Abstract
Background: Anxiety and depression are more likely to occur during pregnancy. Anxiety during pregnancy is associatedwith negative outcomes in mothers and babies. Unfortunately, because anxiety is frequently used interchangeably withdepression, research focused purely on anxiety during pregnancy are not as extensive as those focusing on depression.Objectives: To evaluate the depression and anxiety during pregnancy and post pregnancy up to 3 months and also tostudy its impact on maternal health and foetal outcomes.Methods: All women presenting to antenatal outpatient are included in this study with standard questionnaire method.All those are followed up further for 3 months, post-pregnancy to evaluate the maternal and foetal health. A standardquestionnaire of depression and anxiety using Hospital anxiety and depression scale-HADS is given and the women atrisk are further evaluated with Edinburg post-natal depression scale-EPDS. Follow up is done to check foetal growth,any pre-term delivery, mode of delivery, birth weight and maternal complications to additionally evaluate maternal andfoetal outcomes.Results: According to HADS Score , Overall Anxiety was reported in 26% of the cases, in 8% it was borderline andin 18% it was severe anxiety. Overall Depression according to HADS was 30%, It was borderline in 8% and in 22% ofthe cases it was severe depression. The EPDS score in comparision with Gravida, Depression, HADS score for Anxietyand depression, Maternal and neonatal complications was statistically significant. HADS and EPDS reported similarpercentage of depression.Conclusion: Properly identifying the women who are at risk of developing prenatal anxiety and depression would allowus to target those who might benefit from preventative and supportive measures. Furthermore, identifying the women atrisk would allow us to monitor them throughout their pregnancy and recognise early signs of depression and anxiety asthey develop, allowing us to intervene therapeutically if necessary.Keywords: Antepartum, Post-partum, Anxiety, Depression, EPDS
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