Psychosocial health status of pregnant women and their contributing factors in Simara PHC.

Thesis Report.

ABSTRACT: The research entitled " Psychosocial Health Status of Pregnant Women and their Contributing Factors in Simara PHCC" was done to assess the level of anxiety and depression among antenatal mothers visiting Simara PHCC, Bara District of Nepal. This is a multi staged descriptive and exploratory study. The fifth samples were selected by non-probability purposive sampling. The data were collected through interview schedule using the BAI and BDI along with semi structured proforma. Among fifty women regardless of their gestational age, thirteen had either anxiety or depression. Depression was present in 16% and anxiety in 10%.Among the symptoms of anxiety, the most common is discomfort in abdomen and dizzy, lightheaded and the least common is fainting. Likewise in depression tiredness and unable to work are the commonest symptom and by contrast desire to self-harm is the least common one. Among the 26% positive women, for BAI and BDI 92% were primi gravid and only 8% were multi gravid. Homemakers seem to be more prone for anxiety or depression as 85% of positive women were in this group only 15% were student. For 8% of them had economical freedom as they financed themselves for medical expenditure, rest of them were dependent on either husband or family. 8% positive women were using alcohol, most of them were preoccupied by the thoughts regarding future whereas anxious, about child. Their relation with spouse and family is not bad. More than two third had arrange marriage only one third had love marriage. Depression seems to be more common than anxiety. Trend of anxiety and depression appears to be high in traditional marriage system. Multi gravid women were easily adjusted to the stressors of pregnancy whereas nulliparous developed anxiety. Homemakers were also common to suffer from anxiety of depression.

Eng.