Relation between Antenatal Maternal Depression and Anxiety during Pregnancy and Neonatal Outcomes

Manal Mohamed Ahmed Ayed, Fatma El Zahra Kamal, Omaima Mahmoud, Safaa Mustafa Mohamed, Thorea Mohamed Mahmoud, Safaa Ibrahim Ahmed
2020 Egyptian Journal of Health Care  
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
more » ... evels 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 selfadministered 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.
doi:10.21608/ejhc.2020.119018 fatcat:xmvgw3f45nakrhdafnx6usklhy