Psychological impact of Pregnancy and Health-Seeking Behaviours among Women Attending Antenatal Clinic at Southwest Hospital, Nigeria

Main Article Content

Sunday Oluwafemi Omoniyi
Adekemi A. Adelani
Precious Ikpeama
Mary Paul
Kofoworola Ishola
Oluwatosin Oguntoye
Emmanuel Ejembi Anyebe

Abstract

Background: Pregnancy can significantly affect a woman's mental health due to a combination of hormonal, emotional, and social changes. The study assessed the psychological impact of pregnancy on women attending Antenatal Clinics in a Southwest Hospital, Nigeria.


Method: Descriptive cross-sectional design was adopted, involving 166 pregnant women selected but 160 were valid for analysis. Through purposive and simple random sampling techniques. Data were collected using an adopted questionnaire and were analysed using the Statistical Package for Social Sciences (SPSS) version 25. Inferential statistics were conducted using Chi-square tests to examined significant relationships among categorical variables with p-value <0.05 considered statistically significant.


Results: Findings revealed that participants reported experienced pregnancy loss/complications due to stress 13(8.1%), anxious 81(50.6%), worry 53(33.1%), and depressed 28(17.5%). Health-seeking behaviors were high, with 71 (44.4%) of participants indicated they had practical support during pregnancy. Worth of noting, nearly all, 147(91.9%), of them established that they did not have access to mental health care. Participants revealed that they frequently experience sudden extreme fear/discomfort (mean=2.60), difficulty sleeping even when they had chance to sleep (9mean=2.70) followed by difficulty adjusting to recent changes (Mean=2.70) were perceived as mental health problems that affected QoL. Significant connections were identified between problem with drugs/kola-nut among the pregnant women and their quality of life (P < 0.05),


Conclusion: based on the findings of the study it was concluded that mental health problems significantly affect the quality of life during pregnancy. The study recommend that mental health screenings should be integrated into antenatal care.

Downloads

Download data is not yet available.

Article Details

Section

Original Articles

How to Cite

Omoniyi, S. O., Adelani , A. . ., Ikpeama, P. . ., Paul, M. ., Ishola, K. ., Oguntoye, O. ., & Anyebe, . E. . (2025). Psychological impact of Pregnancy and Health-Seeking Behaviours among Women Attending Antenatal Clinic at Southwest Hospital, Nigeria. The Nigerian Health Journal, 25(2), 858-868. https://doi.org/10.71637/tnhj.v25i2.1105

References

1.Wegbom, A.I.; Edet, C.K.; Ogba, A.A.; Osaro, B.O.; Harry, A.M.; Pepple, B.G.; Fagbamigbe, A.F. Determinants of Depression, Anxiety, and Stress among Pregnant Women Attending Tertiary Hospitals in Urban Centers, Nigeria. Women 2023, 3, 41–52. https://doi.org/10.3390/ women3010003

2.Esan DT, Janet A, Israel Fawole, & Oluwadamilare Coping experience among pregnant women in Ekiti state Nigeria Jan; 11(1): 23 33. doi: 10.30476/IJCBNM.2022.96739.2147PMCID: PMC9839976PMID: 36650848 https://doi.org/10.1016/j.mjafi.2022.05.008.(https://www.sciencedirect.com/science/article/pii/S037712372200077

3.Arnal-Remón, B., Moreno-Rosset, C., Ramírez-Uclés, I., & Antequera-Jurado, R. Assessing depression, anxiety and couple psychological well-being in pregnancy: A preliminary study. Journal of Reproductive and Infant Psychology, 2015 33(2), 128–139.‏ https://doi.org/10.1080/02646838.2014.986648

4.Izuka, E.O., Iyidobu, T.O., Obiora-Izuka, C.E., Enebe, J.T., Onyeabochukwu, A.D., Nkwo, P.O., Nwagha UI. Evaluation of anxiety and depression among pregnant women in Enugu, Nigeria (2023). Journal of Clinical Practice 26(9):1368-1376. doi: 10.4103/njcp.njcp_196_23.

5.Brunton, R.J., Wood, T., & Dryer, R. Childhood abuse, Pregnancy-related anxiety and the mediating role of resilience and social support. Journal of health psychology 2020, 27(1). DoI:10.1177/1359105320968140

6.Tang, X.; Lu, Z.; Hu, D.; Zhong, X. Influencing factors for prenatal stress, anxiety and depression in early pregnancy among women in Chongqing, China. J. Affect. Disord. 2019, 253, 292–302.

7.Saridi M, Toska A, Latsou D, Chondropoulou MA, Matsioula A, Sarafis P Assessment of quality of life and psycho-emotional burden in pregnant women in Greece 2022, European Journal of Midwifery https://doi.org/10.18332/ejm/145963

8.Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women Birth. 2015 Sep;28(3):179-93. doi: 10.1016/j.wombi.2015.02.003. Epub 2015 Mar 9. PMID: 25765470.

9.Priya, A, Chaturvedi, S, Bhasin, SK, Bhatia, MS, Radhakrishnan, Depression [anxiety and stress among pregnant women: A community-based study. Indian Journal Psychiatry. 2018, 60(1):151-152.

10.Alipour Z, Kheirabadi GR, Kazemi A, Marjane. The Most Important Risk Factors Affecting Mental Health During Pregnancy: A Systematic Review. J East Mediterr Heal J. 2018;24(6):549–559. doi: https://doi.org/10.26719/2018.24.6.549

11.WHO. Maternal Mental Health. Newsroom. Available from: https://www.who.int/ 2020

12.Nicholson, W. K, Setse R, Hill-Briggs F, Cooper LA, Strobino D, Powe NR. Depressive symptoms and health-related quality of life in early pregnancy. Obstetric gynecology Journal (2006)1 0 7 (4): 798-806. doi: 10.1097/01.AOG.0000204190.96352.05

13.Maharlouei I. The Importance of Social Support During Pregnancy. Women’s Health (2016), Bull3(1). DOI:10.17795/whb-34991

14.Rashid, A., Mohd, R. Poor social support as a risk factor for antenatal depressive symptoms among women attending public antennal clinics in Penang, Malaysia. Reproductive Health 14, 144 (2017). https://doi.org/10.1186/s12978-017-0404-4.

15.Akiki, S., Avison, W.R., Speechley, K.N., & Campbell, M K. Determinants of maternal antenatal state-anxiety in mid-pregnancy: Role of maternal feelings about the pregnancy. Journal Affective Disorder. (2016),196:260–7. doi: 10.1016/j.jad.2016.02.016.

16.Monterrosa-Castro Á, Romero-Martínez S, Monterrosa-Blanco A. Positive maternal mental health in pregnant women and its association with obstetric and psychosocial factors. BMC Public Health. 2023 May 30;23(1):1013. doi: 10.1186/s12889-023-15904-4. PMID: 37254059; PMCID: PMC10227798

17.Hochbaum, Godfrey M. Public Participation in Medical Screening Programs: A Socio-Psychological Study. U.S. Department of Health, Education, and Welfare, 1958.

18.Chauhan A, Potdar J. Maternal mental health during pregnancy: a critical review. Cureus. 2022 Oct 25;14(10). DOI: 10.7759/cureus.30656

19.Bayrampour H, Ali E, McNeil DA, Benzies K, MacQueen G, Tough S. Pregnancy-related anxiety: A concept analysis. Int J Nurs Stud. 2016; 55:115-130. doi: 10.1016/j.ijnurstu.2015.10.023

20.Ahmad M, Vismara L: The psychological impact of COVID-19 pandemic on women’s mental health during pregnancy: a rapid evidence review. Int J Environ Res Public Health. 2021, 18:7112. 10.3390/ijerph18137112

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)