Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Study on Mental Health Status among Pregnant Women and the Social Factors Influencing


Affiliations
1 Department of Community Medicine, J J M Medical College, Davangere, Karnataka, India
2 Department of Community Medicine, S S I M S & R C, Davangere, Karnataka, India
     

   Subscribe/Renew Journal


Context: Pregnancy is often considered as the golden period in woman's life. There are physical as well as mental stress faced by them during that period, while apparent physical problems are often addressed but the challenges related to mental health often go undiagnosed.

As a matter of fact, in India nearly 10-41% of women suffer from depression during gestation which causes significant morbidity for mother as well as the child.

Objectives:

1) To assess the mental health status among pregnant women.

2) To study the influence of social factors on their mental health.

Settings and Design: Study Design: Cross-sectional, Descriptive study.

Duration of study: 6 months (Jan 2011 to June 2011)

Participants: 300 pregnant women attending antenatal clinic of Chigateri General and Bapuji Hospital, Davangere.

Method and Material: Goldberg's 6 item general health questionnaires were used as a screening tool for the presence of mental illness. Hamilton's rating scales were used for the confirmation of anxiety and depression. A standard pre tested questionnaire was used to assess the social factors.

Statistical analysis used: Univariate analysis, Multiple logistic regression

Results: 300 pregnant women participated in the study. 150(50%) women were in the age group of 22 to 26 years. 204 (68%) women were mentally ill. Out of these 204 women 120(59%) were suffering from depression, 40(20%) were having anxiety and 44(21%) were having anxiety with depression. Bad obstetric history, type of family, associated illness, domestic violence and addiction of alcohol in husband were the common social factors responsible for the mental illness.

Conclusions: There is a need for more comprehensive antenatal program focusing on mental wellbeing.


Keywords

Mental Health Status, Hamilton Scale, Depression, Anxiety, Domestic Violence
Subscription Login to verify subscription
User
Notifications
Font Size


  • Gemmillb AW, Justin LB, Barara H, Bryanne B, Janette B, Jennufer E at al Antenatal risk factors for postnatal depression: A large prospective study. Journal of affective disorders 2008, l108 (1); 147-57.
  • Depression during pregnancy. Available on http:/ / www.epigee.org/pregnancy/depression.html. (assessed on 14/02/2011)
  • Maternal mental health and child health and development in low and middle income countries. Available on http://www.int/mental health/prevention/suicide/mmh_jan08- meeting_report.pdf. (Assessed on 14/02/2011).
  • Dietz PM, Williams SB, Callaghan WM, Backman DJ, Whitlock EP, Hornbrook MC. Clinically identified maternal depression before, during, and after pregnancies ending in live births. American Journal of Psychiatry2007:164; 1515-20.
  • Deborah G, Leslie M, Leighann F, Jane O, Courteney M. Mental health during pregnancy: A study comparing Asians, Caucasian and Native Hawaiian women. Maternal Child Health J. 2006:34-7.
  • Chandran M, et al. Post partum depression in a cohort of women from a rural area of Tamil Nadu, India. Incidence and risk factors. British journal of psychiatry 2002:181; 499-04.
  • Dominic TS, Alexander SKY, Helen KD, Tony YSL, Tony KHC. A psychiatric epidemiological study of postpartum Chinese women. AM J Psychiatry2001:150; 220-6.
  • Kaaya SF, Mbwambo JK, Kilonzo GP, VanDen BH, Leshabari MT, Fawzi MC et al Socioeconomic and partner relationship factors associated with antenatal depressive morbidity among pregnant women in Dares salaam, Tanzania. Tanzan J Health Res 2010; 12(1):23-35.
  • Bilszta JL, Tanq M, Meyer D, Milgrom J, Ericksen J, Buist AE. Single motherhood versus poor partner relationship: outcomes for antenatal health. Aust N Z J Psychiatry 2008; 42(1):56-65.
  • Nasreen HE, Kabir ZN, Forsell Y, edhborq M. Prevalence and associated factors of depression and anxiety symptoms during pregnancy: population based study in rural Bangladesh. BMC Women Health 2011; 11: 22-24.
  • Karmaliani R, Asad N, Bann CM, Moss N, Mcclure EM, Pasha O et al. Prevalence of anxiety, depression and associated factors among pregnant women of Hyderabad, Pakistan. Int J Soc Psychiatry 2009;55(5):414-24.
  • Gomez BA, Williams MA, Sanchez SE, Lam N. Intimate partner violence and risk for depression among postpartum women in Lima, Peru. Violence Vict2009; 24(3)380-98.

Abstract Views: 524

PDF Views: 0




  • A Study on Mental Health Status among Pregnant Women and the Social Factors Influencing

Abstract Views: 524  |  PDF Views: 0

Authors

Kusum S Mane
Department of Community Medicine, J J M Medical College, Davangere, Karnataka, India
A H Suryakantha
Department of Community Medicine, S S I M S & R C, Davangere, Karnataka, India

Abstract


Context: Pregnancy is often considered as the golden period in woman's life. There are physical as well as mental stress faced by them during that period, while apparent physical problems are often addressed but the challenges related to mental health often go undiagnosed.

As a matter of fact, in India nearly 10-41% of women suffer from depression during gestation which causes significant morbidity for mother as well as the child.

Objectives:

1) To assess the mental health status among pregnant women.

2) To study the influence of social factors on their mental health.

Settings and Design: Study Design: Cross-sectional, Descriptive study.

Duration of study: 6 months (Jan 2011 to June 2011)

Participants: 300 pregnant women attending antenatal clinic of Chigateri General and Bapuji Hospital, Davangere.

Method and Material: Goldberg's 6 item general health questionnaires were used as a screening tool for the presence of mental illness. Hamilton's rating scales were used for the confirmation of anxiety and depression. A standard pre tested questionnaire was used to assess the social factors.

Statistical analysis used: Univariate analysis, Multiple logistic regression

Results: 300 pregnant women participated in the study. 150(50%) women were in the age group of 22 to 26 years. 204 (68%) women were mentally ill. Out of these 204 women 120(59%) were suffering from depression, 40(20%) were having anxiety and 44(21%) were having anxiety with depression. Bad obstetric history, type of family, associated illness, domestic violence and addiction of alcohol in husband were the common social factors responsible for the mental illness.

Conclusions: There is a need for more comprehensive antenatal program focusing on mental wellbeing.


Keywords


Mental Health Status, Hamilton Scale, Depression, Anxiety, Domestic Violence

References