Abstract
OBJECTIVE: To determine the frequency of anxiety and depression among
pregnant women attending antenatal out-patient 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.
Ejaz Gul, Pirzada Muhammad Muneeb, Mukhtiar Ul Haq Azeemi, Muhammad Abbas Khan, Sumaira Shah. (2019) ANTENATAL ANXIETY AND DEPRESSION AMONG PREGNANT WOMEN ATTENDING TERTIARY CARE HOSPITAL, MARDAN, PAKISTAN, KHYBER MEDICAL UNIVERSITY JOURNAL, Volume 11, Issue 3.
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