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prevalence and determinants of postpartum anxiety among women availing health services at a rural maternity hospital in south India

Groups and Associations Christy Maria, Naveen Ramesh, Avita R Johnson, Priya M Prince, Aleena Rodrigues, Anu Lekha, Anju Elias
Journal of South Asian Federation of Obstetrics and Gynaecology 2021

ABSTRACT

Introduction: Anxiety is defined as a feeling of worry, nervousness, or unease about something with an uncertain outcome. Though depression is the leading cause of disability for women worldwide, there is a paucity of literature regarding postpartum anxiety among rural Indian women.

Aims and objectives: To estimate the prevalence of postpartum anxiety and its determinants among women availing health services at a rural maternity hospital in the Ramanagara district of south Karnataka.

Materials and methods: The study included 231 postpartum women from the second day of delivery to 6 months postpartum attending the rural maternity hospital.

Results: Our study consists of 46.7% of women belonging to 20–24 age-group and 76.2% belonging to lower middle/lower class. Prevalence of mild postpartum anxiety was found to be 88.17%, generalized anxiety being 10%, and severe anxiety as 1.3%. There was significant association between postpartum anxiety and depression (p-value = 0.00).

Conclusion: There is a need for screening women for mental ill-health during and after pregnancy. National programs should include these assessments at the primary healthcare level.