• Leonard C. OKONKWO


The study investigated Demographic factors predicting psychological distress among pregnant women in a selected General Hospital. A cross-sectional survey design was adopted. Participants consisted of one -hundred and eighty-four pregnant women using a convenient sampling technique to select the participants. The results showed a 16.2% prevalence of depression and 17.5% for anxiety among pregnant women. The age ranges from 23-39 years with a mean of 29.87, SD 2.48. The revealed that age, duration of marriage, duration of waiting jointly predicted anxiety (F (3,183) = 11.788; p<.01). There was significant independent prediction of age (β= .245 p<.01) and duration of marriage (β=.172 p<.05) on anxiety while duration of waiting (β= .123 p>.05) had no significant independent influence on anxiety.  Also, age, duration of marriage, duration of waiting jointly predicted depression [F (3,183) = 21.562; p<.01]. Age (β= -.158 p<.05) and duration of marriage (β= -.393 p<.01) had significant independent influence on depression while duration of waiting (β= -.072 p>.05) had no significant independent influence on anxiety.  Individual with positive history of abortion experiences increased level of depression compared to those that did not have any positive history of abortion [t (182) = -3.989 p<.05]. Pregnant women who plan their pregnancy experiences reduced level of depression compared to those who did not plan their pregnancy [t (182) = 2.687 p<.01]. It is, therefore, recommending that there is need to incorporate mental health components in RCH (Reproductive & Child Health) program for pregnant women. 


Alder, J., Fink, N., Bitzer, J., Hösli. I, & Holzgreve, W. (2007). Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. Journal of Maternal Fetal and Neonatal Medicine. 20(3):189–209

Arch, J. J. (2013). Pregnancy-specific anxiety: Which women are highest and what are the alcohol related risks? Comprehensive Psychiatry, 54(3), 217–228

Catov, J.M. Abatemarco, D.J., Markovic, N., & Roberts, J.M. (2010). Anxiety and optimism characteristics and pregnancy-related stress among low-risk mothers: Child Health Journal 17(6): 1138-1150.

Da Costa, D., Larouche, J., Dritsa, M., & Brender, W. (2000). Variations in stress levels over the course of pregnancy: factors associated with elevated hassles, state anxiety and pregnancy-specific stress. Journal of Psychosomatic Research 47(6): 609-621.

Dunkel, S. (2010). Psychological science on pregnancy: stress processes, bio-psychosocial models, and emerging research issues. Annual Review of Psychology 62: 531-558.

Dunkel Schetter, C. (2009). Stress processes in pregnancy and preterm birth. Current Direction of Psychological Science, 18(4): 205-209.

Dunkel Schetter C., & Lobel, M. (2011). Pregnancy and birth: a multilevel analysis of stress and birth weight. In: Revenson T, Baum A, Singer J (eds.). Handbook of health psychology 2. Lawrence Erlbaum; Mahwah, NJ: pp. 427-453.

Ghaemi, S.N. (2006). Paradigms of psychiatry: Eclecticism and its discontents. Current Opinion in Psychiatry. 19:619–24.

Grote, N.K., Bridge, J.A., Gavin, A.R., Melville, J.L., & Iyengar, S. (2010) A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Archives of General Psychiatry 67(10): 1012-1024.

Hamid, F., Asif, A., & Haider, (2008). Study of anxiety and depression during pregnancy. Pakistan Journal of Medical Science, 24: 861-64.

Hernandez-Martinez, C., Val, V.A., Murphy, M., Busquets, P.C., & Sans, J.C. (2011). Relation between positive and negative maternal emotional states and obstetrical outcomes. Women and Health 51(2): 124-135.

Herrero, S.G., Saldaña, M.Ã., Rodriguez, J.G., Ritzel, D.O. (2012). Influence of task demands on occupational stress: gender differences. Journal of Safety Research 43(5-6): 365-374.

Herrero, S.G., Saldaña, M.Ã., Rodriguez, J.G., Ritzel, T.G. (2013). Psychosocial stress during pregnancy is related to adverse birth outcomes: results from a large multi-ethnic community-based birth cohort. European Journal Public Health 23(3): 485-491.

Huizink, A.C, Mulder, E.J., Robles de Medina, P.G., Visser, G.H, & Buitelaar, J.K. (2004) Is pregnancy anxiety a distinctive syndrome? Early Human Development 79 (2): 81-91.

Jacobsen, T. (1999). Effects of postpartum disorders on par-enting and on offspring. Miller Journal of Perinatal Medicine 39(5): 515-521.

Ko, Y.L., Lin. P.C., & Chen, S.C. (2015). Stress, sleep quality and unplanned Caesarean section in pregnant women. International Journal of Nursing Practice. 21(5): 454-461.

Kramer, M.S., Seguin, L., Goulet, L., Kahn, S.R., & McNamara, H. (2009). Stress pathways to spontaneous preterm birth: the role of stressors, psychological distress and stress hormones. American Journal of Epidemiology. 169(11): 1319-1326.

Lee, A.M., Lam, S.K., Lau, S.M., Chong, C.S.Y., & Chui, H.W. (2007). Prevalence, course, and risk factors for antenatal anxiety and depression. Obstetrics & Gynecology 110(5): 1102-1112.

Leight, K.L, Fitelson, E.M., Weston, C.A, & Wisner, K.L. (2010) Childbirth and mental disorders. International Review of Psychiatric 22(5): 453-471.

Lobel, M.., Cannella, D.L., Graham, J.E., DeVincent, C, & Schneider, J. (2008). Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychology 27(5): 604-615.

Loomans, E.M., & van Dijk, A.E. (2013). Psychosocial stress during pregnancy is related to adverse birth outcomes: Results from a large multi-ethnic community-based birth cohort. European Journal of Public Health 23(3): 485-491.

Meijer, J.L, Beijers, C., & van Pampus, M.G. (2014). Predictive accuracy of Edinburgh postnatal depression scale assessment during pregnancy for the risk of developing postpartum depressive symptoms: a prospective cohort study. British Journal of Gynaecology, 121(13): 1604-1610.

Nieminen, K., Stephansson, O., & Ryding, E.L. (2009). Women’s fear of childbirth and preference for caesarean section – A cross-sectional study at various stages of pregnancy in Sweden. Acta Obstetricia et Gynecologica Scandinavica, 88(7): 807-813.

Peruzzo, D.C., Benatti, B.B., & Ambrosano, G.M. (2007). A systematic review of stress and psychological factors as possible risk factors for periodontal disease. Journal of Periodontology 78(8): 1491-1504.

Rauchfuss, M, & Maier, B. (2011) Biopsychosocial predictors of preterm delivery Journal of Perinatal Medicine 39(5): 515-521

Reardon, D.C., Ney, P.G., & Scheuren, F. (2002). Deaths associated with pregnancy outcome: a record linkage study of low income women. South Medical Journal, 95:834–841.

Reck, C., Zimmer, K., Dubber, S., Zipser, B., & Schlehe, B. (2013). The influence of general anxiety and childbirth-specific anxiety on birth outcome. Archives of Womens Mental Health 16(5): 363-369.

Rue, V.M., Coleman, P.K., Rue, J.J. (2004). Induced abortion and traumatic stress: a preliminary comparison of American and Russian women. Medical Science Monitor. ; 10:SR5–SR16.

Serçekuş, P., & Okumuş, H. (2009). Fears associated with childbirth among nulliparous women in Turkey. Midwifery 25(2): 155-162

Silveira, M.L., Whitcomb, B.W., Pekow, P., Carbone, E.T., & Chasan-Taber, L. (2016). Anxiety, depression, and oral health among US pregnant women: 2010 Behavioral Risk Factor Surveillance System. Journal of Public Health Dentistry, 76(1): 56-64.

Teixeira, C., Figuerido, B., Conde, A., Pachecho, A., & Costa, R. (2009). Anxiety and depression during pregnancy in Turkey Midwifery 25(2): 155-162.

Vamos, C.A., Walsh, M.L., Thompson, E., Daley, E.M, & Detman L. (2015). Oral-systemic health during pregnancy: exploring prenatal and oral health providers’ information, motivation and behavioural skills. Maternal Child Health Journal, 19(6): 1263-1275.