Anxiety Symptoms and Associated Factors among Outpatient Antenatal Mother: A Cross Sectional Study at University Malaya Medical Centre, Malaysia (original) (raw)
Related papers
2007
Pregnancy is perceived by many pregnant mothers as a period of happiness in anticipation of motherhood. Not all pregnant mothers experience cheerfulness as some may experience a high anxiety and depression level for unknown reasons. The purpose of this study was to determine the level of anxiety and depression among high risk pregnant women and the factors that contribute to their level of anxiety and depression. A descriptive cross-sectional study was conducted on 38 high risk mothers whose stay in hospital exceeded more than three days in the obstetric ward of Hospital Universiti Kebangsaan Malaysia. A self assessment questionnaire “Hospital Anxiety Depression scale” was used to measure the level of anxiety and depression among high risk pregnant women. Of the 38 participants, 16 (42.1%) women experienced a mild level of anxiety and 22 (57.9%) experienced a severe level of anxiety. Seventeen (44.7%) women was classified as having mild depression and 21 (55.3%) severe depression. T...
To Assess the Level of Anxiety and Coping Strategies Adopted by Antenatal Mothers
Journal of Pharmaceutical Research International
Background: Premature birth, a higher risk of developing hypertension and preeclampsia, and an increased risk of miscarriage or stillbirth have all been linked to general prenatal stress, according to numerous research. The link between pregnancy-related anxiety and negative pregnancy outcomes is well-established. Anxiety disorders are seen in 10% and 25% of pregnant women in industrialised and developing nations, respectively. Objective of the Study: 1.To assess the level of anxiety among antenatal mothers. 2. To assess the level of coping strategies among antenatal mothers, 3. To correlate anxiety and coping strategy of antenatal mothers. 4. To associate anxiety and coping strategy among antenatal mothers with demographic variables. Materials and Methods: A Descriptive research design study was undertaken to assess the level of anxiety and coping strategies adopted by antenatal mothers. In this study a total number of 100women who fulfill the inclusion criteria were selected. Modi...
BMC psychiatry, 2018
Research on antepartum psychiatric morbidities investigating depressive and anxiety symptoms in expectant mothers and fathers is lacking in low- and middle-income countries. This study aimed to estimate the prevalence of antepartum depressive, anxiety and co-occurring significant symptoms and explore the associated factors in a cross-section of Malaysian expectant mothers and fathers. We used cross-sectional data from a prospective cohort study of 911 expectant mothers and 587 expectant fathers during their third trimester of pregnancy, from health clinics of two states in the east and west coasts of Malaysia. The validated Malay version of Edinburgh Postnatal Depression Scale and the anxiety sub-scale of Depression, Anxiety and Stress Scale were used to measure the depressive and anxiety symptoms. Multiple logistic regression analyses identified the determinants of antepartum depressive and anxiety symptoms (ADS and AAS). Prevalence of ADS was 12.2% in expectant mothers and 8.4% in...
STRADA Jurnal Ilmiah Kesehatan, 2020
The cause of postpartum anxiety is still unknown. Many adverse developmental effects after anxiety can be caused to the mother, baby, and her family. The research aims to analyze factors related to postpartum anxiety level at Citra Insani Maternity Home, Semarang. This study used an analytic observational research design with a cross sectional approach. Sampling was conducted at the Citra Insani Maternity Hospital in Semarang City from February to March 2020 using purposive sampling. The study subjects are 40 postpartum mothers in the second day. The instrument used was a Postpartum Specific Anxiety Scale questionnaire. The factors studied were age, parity, education, employment status, and history of anemia. Data analysis was performed using the Chi-square test. The results is the majority of mothers experienced moderate anxiety (60%). Based on data analysis, there is no significant relationship between age, parity, education, employment status and history of anemia with postpartum...
Khyber Medical University Journal, 2019
To determine the frequency of anxiety and depression among pregnant women attending antenatal outpatient department of a public hospital based in Mardan, Pakistan. METHODS: This cross-sectional study was conducted at Bacha Khan Teaching Hospital and Mardan Medical Complex, Mardan from October 2017 to April 2018. The study included 212 pregnant women during their routine antenatal checkup with the gynecologist during all three trimesters of pregnancy. Convenience sampling method was used and structured interview was conducted to obtain demographic information. Hamilton Depression rating scale and Hamilton anxiety rating scale (HAM-A) was used to assess symptoms of depression and anxiety respectively. RESULTS: Out of 212 pregnant women, most were uneducated (n=96, 45.3%), housewives (n=182, 85.8%), from rural area (n=114, 53.8%), in 3rd trimester of pregnancy (n=132, 62.3%), having planned pregnancy (n=174, 82.1%) and desirous of male child (n=94, 44.3%). Mean age of women was 25.55±5.52 years. Mild depression was present among 68 (32.1%), moderate depression in 64 (30.2%), severe depression in 24 (11.3%) and very severe depression in 20 (9.4%) women. According to HAM-A scores, 70 (33%) of the participants scored in normal range, 44 (20.8%) lied in mild anxiety range, 62 (29.2%) lied in moderate anxiety while 36 (17%) lied in severe anxiety range. Levels of depression and anxiety were highest among women of third trimester. CONCLUSION: Frequency of anxiety and depression is very high among pregnant women in our study population. Majority were uneducated, housewives, having rural origin, in 3rd trimester and desirous of male child.
Pregnancy Anxiety and Associated Factors in Pregnant Women
Zahedan Journal of Research in Medical Sciences, 2021
Background: Pregnancy anxiety that threatens maternal mental health has a negative impact on pregnancy outcomes and can develop even in a healthy pregnant woman with no depression or anxiety problems. Objectives: The purpose of the present study was to investigate pregnancy anxiety and its related factors in pregnant women. Methods: This cross-sectional descriptive-analytical study was performed on 322 pregnant women who were registered at health centers from November 2018 to March 2018. A random sampling method was applied to select eight health centers in the city. Using the SIB system, 40 pregnant women were randomly selected in each center. Selected women who came to health centers to receive prenatal care filled out the revised version of the Farsi anxiety scale for pregnancy (F-ASP-R). Inclusion criteria were, having the ability to read and lack of psychological disorders requiring treatment. Data were analyzed by SPSS software version 18 and student t-test, analysis of varian...
International Journal of Women's Health
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.
https://www.ijhsr.org/IJHSR\_Vol.9\_Issue.3\_March2019/IJHSR\_Abstract.025.html, 2019
Background: Prenatal anxiety is a normal and natural experience. It can affect a person"s feelings, thoughts, behavior, and physical well-being. The majority of maternal deaths are due to hemorrhage, infection, unsafe abortion, and eclampsia which is due to knowledge deficit and anxiety. The objective of this study is to assess the level of prenatal anxiety among pregnant women visiting in ANC OPD at Paropakar Maternity and Women"s Hospital (PMWH). descriptive and inferential statistics. Findings; the finding revealed that mean age of the respondents were 24.68± 2.99 years. 39.5 % respondents were primi gravida. Less than fifty (40.9%) of respondents had minima l anxiety, 42.1% had mild to moderate level anxiety and least (16.9%) of the respondents had severe anxiety. The study showed that there is association between anxiety and gravida (p<0.05) of the respondents. Conclusion: Based on the findings present study revealed that less than fifty percentages of respondents had minimal and mild to moderate level of anxiety and least of the respondent had severe level of anxiety. There was significant association between level of anxiety and gravida of the respondents. Furthermore, it is concluded that prenatal anxiety has relation with the gravid of pregnant women.
Anxiety Levels among High-risk Pregnant Women in a Selected Hospital of Bagalkot
Background: Pregnancy at high risk is a worldwide health issue affecting patients across the world. Diagnosis of high-risk pregnancy causes severe emotional distress among patients. High-risk pregnant patients are more likely to experience depression, anxiety, and discomfort. This paper raises an important mind-body issue, since high-risk pregnancy women have faced anxiety worry. Anxiety is certainly elevated in high-risk pregnancies and psychological therapies are likely to reduce anxiety and increase the likelihood of pregnancy. The fear regarding the course of treatment, however, is less certain. Methods: A quantitative research approach was adopted for the present study. Convenience sampling technique was used to select 50 subjects. The paper pencil technique and generalized anxiety disorder scale was used for collecting data. Both inferential and descriptive statistics was used for data analysis. Results: Majority (76%) of respondents had mild anxiety levels, 10% had a moderate anxiety, and 14% had minimal anxiety levels. With a standard deviation of 5.21%, the total mean anxiety score was determined as 48.2%. To evaluate the association of sociodemographic factors and anxiety levels in pregnant women at risk, a Chi-square test was employed. Conclusion: The main concern of present decade is the psychological issues faced in high-risk pregnancy. Assessment of anxiety level in high-risk pregnant women will help to identify the prevalence of anxiety and raise awareness. A nurse can play a crucial role in educating high-risk pregnant women about anxiety management techniques.
Open Journal of Psychiatry, 2013
Objective: Anxiety is common among pregnant women. However, research attention in the area of reproductive mental health has mainly focused on postpartum depression in past decades. Given adverse outcomes of antenatal anxiety, there is an urgent need to fill the research gaps. The objectives of the present study were to determine the prevalence of antenatal anxiety symptoms and examine the risk factors and effects of anxiety symptoms in early pregnancy on anxiety and depressive symptoms in later pregnancy and early postpartum period. Methodology: A prospective longitudinal design with quantitative approach was adopted. A consecutive sample of 1470 Chinese pregnant women from hospitals in Hong Kong was invited to participate in the study and was assessed using standardized instruments on 3 time points including first and third trimesters of pregnancy and 6-week postpartum. Results: The results showed that 17.7% of pregnant women manifested anxiety symptoms in the first trimester of pregnancy. Single mothers, younger mothers, mothers who smoked before pregnancy and mothers who received low education level reported significantly higher levels of anxiety symptoms in the first trimester. Unwanted pregnancy, low self esteem, low marital satisfaction and perceived low social support were significant psychosocial risk factors for anxiety symptoms in the first trimester. Anxiety symptoms in the first trimester were independent predictors for anxiety symptoms in the third trimester (β = 0.26, t = 5.74, p < 0.001), however anxiety symptoms in the first trimester no longer significantly predicted anxiety and depressive symptoms in 6 weeks postpartum after adjusting for the effects of potential confounders. Discussions: The present study points to the need for greater research and clinical attention to antenatal anxiety given that antenatal anxiety is a prevalent problem and has serious impacts on maternal wellbeing. Such findings also contribute to the understanding of maternal anxiety and have implications for the design of effective identification, prevention and treatment of these significant clinical problems