

Nath¹,

Venkatesh²,

Balan³

et al. 2019

IJWH

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Background: A pregnant woman undergoes physiological as well as psychological changes during this phase of life during which anxiety is a commonly faced mental condition. There is sufficient evidence on the association of pregnancy specific anxiety with adverse pregnancy outcomes. Studies on anxiety during pregnancy from low and middle income countries are limited. Methods: This study included 380 pregnant women, having a confirmed pregnancy of less than 24 weeks without any obstetric complication, who were availing of antenatal care at a public sector hospital in Bangalore city. Pregnancy-related thoughts (PRT) scale was used to screen for anxiety. Details pertaining to sociodemographic data, obstetric history, psychosocial factors including social support, marital discord, domestic violence, consanguinity, history of catastrophic events, history of mental illness, current presence of depression and anxiety was obtained by means of electronic data capture using an Android-based App. Results: Out of 380 pregnant women, 195 (55.7%) were found to have pregnancy-related anxiety. Lower socioeconomic status, low social support and depression emerged as significant determinants of anxiety. Conclusion: The prevalence of anxiety was fairly high in the study population and isp therefore an important public health concern. Pregnancy-related anxiety must be identified early during routine antenatal care to prevent any untoward pregnancy outcomes.

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