Magnitude and determinants of psychological morbidities among pregnant women: Results from a pregnancy cohort in rural Central India.

Journal: Medical journal, Armed Forces India

Volume: 80

Issue: 2

Year of Publication: 

Affiliated Institutions:  Program Coordinator, VBOSM, Society for Community Health Awareness Research & Action (SOCHARA), Bengaluru, India. Professor (Community Medicine), Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India. Assistant Professor (Community Medicine), Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India. Professor & Head (Community Medicine), All India Institute of Medical Sciences, Nagpur, India. Professor & Head (Community Medicine), Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India. Associate Professor (Community Medicine), Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India. Director-Professor (Community Medicine), Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India.

Abstract summary 

Psychological morbidities are one of the emerging global health problems. It affects a considerable number of ante-natal women leading to consequences during the postnatal period as well. We conducted this research to study the magnitude and determinants of psychological morbidities during pregnancy.In this study, we included 650 pregnant women from an established cohort of 2500 pregnant women and assessed the psychological morbidities among them using the GMHAT/PC tool.The overall prevalence of psychological morbidities during pregnancy was 14.6%, with anxiety and depression being the leading ones. Low education levels, lower socio-economic status, unintended pregnancy, complicated previous pregnancy, lack of family and social support, and domestic violence increased the odds of psychological morbidity. On Multivariate logistic regression, Low education levels increased the odds to more than twice [illiterate/primary schooling OR: 4.00, p = 0.026; secondary schooling OR: 2.64, p = 0.034; high school OR: 2.60, p = 0.033] unintended pregnancy [OR: 1.91, p = 0.043] and lack of family support [OR: 7.19, p < 0.001] increased the odds of psychological morbidity among pregnant women.Bringing these issues to the mainstream and addressing them by developing interventions to address them during the lifecycle of a female will help to prevent episodes of psychological stress and morbidity among pregnant females.

Authors & Co-authors:  Ture Dambhare Mundra Raut Maliye Deshmukh Gupta Bharambe Garg

Study Outcome 

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Statistics
Citations :  World Health Organization . World Health Organization; Geneva: 2017. Depression and Other Common Mental Disorders Global Health Estimates.https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf PMID: 934574 Available from:
Authors :  9
Identifiers
Doi : 10.1016/j.mjafi.2022.05.008
SSN : 0377-1237
Study Population
Women,Female
Mesh Terms
Other Terms
Domestic violence;Education;Family support;Mental health;Pregnancy cohort;Unwanted pregnancy
Study Design
Study Approach
Country of Study
Publication Country
India