Pregnancy-related psychological reactions among pregnant women followed-up at the Mermoz improved health post

Abstract

Introduction: The bodily and psychological changes of pregnancy can be a source of well-being, but also of vulnerability and psychological suffering. The aim of this study was to investigate pregnancy-related psychological reactions in Senegalese pregnant women. Methodology: This was a prospective, descriptive, and analytical study of pregnant women attended at the Mermoz Health Post in Dakar, Senegal from October 04, 2022, to December 26, 2022. We studied psychological reactions using the Brief Pregnancy Experience Scale, the Depression Anxiety Stress Scale 21, the Marital Support Scale, and the Rosenberg Self-Esteem Scale. Data were collected through semi-structured interviews. Results: The emotional experience of pregnancy was intense for both positive and negative pregnancy-related elements. Nonetheless, elements perceived as positive were more frequent and more intense. The prevalence of stress symptoms was 25%, depressive symptoms 53%, and anxiety symptoms 75%. The negative psychological impact was closely linked to risk factors such as young age, singlehood, low pregnancy experience (gestational age and parity), and low marital support. Also, low self-esteem in 53.1% of our population was correlated with low marital support. Conclusion: Most pregnant women report a positive pregnancy experience, but this positive feeling does not exclude high levels of stress, anxiety, and depression.