Pregnancy-related anxiety symptoms and associated factors amongst pregnant women attending a tertiary hospital in south-west Nigeria.

Journal: The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa

Volume: 27

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Mental Health, Faculty of Clinical Sciences, Obafemi Awolowo University, Ife-Ife, Osun State, Nigeria. Department of Obstetrics, Gynaecology and Perimatology, Faculty of Clinical Sciences, Obafemi Awolowo University, Ife-Ife, Osun State, Nigeria.

Abstract summary 

Pregnancy can be associated with anxiety symptoms because of anticipated uncertainty.This study investigated pregnancy-related anxiety symptoms (PRASs) and their associated factors amongst pregnant women.Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.This cross-sectional survey involved 230 pregnant women attending antenatal clinic at a tertiary teaching hospital in Nigeria. Pregnancy-related anxiety symptoms, maternal worries, personality traits and social support were measured by using Perinatal Anxiety Screening Scale (PASS), Cambridge Worry Scale (CWS), Big Five Personality Inventory (BFI-10) and Maternal Social Support Scale (MSSS) respectively. Socio-demographic and obstetric details were also obtained. The Chi-square, t-test and logistic regression were used.Respondents' mean age was 28.2 ± 5.4 years, whilst 192 (83.5%) were of Yoruba ethnicity. Twenty-four respondents (10.4%) were in the first trimester, 85 (37.0%) in the second and 121 (52.6%) in the third trimester. Some 154 (67.0%) were parous. The prevalence of PRAS and major maternal worries were 43.5% and 55.7% respectively. The socio-demographic factors significantly associated with PRAS were age ( = 0.004), ethnicity ( = 0.001), educational level ( = 0.011) and living arrangement ( = 0.029). Associated obstetric factors include trimester ( = 0.01), hypertension ( = 0.006), past miscarriage(s) ( = 0.013) and past pregnancy complication ( = 0.030). Significant psychosocial factors were partner social support ( = 0.038), maternal worries ( < 0.001) and extraversion ( = 0.016). Factors that contributed significantly to regression models were older maternal age and socio-medical worries.High level of PRAS and major maternal worries were common amongst antenatal clinic attendees of a tertiary teaching hospital in Nigeria. Older maternal age and socio-medical maternal worries are important predictors of PRAS.

Authors & Co-authors:  Akinsulore Adesanmi A Temidayo Akinfenwa M AM Oloniniyi Ibidunni O IO Olalekan Badejoko O BO Yetunde Oladimeji B OB

Study Outcome 

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Statistics
Citations :  Madhavanprabhakaran GK, D’Souza MS, Nairy KS. Prevalence of pregnancy anxiety and associated factors. Int J Afr Nur Sci. 2015;3:1–7. 10.1016/j.ijans.2015.06.002
Authors :  5
Identifiers
Doi : 1616
SSN : 1608-9685
Study Population
Women
Mesh Terms
Other Terms
Nigeria;anxiety;gynaecology;pregnancy;women
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
South Africa