Depression, anxiety and stress of pregnancy among antenatal mothers in a tertiary level hospital, Kathmandu.

Thesis Report.

ABSTRACT: Depression, Anxiety and stress are common during pregnancy. Emotional aspect of pregnant women during antenatal care remains most of the time neglected, undetected and untreated in obstetric medicine. The objective of this study was to assess the depression, anxiety and stress of pregnancy among the antenatal mothers. Researcher conducted Cross-Sectional Descriptive Research Design using Depression, Anxiety and Stress Scale 21(DASS-21) and a structured interview questionnaire in observational study. Information was collected through interview technique from 244 pregnant mothers selected through non-probability convenient sampling. The data collection was done within four weeks of period from 9/02/2018 to 9/28/2018 only on working days. Firstly collected data entered into EPI DATA 3.1 and export to the statistical package for social science 22 version for further analysis. Descriptive statistics was used to assess the prevalence of depression, anxiety and stress of pregnancy and Inferential statistics, bivariate and multivariate logistic regression was done to determine the associated factors. Result showed prevalence of depression, anxiety and stress were 7.8%, 13.9% and 11.1% respectively. The factors strongly associated with depression was exposure to domestic violence (AOR=23.338 95% CI: 5.034-108.199).The factors strongly associated with anxiety were exposure to domestic violence (AOR=21.975 95% CI: 5.826-82.882) and not having balancediet on daily basis were (AOR=3.420 95% CI: 1.362-8.588). The factors strongly associated with stress was domestic violence (AOR=67.106 95% CI: 14.439-311.883). Based on the findings it could be concludedthat high prevalence of depression and anxiety of pregnancy were seen among antenatal mothers than stress of pregnancy.Routine mental and psychological screening during antenatal period and awareness health interventions are seems to be needed for antenatal mothers who had exposed to domestic violence to promote maternal and child health in Nepal. Key Words: depression, anxiety, stress, antenatal mothers