Pregnant Women In Bangalore

According to a systematic review, the prevalence of anxiety during pregnancy ranges; from 1% to 26% in low- and middle-income countries (LMICs). However, published literature on anxiety during pregnancy seems to be limited. In a systematic review of common mental health morbidities during the antenatal period; it was finding evidence from LMICs’ contribute to only 8% of include literature. The aim of this study was to determine the prevalence of anxiety and its determinants; among pregnant women availing of antenatal care at a public sector hospital in Bangalore.

A pregnant woman undergoes physiological as well as psychological changes; during this phase of life during which anxiety is a commonly face 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 limit. 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.

Presence of depression and anxiety

Pregnancy-related thoughts (PRT) scale was use 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 obtain by means of electronic data capture using an Android-based App.

Out of 380 pregnant women, 195 (55.7%); were found to have pregnancy-relate anxiety. Lower socioeconomic status, low social support and depression emerged as significant determinants of anxiety. The prevalence of anxiety was fairly high in the study population and is therefore an important public health concern. Pregnancy-related anxiety must be identified early during routine antenatal care to prevent any untoward pregnancy outcomes.

Adverse pregnancy outcomes

The prevalence of anxiety was fairly high in the study population and was strongly associated with lower socioeconomic status, low social support and depression. is important that pregnancy-related anxiety be identified and addressed during routine antenatal care to prevent associated adverse pregnancy outcomes.

Future research should be focus upon widespread; community- based studies to estimate prevalence of anxiety; in a general population of pregnant women as much of the estimates; in the current literature are derived from hospital-based studies. There is also a need to explore the neuro-endocrinal factors and physiologic pathways that could possibly be associated with antenatal anxiety.

The prevalence of anxiety

Among the psycho-social factors, low social support emerged as a significant predictor of anxiety. The association of anxiety with marital discord was weak; whereas none was seeing with a recent history of catastrophic events. While spousal violence is a known stressor, paradoxically, in the present study the prevalence of anxiety was seemingly lower in respondents who were victims; this may be ascribe to a respondent bias in the form of non-reporting; most likely due to fear apprehension or an associated social stigma.

Most cases of spousal violence go under-reported; the reported cases present the “tip of the iceberg.” Increased perceived social and partner support appear to decrease the risk for antenatal anxiety; as observed in other study settings. The prevalence of anxiety; was significantly higher among women who were depress in the present study. The co-morbid existence of depression and anxiety is frequently encounter; although the mechanism behind this and timing of which appears first is yet to be ascertained.