Depression and Anxiety. Depression and anxiety in women during physiological pregnancy.

The quality of prenatal care for women during pregnancy, in terms of monitoring somatic development, is generally high. The study aims to evaluate the psychosocial situation (well being) of pregnant women during a physiological pregnancy. The care of psychosocial issues of pregnant women is not systematic and often does not occur at all. Prenatal depression and anxiety are associated with an increased risk of depression even after delivery. To accomplish the goal, the authors chose both the modified Freybergh scale - the Sabbatsberg anxiety - frustration Self-Rating Scale (SDS) and a questionnaire created by the authors of this study. A total of 324 women from various regions were randomly approached, of which 277 were selected for the final evaluation. The scale contains seven categories, each with ten questions. Pregnant women repeatedly took the self-assessment over the duration of their pregnancy. The result is a summary point evaluation. The seven individual groups of questions focused on the evaluation of stress, fear, depression, regression, feelings of guilt, frustration, and aggression. The scale of answers to individual questions offered five options. The questionnaire itself had 14 monitored items and evaluated the difference in symptoms in women with and without psychological distress. The degree of psychological distress was processed using descriptive statistics. Furthermore, it was classified into four equal groups (175 points each), identified as none, mild, moderate and high deprivation. The adjusted effect of the monitored parameters on the psychological distress score was studied using a mixed model. The results of the study draw attention to psychological distress in pregnant women with physiological pregnancies. It is vital to monitor symptoms of psychological distress during physiological pregnancies. In addition, preventive prenatal programs to reduce or prevent psychological distress during pregnancies must be implemented and widely available.