RESUMO
Background: Depression is a common source of disability among women. Antenatal depression has been often overlooked and under diagnosed, throughout the world especially in the developing countries like India. This study was conducted to assess the mental health status of pregnant women attending the antenatal clinic in a tertiary health care hospital.Methods: A cross-sectional study was conducted over a period of three months among randomly selected pregnant women attending the antenatal clinic of a tertiary hospital. A total of 170 pregnant women formed the study subject. Data was collected using a pre-designed, pre-tested, semi-structured questionnaire and analysis was done using SPSS version 20.0.Results: Among the study population, the prevalence of depression was found to be 20.6%. Depression was significantly associated with the socio-economic status and education of the study subjects. Women with family discord were significantly more depressed than those with no discord. Unplanned pregnancy and preference of male child very significant factors for depression. Multiparity and bad obstetric history also showed a higher level of depression which was statistically significant.Conclusions: There is a significant prevalence of antenatal depression which needs screening and appropriate management. Maternal health policies must integrate maternal depression as a disorder of Public Health importance and interventions should target the pregnant women as early as possible.
RESUMO
Background: Doctors are supposed to lead healthier lifestyles and are usually assumed to have lower morbidity and mortality rates than general population due to their medical knowledge. However, recently a study conducted by the research cell of Indian Medical Association (IMA) concluded that doctors die younger and mostly due to cardiovascular diseases.Methods: A cross sectional study was conducted among 100 doctors in a medical college for duration of 3 months. Questionnaires were distributed, they were personally interviewed and required clinical examination was done. Data obtained was tabulated in MS Excel and analyzed using SPSS software. Risk of cardiovascular diseases, diabetes, stroke and obesity was estimated and its association with various determinants was seen.Results: Odds of having central obesity increases 10 times with BMI ≥25 kg/m2 as compared to <25 kg/m2. With risk ratio of 1.96, doctors are twice at risk of having BMI ≥25 as compared to general population. Number of people with higher risk of CVD increased after 45 years of age. People with at least one NCD outnumbered the people without any NCD, in the age group of 45-54 years and above. Insufficient physical activity is prevalent among 37% in this age group.Conclusions: This study gives an idea on impact of medical profession on lifestyle, outlook and attitude towards personal health among professional doctors. Initiatives must be taken to identify the causes of professional stress among doctors and measures must be taken to prevent them.
RESUMO
Background: Breastfeeding, proper weaning practices, and newborn care play a crucial role in the health of a child. The objective of the study is to determine the availability of information regarding breastfeeding, newborn care and immunization and to find out about the attitude of women towards newborn care practices.Methods: A cross-sectional observational study was conducted in a tertiary health care centre in an urban area in Navi Mumbai, on primigravidae in their third trimester of pregnancy. The data was collected by a questionnaire, results were analysed by EpiInfo7.Results: 93% women knew the benefits of breastfeeding, 92% knew of exclusive breastfeeding. 90% would initiate breastfeeding immediately after delivery, 83% would not give prelacteal feeds. 75% would practise skin-to-skin contact and 95% would practise rooming-in technique. 44% would delay bathing the newborn. 95% women received TT immunisation. All agreed to vaccinate their child. 19% believed traditional practices like applying kajal to eyes, prelacteal feeds etc. to be hazardous.Conclusions: The knowledge pregnant women have about breastfeeding and newborn care is inadequate. There is a need for intervention measures such as behavior-change-communication and better health services, to equip mothers so they may provide optimal care to their babies.