Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Burden of depression and anxiety and its associated factors among pregnant women in Delhi
Charu Kohli, Neha Dahiya, Suneela Garg, Nandini Sharma

Last modified: 2018-08-07

Abstract


Background:

Maternal psychopathology during pregnancy is associated with a range of negative consequences for mother and child. The magnitude of this public health problem is still unknown. This study was planned to determine the prevalence and severity of anxiety and depression among pregnant women in a primary care health facility in Delhi, India

Materials and methods :

It was a cross-sectional study conducted in a primary care health facility in a resettlement colony in Delhi, India. 200 pregnant females who attended the health facility for ante natal check-up were included. Data was collected using a pre-tested semi structured questionnaire. Depression was screened using PRIME MD - Patient Health Questionnaire-9 scale while anxiety was screened using Generalised anxiety disorder (GAD-7) scale. Data was analyzed using SPSS version 17. Written informed consent was taken from all study participants. Chi-square/fisher’s exact test was used to determine any statistical significance. P value less than 0.05 was considered statistically significant. Prior ethical clearance was obtained from Institutional Ethics Committee. Those who were screened positive were counselled and referred to specialist for further management.

 

Results :

Mean age (+SD) of study participants was 23.52 + 2.81 years. A majority of study participants were illiterate (46%) and were housewives (93.5%). Overall prevalence of depression was 42.5%. 27 (13.5%) subjects were having mild depression, 26 (13%) had moderate depression, 8 (4%) had moderately severe depression and 24(12%) had severe depression. Depression was significantly higher among illiterate subjects and Hindus (p<0.05). Anxiety was found to be present among 42% of study subjects. 40 (20%) had mild anxiety, 18 (9%) had moderate anxiety and 26 (13%) had severe anxiety. Anxiety was significantly higher among those who were housewives and in those who were residing in joint family type (p<0.05). Only 2 (1.0%) subjects were known cases of depression and none of them were taking any medications.

 

Conclusions :

There is significant burden of depression and anxiety among pregnant women. There is urgent need to screening and appropriate management for them.

Acknowledgements :

The authors are grateful to all participants for their contribution.

 

 

Keywords

Depression, Factors, India