1.Case Control Study of Anxiety and Depression Among Patients with Miscarriage Compared to Those with Successful Pregnancy
Ng BK ; Chuah JN ; Lim PS ; Shuhaila A ; Marhani M ; Nor Azlin MI
Medicine and Health 2017;12(2):244-258
		                        		
		                        			
		                        			Miscarriage  is  one  of  the  most  common  complications  in  pregnancy.  There  is emerging evidence that psychological impact following miscarriage is not unusual. Understanding  the  magnitude  of  psychological  morbidity  is  important  in  the management of miscarriage. The main objective of this study was to compare the mean Hospital Anxiety and Depression Scale (HADS) score between women with miscarriage  and  women  with  successful  pregnancy  and  to  determine  the  socio-demographic  factor  and  clinical  characteristic  that  are  associated  with  anxiety and  depression.  A  descriptive  case  control  study  was  conducted  in  a  teaching hospital, over a period of 12-months (from October 2014 till September 2015). A total of 65 women were recruited with 32 women as the study group (miscarriage) and another 33 women as the control group (women with successful pregnancy). Mean  HADS-anxiety  score  was  higher  in  the  study  group  compared  to  control group  although  it  was  not  statistically  significant  (6.53 ±  3.427  vs  5.73 ±  2.875, p=0.309). Mean HADS-depression score was higher in the control group (4.34 ±2.695 vs 4.45 ± 3.073, p=0.878). Women with maternal age more than 35 years and history of previous miscarriage had a higher tendency of anxiety and depression with  higher  mean  HADS  score.  There  was  no  association  between  other  socio-demographic data and clinical characteristic with risk of anxiety and depression. As  conclusion,  there  was  no  significant  difference  in  women  with  miscarriage as  compared  to  those  with  successful  pregnancies,  although  older  women  with history of miscarriage had a preponderance to both disord
		                        		
		                        		
		                        		
		                        	
            
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