First Trimester Abortion and Psychiatric Morbidity.

Shreyashi Aryal, Rachana Sharma Basnet
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Abstract

Background: Early pregnancy loss is a traumatic event following which clients may experience psychological morbidities. Mental illness is associated with multiple obstetric and social factors surrounding the period of pregnancy loss. The aim of this study was to find the prevalence of depression and anxiety before and after undergoing spontaneous or induced first trimester abortion and to analyze demographic and obstetric factors associated with it.

Methods: This is an observational study conducted as Kathmandu Medical College (KMC) for a duration of one year from September 2022 to August 2023. All clients with abortion were screened for psychiatric morbidity using the The Hospital Anxiety and Depression Scale (HADS). Each client was assessed at first hospital visit and then at two weeks and two months following abortion. Level of anxiety and depression was analyzed in relation to socio-demographic factors and the type of abortion.

Results: 171 clients with pregnancy loss were enrolled. Pre-abortion, severe anxiety was present in 6(13%) clients with spontaneous abortion. Pre-abortion, mild to severe anxiety was present in 31 (67.3%) clients and at two weeks and two months in 11 (23.9%) and 11 (23.9%) clients respectively. In clients undergoing induced abortion, varying levels of anxiety was present in 54(43.2%) pre-abortion, and 48(38.4%) and 54(43.2%) clients at two weeks and two months. Mild to moderate depression was seen in 21 (45.6%) among spontaneous abortion and 51 (40.8%) clients among induced abortion. Mean score on HADS decreased with time.

Conclusions: Anxiety and depression were common following early pregnancy loss. Rate of anxiety seems to decrease with time in spontaneous abortion but in induced abortion it remains persistent. Rate of depression tends to decrease with time for both types of abortion.

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头胎流产与精神病发病率。
背景:早期妊娠流产是一种创伤性事件,患者在流产后可能会出现心理疾病。心理疾病与围绕妊娠流产期的多种产科和社会因素有关。本研究旨在了解自然流产或人工流产前后抑郁和焦虑的发生率,并分析与之相关的人口和产科因素:这是一项观察性研究,在加德满都医学院(KMC)进行,为期一年,从2022年9月至2023年8月。使用医院焦虑抑郁量表(HADS)对所有人工流产患者进行精神疾病筛查。每位患者在首次到医院就诊时接受评估,然后在流产后两周和两个月接受评估。焦虑和抑郁程度与社会人口因素和流产类型有关:结果:共登记了 171 名流产患者。6名(13%)自然流产患者在流产前存在严重焦虑。31名(67.3%)流产者在流产前存在轻度至重度焦虑,11名(23.9%)和11名(23.9%)流产者在流产两周和两个月后存在轻度至重度焦虑。在接受人工流产的患者中,54 人(43.2%)在流产前存在不同程度的焦虑,48 人(38.4%)和 54 人(43.2%)在流产两周和两个月后存在焦虑。自然流产患者中有 21 人(45.6%)患有轻度至中度抑郁症,人工流产患者中有 51 人(40.8%)患有轻度至中度抑郁症。HADS 的平均得分随着时间的推移而降低:结论:早孕流产后焦虑和抑郁很常见。在自然流产中,焦虑率似乎会随着时间的推移而降低,但在人工流产中,焦虑仍然持续存在。两种流产的抑郁率都会随着时间的推移而降低。
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
81
审稿时长
15 weeks
期刊介绍: The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.
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