Journal of Psychiatry

Depression and pregnancy outcome among Bangladeshi GDM and non-GDM subjects

5^th International Conference on Depression, Anxiety and Stress Management

November 05-06, 2018 Bangkok, Thailand

Khurshid Natasha and Azad Khan A K

Diabetic Association of Bangladesh, Bangladesh
Bangladesh Institute of Health Sciences, Bangladesh
Canadian University of Bangladesh, Bangladesh

Posters & Accepted Abstracts: J Psychiatry

Abstract:

Background & Aim: Data regarding Gestational-Diabetes-Mellitus (GDM) and depression in Bangladesh are inadequate. Both are predicted to deteriorate the health status for both. To find out the prevalence of depression among GDM and other associated factors and also to observe the pregnancy outcome were the principle objectives of this study. Method: 748 pregnant women participated in the case control study (366 with GDM, 382 without GDM). Depressive symptoms was scored following MADRS scale (0-12=not, 13-19=mild, 20-34=moderate, 35-60=severe). Blood glucose was measured on every visit following WHO and ACOG criteria. Other clinical, biological and biochemical parameters were measured following standard rule. Delivery procedure, birth weight and APGAR score at 1st and 5th minute were assessed for the neonate. Results: Prevalence of depression was 18.32%. The rate was higher in GDM subjects (25.92%) than non-GDM (n=382) subjects (7.73%). Over all mean depressive score was higher at three stages in GDM group. Largely the cause of depression was unknown. Worries about health were predominant in GDM group (3%) while the other causes did not vary much in both the groups. Family relationship (4.5%), financial factors (1.8%) and tension about fetus (2.7%) were the other causes of depression where family relationship was leading cause. Rate of caesarean section, number of live birth and birth weight was higher but APGAR score at three stages were lower in GDM group than non-GDM. Mean age, parity and birth weight of baby was higher but mean education years, mean APGAR scores at both time was lower in depressed groups (all three stages) than non-depressed. Conclusion: Important finding of this study was the elevated prevalence rate of depression in pregnancy which was greater than assumed. Developing countries do not focus much on mental health but it is becoming ultimate necessity for future especially in maternal health concern.

Biography :

E-mail: drnatasha1203@gmail.com