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Prevalence and predictors of depression, anxiety, and stress symptoms among pregnant women during COVID-19-related lockdown in Abakaliki, Nigeria.
Nwafor, Johnbosco Ifunanya; Okedo-Alex, Ijeoma Nkem; Ikeotuonye, Arinze Chidiebele.
  • Nwafor JI; Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.
  • Okedo-Alex IN; Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.
  • Ikeotuonye AC; Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.
Malawi Med J ; 33(1): 54-58, 2021 03.
Article in English | MEDLINE | ID: covidwho-1369850
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ABSTRACT

Background:

Several studies have been published on the topic of COVID-19 and pregnancy over recent months. However, few studies have evaluated the impact of this pandemic on maternal mental health, particularly in low-resource settings.

Aim:

To determine the prevalence and predictors of COVID-19-related depression, anxiety and stress symptoms among pregnant women.

Methods:

This was a cross-sectional study that involved 456 pregnant women attending prenatal care at Abakaliki, Nigeria, during the COVID-19 lockdown. These patients were screened for psychological morbidities using the Depression Anxiety and Stress Scale-21 (DASS-21).

Results:

Severe and extremely severe depression were reported in 7.2% (n=33) and 6.4% (n=29) of participants, respectively. Analysis also revealed that 3.3% (n=15) and 7.7% (n=35) of women had severe and extremely severe anxiety, respectively. In total, 23% (n=105) of the participating women had severe stress while 16.7% (n=76) reported extremely severe stress. Multiparity (2-4) and occupation, such as trading and farming, were predictors of depression whereas grand-multiparity, urban residence, and trading, were identified as predictors of anxiety and stress.

Conclusion:

Symptoms of depression, anxiety and stress were relatively common among pregnant women during the COVID-19 lockdown in Abakaliki, Nigeria. There is a clear need to integrate screening for depression, anxiety and stress, in existing antenatal care programs so as to identify and prevent long-term adverse psychological outcomes related to the COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety Disorders / Pregnancy Complications / Stress, Psychological / Quarantine / Depression / Maternal Health / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Pregnancy Country/Region as subject: Africa Language: English Journal: Malawi Med J Year: 2021 Document Type: Article Affiliation country: Mmj.v33i1.8

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety Disorders / Pregnancy Complications / Stress, Psychological / Quarantine / Depression / Maternal Health / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Pregnancy Country/Region as subject: Africa Language: English Journal: Malawi Med J Year: 2021 Document Type: Article Affiliation country: Mmj.v33i1.8