Vidhan Dipika, Rohilla Jitendra, Dhiman Vishal, Khoiwal Kavita
Psychiatry, Centre for Mental Health and Counselling-Nepal, Kathmandu, NPL.
Psychiatry, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus. 2025 Jun 22;17(6):e86541. doi: 10.7759/cureus.86541. eCollection 2025 Jun.
Background Anxiety and depressive symptoms are common during pregnancy, influencing obstetric outcomes. This cross-sectional study primarily aimed to assess the prevalence of anxiety and depressive symptoms in pregnancy and their association with obstetric outcomes. Another objective of the study was to determine the association of maternity social support and partner support during pregnancy with the final obstetric outcomes. Methods During the first phase (antenatal) of the study, anxiety, depressive symptoms, maternity social support, and partner support were assessed using structures and validated questionnaires, i.e., Generalized Anxiety Disorder scale (GAD-7), Edinburgh Postnatal Depression Scale, Maternity Social Support Scale, and Partner Support Scale, respectively. During phase II (post-partum), details on the mode of delivery, gender of the baby, gestational age at delivery, birth weight, and any complication(s) during delivery were noted. Results Out of a total of 104 study participants, anxiety and depressive symptoms were present in 17.3% (n=18) and 26.0% (n=27), respectively. The risk of low birth weight was increased with clinically significant antenatal anxiety symptoms (χ2 = 7.566, p=0.010) and depressive symptoms (χ2=4.323, p=0.038). A strong association was found between fetal maturity and maternity social support (χ2=26.269, p≤0.001). Conclusions The study results highlight the importance of routine mental health screening during pregnancy and timely interventions to improve maternal and neonatal outcomes.
焦虑和抑郁症状在孕期很常见，会影响产科结局。这项横断面研究主要旨在评估孕期焦虑和抑郁症状的患病率及其与产科结局的关联。该研究的另一个目的是确定孕期产妇社会支持和伴侣支持与最终产科结局的关联。方法：在研究的第一阶段（产前），分别使用结构化和经过验证的问卷，即广泛性焦虑障碍量表（GAD-7）、爱丁堡产后抑郁量表、产妇社会支持量表和伴侣支持量表，对焦虑、抑郁症状、产妇社会支持和伴侣支持进行评估。在第二阶段（产后），记录分娩方式、婴儿性别、分娩时的孕周、出生体重以及分娩期间的任何并发症等详细信息。结果：在总共104名研究参与者中，焦虑和抑郁症状的发生率分别为17.3%（n = 18）和26.0%（n = 27）。临床上显著的产前焦虑症状（χ2 = 7.566，p = 0.010）和抑郁症状（χ2 = 4.323，p = 0.038）会增加低出生体重的风险。发现胎儿成熟度与产妇社会支持之间存在密切关联（χ2 = 26.269，p≤0.001）。结论：研究结果强调了孕期常规心理健康筛查以及及时干预以改善母婴结局的重要性。
