Relation between Antenatal Maternal Depression and Anxiety during Pregnancy and Neonatal Outcomes | ||
| Egyptian Journal of Health Care | ||
| Article 22, Volume 11, Issue 3, September 2020, Pages 330-349 PDF (418.93 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2020.119018 | ||
| Authors | ||
| Manal Mohamed Ahmed Ayed1; Fatma El Zahra Kamal1; Omaima Mahmoud2; Safaa Mustafa Mohamed3; Thorea Mohamed Mahmoud4; Safaa Ibrahim Ahmed5 | ||
| 1Pediatric Nursing Department, Faculty of Nursing, Sohag University, Egypt | ||
| 2Psychiatric Mental Health Nursing Department, Beni-Suef University, Egypt | ||
| 3Psychiatric Nursing Department, Faculty of Nursing, Sohag University, Egypt | ||
| 4Community Health Nursing Department, Faculty of Nursing, Sohag University, | ||
| 5Obstetric and Gynecology Nursing Department, Faculty of Nursing, Sohag University, Sohag, Egypt | ||
| Abstract | ||
| Background: The presence of psychological problems, including maternal depression and anxiety may harm fetal and neonatal growth. Depression and anxiety in pregnancy increase the liability for adverse fetal and newborn outcomes, including preterm birth. It was accompanied by abnormal infant development that extended to cognitive problems and psychopathology. This study aimed to analyze relation between antenatal maternal depression and anxiety during pregnancy and neonatal outcomes by assessing depression levels among pregnant women, identifying anxiety levels among pregnant women, and investigating the relation between antenatal maternal depression and anxiety during pregnancy and neonatal outcomes. Methods: A cross-sectional descriptive study included 216 pregnant women and their newborns from the Obstetrics and Gynecology ward at Sohag University Hospital and the Maternal and Child Health Center (Dar El–Salam Abed- Allah Health Center) at Sohag City. Tools: 1- A structured self administered questionnaire, anthropometric measurement tool, the Edinburgh Postnatal Depressive Scale (EPDS), the Beck Anxiety Inventory (BAI), and Apgar score sheet, were utilized for collecting the data. Results: Considering depression approximately one quarter of pregnant women had moderate depression symptoms during pregnancy, while three fifth had no depression symptoms and 16.0 of them had severe depression symptoms during pregnancy. As regard less than one fifth of pregnant women had mild level of anxiety, while three quarter of them had a moderate level of anxiety and less than one fifth of them had severe anxiety level during pregnancy. Statistically significant relationships were found between severe depression symptoms scores, anxiety and birth weight, weight-for-GA and length, prematurity less than one fifth, need for resuscitation one quarter, and need for admission to neonatal intensive care near one fifth. Conclusion: Pregnant women who are suffering from severe depression and anxiety symptoms during pregnancy, their babies were more liable to increase the need for neonatal resuscitation, increase the chance of preterm birth, have a low birth weight, and are small for gestational age. Recommendation: Providing pregnant women health educational programs about the effects of depression and anxiety on them and on their neonates, non pharmacological interventions are important treatments for depression or anxiety that focus on promoting a healthy lifestyle with adequate nutrition, exercise and sleep < /div> | ||
| Keywords | ||
| Pregnancy; maternal depression; maternal anxiety; neonatal outcomes | ||
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