Effect of the 2015 Nepal Earthquakes on symptoms of common mental disorders among women who are pregnant.

摘要: Abstract Background Antenatal mental health problems are of concern globally not only because the burden and limits to participation experienced by women but also risks for foetal neurocognitive development adverse birth outcomes. The aim was describe indicative prevalence risk protective factors clinically-significant symptoms antenatal common disorders (CMDs) among who 2015 Nepal earthquakes during pregnancy. Methods A population-based cross-sectional study in Bhaktapur, one 14 districts highly affected earthquakes. primary outcome, clinically significant CMDs, ascertained using Nepali validation Edinburgh Postnatal Depression Scale (EPDS-N). In order investigate potential trauma reactions, a subset EPDS items as indicators constructed. Standardised instruments study-specific questions were used measure factors. Data collected individual structured interviews trained researchers. Hierarchical multiple linear regression models establish CMDs post-earthquake reaction. Results Overall, 497/498 eligible pregnant provided complete data. We found that 21.9% (95% CI, 18.4; 25.8) participants had EPDS-N scores > 12 another 17.1% CI 13.9; 20.7) scored 10–12 indicating high CMD symptoms. total, 20 included final hierarchical model together explained 33.3% variance total scores; seven factors, including earthquake experiences lifetime experience intimate partner violence, increased five having income-generating work kind, encouraging protective. association between analysis. Limitations has yet been formally validated use 6 months post-earthquake, so we able capture spontaneous or induced abortions premature births immediate aftermath earthquake. Conclusions addition restoration obstetric services, requires specific consideration interventions after natural disasters. This should take into account additional impact violence perpetrated an partner.