A Cross-sectional Study to Assess the Anxiety and Depression among Perinatal Mothers during the COVID-19 Pandemic
Payal B Ray, Mayoukh K Chakraborty, Suprokas Hazra
Antenatal, COVID-19, Perinatal outcome
Citation Information :
Ray PB, Chakraborty MK, Hazra S. A Cross-sectional Study to Assess the Anxiety and Depression among Perinatal Mothers during the COVID-19 Pandemic. J South Asian Feder Obs Gynae 2022; 14 (2):106-110.
Purpose: Pregnancy, with its associated hormonal changes, leads to an increased risk of mental health problems. These are likely to be worsened by the socioeconomic effects of the coronavirus disease-2019 (COVID-19) pandemic. This study aims to find out the proportion of anxiety and depression in perinatal women and the associated risk factors during the pandemic in India, where mental health is a neglected domain.
Methods: In a cross-sectional study spanning from March 2020 to July 2021, 124 patients who were pregnant or had delivered within 1 year were selected. The survey collected sociodemographic information and assessed the severity of anxiety and depression using the pretested and validated generalized anxiety disorder 7 and patient health questionnaire-9 (PHQ-9), respectively. The results were analyzed by suitable statistical tools and techniques.
Results: Elevated anxiety and depression symptoms compared to similar pre-pandemic perinatal cohorts were observed. Anxiety (GAD), depression and both anxiety and depression were diagnosed in 31 (25%), 36 (29.03%), and 21 (16.94%) participants, respectively. Higher symptoms of anxiety and depression were associated with more concern about threats of COVID-19 to the life of mother and baby, concerns about not getting necessary medical and obstetric care during the lockdown, social isolation, and unemployment during a pandemic. Support and compassionate behavior of treating doctor was associated with lower psychological symptoms.
Conclusion: COVID pandemic has had a definite impact on the mental health of perinatal mothers with elevated levels of anxiety and depression. So clinicians need to be more vigilant in this vulnerable group to facilitate early detection and management of anxiety and depression to prevent further morbidities in mother and her offspring.
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