Document Type : Original Article
Authors
1
Student Research Committee, Health research Center, Baol University of Medical Scineces, Babol, Iran
2
Obstetrics and Gynecology, Population, Family and Spiritual Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
3
Psychiatry Department, Babol University of Medical Sciences
4
Immunology and serology, Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
5
Statistics, Babol University of Medical Sciences, Baobol, Iran
6
Department of Obstetrics and Gynecology, Babol University of Medical Sciences, Babol, Iran
7
BabolUniversity of Medical Sciences
10.22074/ijfs.2024.2009999.1527
Abstract
Background: Threatened abortion (TA) is associated with adverse pregnancy outcomes. Despite the attention paid to the adverse outcomes of obstetrics, only a few studies have been conducted on the psychological status of women with threatened abortion. This study aimed to compare the symptoms of depression and anxiety in women with threatened abortion and those without threatened abortion.
Materials and Methods: In a case-control study, 136 women with threatened abortion (the case group) and 136 women without threatened abortion (the control group), were matched with the case group in terms of gestational age, education level, age, and number of pregnancies, were examined from Obstetric clinics of Babol University of Medical Sciences. Demographic information and pregnancy history were obtained from all participants. Additionally, the women filled out the BSI-18 questionnaire. Statistical analysis was performed using SPSS version 22 software.
Results: The results showed that in women with threatened abortion, the likelihood of experiencing depression symptoms was 1.9 times higher (OR=1.91, 95% CI=1.13-3.23, P=0.01), anxiety symptoms were 1.8 times higher (OR=1.83, 95% CI=1.08-3.10, P=0.02), and somatization was 2.6 times higher (OR=2.65, 95% CI=1.61-4.37, P<0.001) compared to pregnant women without threatened abortion. Additionally, in women with threatened abortion, the risk of psychological distress was 3.3 times higher (OR=3.30, 95% CI=1.96-5.56, P<0.001) than in women without threatened abortion.
Conclusion: This study suggests that gynecologists, midwives, and healthcare providers, in addition to providing medical care for women threatened with abortion, should identify women at risk of experiencing symptoms of depression and anxiety. Providing appropriate psychological support should be prioritized in the management of women with threatened abortion.
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