Prevalence and predictors of depression, anxiety, and stress symptoms among pregnant women during COVID-19-related lockdown in Abakaliki, Nigeria.

Journal: Malawi medical journal : the journal of Medical Association of Malawi

Volume: 33

Issue: 1

Year of Publication: 2021

Affiliated Institutions:  Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria. Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.

Abstract summary 

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

Authors & Co-authors:  Nwafor Johnbosco Ifunanya JI Okedo-Alex Ijeoma Nkem IN Ikeotuonye Arinze Chidiebele AC

Study Outcome 

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Statistics
Citations :  Nwafor JI, Aniukwu JK, Anozie BO, Ikeotuonye AC, Okedo-Alex IN. Pregnant women's knowledge and practice of preventive measures against COVID-19 in a low-resource African setting. Int J Gynaecol Obstet. 2020;150(1):121–123. doi: 10.1002/ijgo.13186.
Authors :  3
Identifiers
Doi : 10.4314/mmj.v33i1.8
SSN : 1995-7270
Study Population
Women
Mesh Terms
Adult
Other Terms
COVID-19 pandemic;Pregnant women;anxiety;depression;stress
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
Malawi