Psychiatry and Clinical Psychopharmacology
Original Papers

The impact of prior abortion on anxiety and depression symptoms during a subsequent pregnancy: data from a population-based cohort study in China

1.

Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui, China

2.

Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China

3.

Shaoxing Center for Disease Control and Prevention, Shaoxing 312071, Zhejiang Province, China

Psychiatry and Clinical Psychopharmacology 2012; 22: 51-58
DOI: 10.5455/bcp.20111102040509
Read: 776 Downloads: 417 Published: 23 February 2021

Objective: The aim of the study was to assess anxiety and depression in women with history of spontaneous abortion or induced abortion during a subsequent pregnancy.

Methods: The data were consecutively obtained from seven maternal and child health (MCH) Centers in the Anhui Province of China. The sociodemographic characteristics of the women, the number of previous pregnancies, number of living children, and gestational age of the current pregnancy were ascertained at the time of the interview.

Results: The pregnant women who were in the first trimester of their pregnancy reported significantly higher scores than those in the second trimester both on SAS (Zung’s Self-Rating Anxiety Scale) and CES-D (The Center for Epidemiologic Studies-Depression Scale) (SAS score means: 32.11 vs 31.68, P=0.000; CES-D score means: 4.59 vs 4.06, P=0.012). The women with a history of induced abortions were significantly more likely to report more “cases” of depression (OR = 1.543, 95% CI = 1.055- 254) and more “cases” of anxiety (OR = 2.142, 95% CI = 1.294-3.561) during the first trimester than those with no history of abortion. Controlling for confounding variables yielded similar results. However, “cases” of depression and “cases” of anxiety were equally common in women with history of spontaneous abortions and in those with no abortion history.

Conclusions: These results suggest women who have experienced a previous induced abortion have omnipresent anxiety and depression symptoms during a subsequent pregnancy, especially during the first trimester.

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