Association of Psychological Wellbeing with Healthy Pregnancy, Maternal and Neonatal Outcomes in Pakistani Females
DOI:
https://doi.org/10.21649/akemu.v30i2.5428Keywords:
Psychological wellbeing, , maternal mental health, , pregnancy outcomesAbstract
Background: Maternal and neonatal health has always been a point of concern for policymakers in Pakistan, understanding all determinants resulting in adverse maternal or fetal outcomes is an essential point to eliminating risk factors and establishing better opportunities for survival for mothers and newborns. This study aims to evaluate the association of psychological wellbeing with pregnancy outcomes, and maternal and neonatal health in the Pakistani population.
Objective: To assess the psychological wellbeing in pregnant females and its association with pregnancy outcomes, maternal and neonatal health in Pakistani population.
Methods: This is a prospective, cohort study conducted at private antenatal care centers of Karachi from January 2022 till March 2023, the estimated sample size was 384. Kupposwami scale for socio-economic status, psychological assessment Wellbeing in pregnancy questionnaire and satisfaction With Life Scale (SWLS) were used to assess psychological wellbeing during pregnancy. Cross-tabulation and Paired sample t-test was used along with chi-square test, keeping the p-value ≤ 0.05 as significant.
Results: The mean results of the SWL score indicated minimal satisfaction with life with a 12.9 ± 8.1 mean value. Pre-term labor was reported in 37 (9.6%) and maternal mortality was reported in 9 (2.3%). low birth weight (<1500) was reported in 11 (2.8%) while small for gestational age was reported in 19 (4.9%), neonatal mortality was reported in 15(3.9%).
Conclusion: This study concludes that maternal mental health distress is independent risk factor for low birth weight, and preterm deliveries.
References
Musarandega R, Nyakura M, Machekano R, Pattinson R, Munjanja SP. Causes of maternal mortality in Sub-Saharan Africa: a systematic review of studies published from 2015 to 2020. Journal of Global Health. 2021;11.
Heitkamp A, Meulenbroek A, van Roosmalen J, Gebhardt S, Vollmer L, de Vries JI, Theron G, van den Akker T. Maternal mortality: near-miss events in middle-income countries, a systematic review. Bulletin of the World Health Organization. 2021 ;99(10):693.
Bauserman M, Thorsten VR, Nolen TL, Patterson J, Lokangaka A, Tshefu A, Patel AB, Hibberd PL, Garces AL, Figueroa L, Krebs NF. Maternal mortality in six low and lower-middle income countries from 2010 to 2018: risk factors and trends. Reproductive health. 2020;17:1-0.
Abbasi S, Younas M. Determinants of maternal mortality in Pakistan at a glance. Journal of Midwifery and Reproductive Health. 2015;3(3):430-2.
Neoh MJ, Airoldi L, Arshad Z, Bin Eid W, Esposito G, Dimitriou D. Mental health of mothers of children with neurodevelopmental and genetic disorders in Pakistan. Behavioral Sciences. 2022;12(6):161.
Insan N, Weke A, Rankin J, Forrest S. Perceptions and attitudes around perinatal mental health in Bangladesh, India and Pakistan: a systematic review of qualitative data. BMC Pregnancy and Childbirth. 2022;22(1):1-3.
Atif M, Halaki M, Raynes‐Greenow C, Chow CM. Perinatal depression in Pakistan: A systematic review and meta‐analysis. Birth. 2021;48(2):149-63.
García-Tizón Larroca S, Arévalo-Serrano J, Ruiz Minaya M, Paya Martinez P, Perez Fernandez Pacheco R, Lizarraga Bonelli S, De Leon Luis J. Maternal mortality trends in Spain during the 2000-2018 period: the role of maternal origin. BMC public health. 2022;22(1):337.
Shaeen SK, Tharwani ZH, Bilal W, Islam Z, Essar MY. Maternal mortality in Pakistan: challenges, efforts, and recommendations. Annals of Medicine and Surgery. 2022 :1:81.
Premji SS, Lalani S, Shaikh K, Mian A, Forcheh N, Dosani A, Letourneau N, Yim IS, Bhamani SS, MiGHT (Maternal-Infant Global Health Team—Collaborators in Research). Comorbid anxiety and depression among pregnant Pakistani women: higher rates, different vulnerability characteristics, and the role of perceived stress. International journal of environmental research and public health. 2020;17(19):7295.
Surkan PJ, Hamdani SU, Huma ZE, Nazir H, Atif N, Rowther AA, Chaudhri R, Zafar S, Mullany LC, Malik A, Rahman A. Cognitive–behavioral therapy-based intervention to treat symptoms of anxiety in pregnancy in a prenatal clinic using non-specialist providers in Pakistan: Design of a randomised trial. BMJ open. 2020;10(4):e037590.
Malik MA, Rohm LR, van Baal P, van Doorslaer EV. Improving maternal and child health in Pakistan: a programme evaluation using a difference in difference analysis. BMJ global health. 2021;6(12):e006453.
Insan N, Weke A, Rankin J, Forrest S. Perceptions and attitudes around perinatal mental health in Bangladesh, India and Pakistan: a systematic review of qualitative data. BMC Pregnancy and Childbirth. 2022;22(1):293.
Atif M, Halaki M, Raynes‐Greenow C, Chow CM. Perinatal depression in Pakistan: A systematic review and meta‐analysis. Birth. 202;48(2):149-63.
Wani RT. Socioeconomic status scales modified Kuppuswamy and Udai Pareekh's scale updated for 2019. Journal of family medicine and primary care. 2019;8(6):1846.
Khanjani M, Shahidi S, Fathabadi J, Mazaheri MA, Shokri O. Factor structure and psychometric properties of the Ryff’s scale of Psychological well-being, short form (18-item) among male and female students. Thoughts and Behavior in Clinical Psychology. 2014;9(32):27-36.
David KV, Pricilla RA, Venkatesan S, Rahman SP, Sy G, Vijayaselvi R. Outcomes of deliveries in a midwife-run labour room located at an urban health centre: results of a 5-year retrospective study. Natl Med J India. 2012;25(6):323-6.
Sebastian T, Yadav B, Jeyaseelan L, Vijayaselvi R, Jose R. Small for gestational age births among South Indian women: temporal trend and risk factors from 1996 to 2010. BMC pregnancy and childbirth. 2015;15(1):1-0.
Vijayaselvi R, Beck MM, Abraham A, Kurian S, Regi A, Rebekah G. Risk factors for stress during antenatal period among pregnant women in tertiary care hospital of Southern India. Journal of clinical and diagnostic research: JCDR. 2015;9(10):QC01.
Aneja J, Chavan BS, Huria A, Goel P, Kohli N, Chhabra P. Perceived stress and its psychological correlates in pregnant women: an Indian study. International Journal of Culture and Mental Health. 2018;11(3):268-79.
Gold KJ, Marcus SM. Effect of maternal mental illness on pregnancy outcomes. Expert Review of Obstetrics & Gynecology. 2008;3(3):391-401.
Schneid-Kofman N, Sheiner E, Levy A. Psychiatric illness and adverse pregnancy outcome. International Journal of Gynecology & Obstetrics. 2008;101(1):53-6.
Tanya Nagahawatte N, Goldenberg RL. Poverty, maternal health, and adverse pregnancy outcomes. Annals of the New York Academy of Sciences. 2008 ;1136(1):80-5.
Sarker BK, Rahman M, Rahman T, Rahman T, Khalil JJ, Hasan M, Rahman F, Ahmed A, Mitra DK, Mridha MK, Rahman A. Status of the WHO recommended timing and frequency of antenatal care visits in Northern Bangladesh. Plos one. 2020;15(11):e0241185.
Anwar J, Torvaldsen S, Morrell S, Taylor R. Maternal Mortality in a Rural District of Pakistan and Contributing Factors. Maternal and Child Health Journal. 2023 ;27(5):902-15.
Fuhr DC, Calvert C, Ronsmans C, Chandra PS, Sikander S, De Silva MJ, Patel V. Contribution of suicide and injuries to pregnancy-related mortality in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet Psychiatry. 2014;1(3):213-25.
Nisa SU, Shaikh AA, Kumar R, Soomro S. Maternal and fetal outcomes of pregnancy-related hypertensive disorders in a tertiary care hospital in Sukkur, Pakistan. Cureus. 2019;11(8).
Aftab F, Ahmed I, Ahmed S, Ali SM, Amenga-Etego S, Ariff S, Bahl R, Baqui AH, Begum N, Bhutta ZA, Biemba G. Direct maternal morbidity and the risk of pregnancy-related deaths, stillbirths, and neonatal deaths in South Asia and sub-Saharan Africa: A population-based prospective cohort study in 8 countries. PLoS medicine. 2021;18(6):e1003644.
Peter S, Abbas J, Aqeel M, Akhtar T, Farooq K. The moderating role of pregnancy status among coping strategies, depression, anxiety and stress across Pakistani married women. Foundation University Journal of Psychology. 2017;1(2):67-93.
Waqas A, Zubair M, Zia S, Meraj H, Aedma KK, Majeed MH, Naveed S. Psychosocial predictors of antenatal stress in Pakistan: perspectives from a developing country. BMC Research Notes. 2020;13(1):1-6.
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