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Mental Health Outcome After Habitual Miscarriage

. Sara Sadiq, Nasima Iqbal , Nuzhat Malik Awan, Nadia Nawaz, Shaima Sultana Memon and Javeria Latif


Abstract

Habitual miscarriage has been reported as a traumatic event for women leading to severe mental distress and affect quality of life (QoL). Unfortunately, little or no attention is given towards it even not by the health care providers so the aims of current study are to find out the prevalence of stress, anxiety and depression among the women having history of habitual miscarriage their association and the coping strategies. A cross-sectional study was conducted in Obstetrics and Gynecology department of Ziauddin Hospital from July 2020 to December 2020. A detailed proforma along with Depression, Anxiety, and Stress Scale (DASS-21) was used. Coping-scale was used to identify the coping strategies. SPSS version 20 was used. P-value less than 0.05 was considered as significant. The mean maternal age was 28.86 ± 4.45 years. p-value reported a highly significant association between DASS 21 score and habitual miscarriage. Beside this, DASS 21 score has a significant association with the maternal and paternal age. The analysis showed that the female experienced more stress, anxiety and depression if their male counterpart is from the older age group. The female who were having more BMI, facing high level of stress, anxiety or depression. Post-hoc Tuckey’s test found significantly higher DASS 21 score among the women who were having a positive family history of miscarriages. Looking over the coping strategies, the majority of study participants were in the state of avoidance coping. It can be concluded that frequent miscarriages increase the burden of mental distress among women with a higher level of avoidance coping attitude.

 

Index Terms- Habitual miscarriage, Mental distress, Post-traumatic stress

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