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Leema ¹, Rohini Sehgal ¹, Suneeta Mittal ¹, Shobha ¹, V L Jindal ¹, Arvind Kumar ², Lalit

Affiliations
1 Department of OBG. AIIMS, New Delhi, IN
2 Indira Gandhi National Open University, New Delhi, IN

Abstract

Mental health problems during the pregnancy is very common which needs to be identified and should be treated to improve the functional capacity of new mothers. 250 primiparous young women in their reproductive age group were selected for the study out of which 239 women were analysed for the first follow up schedule and 226 women at 6 weeks postpartum. Most of the study group subjects are graduate/postgraduate and belonged to the upper middle class income group (according to Kuppuswami's socioeconomic status) and non-working. Hamilton Depression Rating and Beck Anxiety Inventory measures were used for depression and anxiety measurement for the subjects. Overall anxiety and depression level of new mothers were low since the base line registration i.e.13- 16 weeks of pregnancy and reduces over the time. Study shows that new mothers are anxious about the baby weight irrespective of gender of the neonates. Our study concludes that educated women are emanicipated to express their emotional and mental conflicts during the important life transitions such as pregnancy and child birth. A protective environment, adequate social support and cost effective medical treatment certainly reduces the perinatal anxiety and depression. Summing up it is evident that nature and nurture both contribute to life span development of human being.

Keywords

Neonatal Intensive Care Unit, Hamilton Depression Rating Scale, Beck Anxiety Inventory, Lost to Follow Up, Primiparous Department of Obstetrics Gynaecology, Indian Council of Medical Research, All India Institute of Medical Sciences

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Leema ¹, P. Vanamail ¹, Rohini Sehgal ¹, Alka Kriplani ¹

Affiliations
1 Department of Obstetrics & Gynecology, AIIMS, New Delhi, IN

Abstract

To achieve the goal of HIV free generation, it is essential to prevent the mother to child transmission. Aim of this study is to assess the level of understanding and status of HIV(human immunodeficiency virus)/AIDS(acquired immunodeficiency syndrome) among antenatal women in a tertiary health care centre New Delhi. It is an observational study with purposive sampling method.100 consented interviews were conducted by a semi structure interview schedule during the gestational period of (16-28) weeks of pregnancy. Maximum study participants belonged to the age group of (26-30) years mean age (26.3) SD 3.5years ranges from (19-36) years and major religion was Hindu. More than 50% respondents were professionals or graduates&postgraduates.54% women were multigravida as they conceived more than once. Mean family income was 24,270 per month (SD 21,714) it ranges from 4000 to 1 lac per month. Only 31% women knew HIV as a virus which causes AIDS, where as more than 53% participants had a correct concept about AIDS as disesase.58% respondents did not exactly know about HIV &37% about AIDS. 30% of pregnant mothers thought that breast milk could transmit HIV to infants but equal number of mothers' disagreed with the above said source of transmission.40% participants were in a state of dilemma about the breast milk and vaginal discharge as a carrier of HIV virus. All 100 pregnant women were screened for HIV ,but two of them did not get their test reports at the , time of interview. Out of 98 cases 4 were seropositive. Two women knew their status before pregnancy, one case was referred from a primary health centre ,only one case was diagnosed during the routine pregnancy care.39 spouses were screened with their consent out of which 2 diagnosed sero positive. In one case both husband &wife were seropositive but in another case wife found to be seronegative Statistically significant association was found between education of respondents, their family income and gravida

Keywords

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