Background: Another risk factor in impending preterm birth is the individual's psychological state.
The goal of this study is to see how depression, anxiety, and stress affect pregnancy outcomes and newborn health, as well as the effect of progesterone therapy on the psychological status of pregnant women who are at risk of premature delivery.
During their third trimester, forty-one pregnant women with indicators of imminent preterm birth and forty controls completed three questionnaires: a socioeconomic survey, the Depression, Anxiety, and Stress Scale (DASS), and the Edinburgh Postnatal Depression Scale (EPDS). The study group completed the DASS and EPDS questionnaires again five days after starting progesterone medication. The gestational week at delivery, the neonate's birth weight, and admission to the neonatal critical care unit were the outcomes.
Higher DASS and EPDS scores predicted a delivery in the first few weeks of pregnancy. High anxiety levels throughout pregnancy were linked to reduced neonatal birth weight. Pregnant women with high levels of worry and stress had a higher rate of neonates admitted to the intensive care unit. On the sixth day following the start of progesterone medication, the DASS and EPDS scores were significantly lower.
Conclusion: Depressive, anxiety, and stress symptoms are linked to preterm birth, low birth weight babies, and admission to the critical care unit. By positively altering a pregnant woman's psychological status, progesterone therapy can help to delay preterm delivery.
Author(s) Details:
Elena Djakovic,
University Clinic for Gynecology and Obstetrics 'Narodni Front,' Belgrade,
Serbia.
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