Comparison of anxiety and depression between high risk and low risk pregnancy on antenatal care program in a tertiary hospital in Thailand

Abstract

© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND| 2020 Background: Anxiety and depression in pregnancy are important in public health care and could impact obstetrics outcomes especially in high risk pregnancies. Data about anxiety and depression is limited. Objective: The aim of this investigation was to compare anxiety and depression between high and low risk pregnancies in Thammasat University Hospital, Thailand. Materials and Methods: This study was conducted in the Maternal Fetal Medicine and Antenatal Care Clinics at Thammasat University Hospital between July 2019 and August 2019. The study was conducted as a cross sectional study. Two hundred Thai pregnant women were recruited. The pregnant women were categorized into high and low risk criteria in equal numbers and were divided into a study and control group. The Thai Hospital Anxiety and Depression Scale (HADS) was used to evaluate for anxiety and depression in all participants. Binary logistic regression analysis was then conducted. Results: Total of 200 women who met criteria for the study were recruited. They were divided into high and low risk groups. There were significant differences in gestational age, education, parity and prenatal invasive diagnostic procedures. Participants in the study group had more anxiety and depression score than the control group. Among high risk participants, prenatal invasive procedures (PIP), and placenta previa (PP) were risk factor for anxiety and depression, respectively. Twin pregnancy (Twins) was risk factor for both anxiety and depression. Conclusion: High risk pregnancies were associated with more anxiety and depression than low risk pregnancies. Twins was significant risk factor of both anxiety and depression while PIP and PP were risk factor for anxiety and depression, respectively.