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PSYCHOLOGICAL MORBIDITY IN PREGNANCY DURING COVID-19 LOCKDOWN
European Journal of Molecular and Clinical Medicine ; 9(1):46-53, 2022.
Article in English | EMBASE | ID: covidwho-1663256
ABSTRACT

AIM:

Study aimed to assess the burden of psychological morbidity due to lockdown in the pregnant females. MATERIAL AND

METHODS:

It was an observational study conducted in the department of obstetrics & gynecology, GMC Kathua during the covid lockdown period from June 2020 to August 2020. 100 antenatal patients attending OPD were included in the study after excluding those with hypertension, diabetes, heart disease, bleeding pv,IUGR,oligohydramnios,threatened preterm labour, known psychiatric illness or taking psychotropic medication, prior sleep disorder. The patients were assessed using a questionnairewhich was framed using various scales such as PHQ-9 for Depression, GAD7 for anxiety, Perceived Stress Scale and Insomnia severity index , in addition to incorporating various sociodemographic and obstetrical details.The arbitrary division of PHQ- 9 scores into ratings of minimal (0-4),mild (5-9), and moderate to severe depression (≥10) suggested by Reddy et al. was used in this study. Cutoff points of 5, 10, and 15 were interpreted as representing mild, moderate, and severe levels of anxiety on the Generalized Anxiety Disorder-7 (GAD-7). Insomnia severity index scored on a fivepoint Likert's scale (0 = no problem to 4 = very severe problem). Score of 0-7 depicted absence of insomnia, 8-14 showedsubthreshold insomnia, 15-21 represented moderate, and 22-28 showed severe insomnia.

RESULTS:

The total number of pregnant females analyzed in the study were 100. The age of the patients ranged from 18 years to 36 years, with mean age being 25.65 years. On analyzing Perceived stress scale,66% had low stress levels, 27% had moderate while 7% had high stress levels. Also 31 subjects(31%) had anxiety as depicted by their scores above cut off of 8. 20 patients(20%) had moderate insomnia and 45% had severe insomnia. Mild depression as diagnosed by PHQ-9 score 5-9 was found in 33 subjects (33%) whereas moderate to severe depression (PHQ-9 score greater than10) was seen in 10 subjects(10%).

CONCLUSION:

We can conclude that the main worries of pregnant women are related to threats to their lives and their baby's health because of the unknown causes of the pandemic. It is important to know that the changes in maternity care have a negative impact on them and they need more support to pass over this period.
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Collection: Databases of international organizations Database: EMBASE Language: English Journal: European Journal of Molecular and Clinical Medicine Year: 2022 Document Type: Article

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Collection: Databases of international organizations Database: EMBASE Language: English Journal: European Journal of Molecular and Clinical Medicine Year: 2022 Document Type: Article