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      Pregnancy-related anxiety symptoms and associated factors amongst pregnant women attending a tertiary hospital in south-west Nigeria

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          Abstract

          Background

          Pregnancy can be associated with anxiety symptoms because of anticipated uncertainty.

          Aim

          This study investigated pregnancy-related anxiety symptoms (PRASs) and their associated factors amongst pregnant women.

          Setting

          Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.

          Methods

          This cross-sectional survey involved 230 pregnant women attending antenatal clinic at a tertiary teaching hospital in Nigeria. Pregnancy-related anxiety symptoms, maternal worries, personality traits and social support were measured by using Perinatal Anxiety Screening Scale (PASS), Cambridge Worry Scale (CWS), Big Five Personality Inventory (BFI-10) and Maternal Social Support Scale (MSSS) respectively. Socio-demographic and obstetric details were also obtained. The Chi-square, t-test and logistic regression were used.

          Results

          Respondents’ mean age was 28.2 ± 5.4 years, whilst 192 (83.5%) were of Yoruba ethnicity. Twenty-four respondents (10.4%) were in the first trimester, 85 (37.0%) in the second and 121 (52.6%) in the third trimester. Some 154 (67.0%) were parous. The prevalence of PRAS and major maternal worries were 43.5% and 55.7% respectively. The socio-demographic factors significantly associated with PRAS were age ( p = 0.004), ethnicity ( p = 0.001), educational level ( p = 0.011) and living arrangement ( p = 0.029). Associated obstetric factors include trimester ( p = 0.01), hypertension ( p = 0.006), past miscarriage(s) ( p = 0.013) and past pregnancy complication ( p = 0.030). Significant psychosocial factors were partner social support ( p = 0.038), maternal worries ( p < 0.001) and extraversion ( p = 0.016). Factors that contributed significantly to regression models were older maternal age and socio-medical worries.

          Conclusion

          High level of PRAS and major maternal worries were common amongst antenatal clinic attendees of a tertiary teaching hospital in Nigeria. Older maternal age and socio-medical maternal worries are important predictors of PRAS.

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          Most cited references47

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          Measuring personality in one minute or less: A 10-item short version of the Big Five Inventory in English and German

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            Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice.

            To briefly review results of the latest research on the contributions of depression, anxiety, and stress exposures in pregnancy to adverse maternal and child outcomes, and to direct attention to new findings on pregnancy anxiety, a potent maternal risk factor. Anxiety, depression, and stress in pregnancy are risk factors for adverse outcomes for mothers and children. Anxiety in pregnancy is associated with shorter gestation and has adverse implications for fetal neurodevelopment and child outcomes. Anxiety about a particular pregnancy is especially potent. Chronic strain, exposure to racism, and depressive symptoms in mothers during pregnancy are associated with lower birth weight infants with consequences for infant development. These distinguishable risk factors and related pathways to distinct birth outcomes merit further investigation. This body of evidence, and the developing consensus regarding biological and behavioral mechanisms, sets the stage for a next era of psychiatric and collaborative interdisciplinary research on pregnancy to reduce the burden of maternal stress, depression, and anxiety in the perinatal period. It is critical to identify the signs, symptoms, and diagnostic thresholds that warrant prenatal intervention and to develop efficient, effective and ecologically valid screening and intervention strategies to be used widely.
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              Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: A population based study in rural Bangladesh

              Background Few studies have examined the associated factors of antepartum depressive and anxiety symptoms (ADS and AAS) in low-income countries, yet the World Health Organization identifies depressive disorders as the second leading cause of global disease burden by 2020. There is a paucity of research on mental disorders and their predictors among pregnant women in Bangladesh. This study aims to estimate the prevalence of depressive and anxiety symptoms and explore the associated factors in a cross-section of rural Bangladeshi pregnant women. Methods The study used cross-sectional data originating from a rural community-based prospective cohort study of 720 randomly selected women in their third trimester of pregnancy from a district of Bangladesh. The validated Bangla version of the Edinburgh Postnatal Depression Scale was used to measure ADS, and a trait anxiety inventory to assess general anxiety symptoms. Background information was collected using a structured questionnaire at the respondents' homes. Results Prevalence of ADS was 18% and AAS 29%. Women's literacy (OR 0.59, 95% CI 0.37-0.95), poor partner relationship (OR 2.23, 95% CI 3.37-3.62), forced sex (OR 1.95, 95% CI 1.01-3.75), physical violence by spouse (OR 1.69, 95% CI 1.02-2.80), and previous depression (OR 4.62 95% CI 2.72-7.85) were found to be associated with ADS. The associated factors of AAS were illiteracy, poor household economy, lack of practical support, physical partner violence, violence during pregnancy, and interaction between poor household economy and poor partner relationship. Conclusion Depressive and anxiety symptoms are found to occur commonly during pregnancy in Bangladesh, drawing attention to a need to screen for depression and anxiety during antenatal care. Policies aimed at encouraging practical support during pregnancy, reducing gender-based violence, supporting women with poor partner relationships, and identifying previous depression may ameliorate the potentially harmful consequences of antepartum depression and anxiety for the women and their family, particularly children.
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                Author and article information

                Journal
                S Afr J Psychiatr
                S Afr J Psychiatr
                SAJPsy
                The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa
                AOSIS
                1608-9685
                2078-6786
                19 March 2021
                2021
                : 27
                : 1616
                Affiliations
                [1 ]Department of Mental Health, Faculty of Clinical Sciences, Obafemi Awolowo University, Ife-Ife, Osun State, Nigeria
                [2 ]Department of Obstetrics, Gynaecology and Perimatology, Faculty of Clinical Sciences, Obafemi Awolowo University, Ife-Ife, Osun State, Nigeria
                Author notes
                Corresponding author: Adesanmi Akinsulore, sanmilore@ 123456oauife.edu.ng
                Author information
                https://orcid.org/0000-0001-7611-0458
                https://orcid.org/0000-0002-0913-3446
                https://orcid.org/0000-0002-2272-5155
                https://orcid.org/0000-0002-6995-1424
                https://orcid.org/0000-0002-4770-2443
                Article
                SAJPsy-27-1616
                10.4102/sajpsychiatry.v27i0.1616
                8007988
                33824759
                89f55548-4bf4-4e56-b429-2c0d316e2a5f
                © 2021. The Authors

                Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.

                History
                : 28 August 2020
                : 19 October 2020
                Categories
                Original Research

                pregnancy,anxiety,women,gynaecology,nigeria
                pregnancy, anxiety, women, gynaecology, nigeria

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