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Frequency of depressive illness in patients after a miscarriage at a private hospital

. Lubna Razzak , Sana Tariq , Ramna Devi, Rabiya Shabbir & Mahrukh Tariq


Abstract

Background:

Physiologically miscarriage simply means early loss of pregnancy while psychologically it may raise self-doubt about parental competencies, decrease self-esteem and may result in doubting one’s capability of being a parent. This study aims to assess the frequency of depressive illness in the post-miscarriage woman of Karachi, Pakistan and the associated determinants contributing the issue prevalence in a Pakistani woman

Methodology:

This is a cross-sectional study conducted in Zainab Panjwani memorial hospital, Karachi Pakistan. Demographic details including age, educational status, planning of pregnancy, awareness of pregnancy, parity, previous pregnancy outcomes, history of miscarriages,  mode of conception, social help and Edinburg postnatal depression scale (EPSD) was used as questionnaire.

Results:

The widely reported gestational age was 8 to 12 weeks, marking 97 (53.9%) of all study subjects.

Overall screening of Edinburg postnatal depression scale was categorized within four sections, Negative screening was reported from 109 (60.6%) of subjects, while 67 (37.2%) subjects showed positive results after evaluation. Borderline category represented subjects required social support to overcome their issues presented in 03 (1.7%) and only 1 (0.6%) subject was evaluated as fourth and last category of “need immediate help” and mentioned suicidal ideation.

Conclusion:

More focused studies with larger sample size and multiple centers are required to understand the socio-cultural problems helping neglect an important factor of psychological health.

Keywords: miscarriage, Depression, pregnancy loss

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