Perinatal anxiety and depression amidst the COVID-19 pandemic in Dubai, United Arab Emirates.
Dr. Zenab Yusuf Tambawala, Dr Shabnam Saquib, Dr Ayesha Salman, Dubai Hospital, Dubai
Introduction:
•The most prevalent health disorders in women during pregnancy and the postpartum period are perinatal anxiety and depression (PAD).
•Outbreak of COVID-19 had added to the stress and anxiety in perinatal women.
Materials and Method:
•A cross-sectional observational study was conducted at Dubai Hospital, a tertiary center, from April 2021 to April 2022 after ethical approval from the Dubai Scientific Research Ethics Committee, Dubai Health Authority (Ref:DSREC-03/2021_18).
Demographic information, validated English and Arabic-Edinburgh Postnatal Depression Scale (EDPS) scores, validated English and Arabic Generalized Anxiety Disorder scale (GAD-7) score, and COVID-19 specific questionnaires were collected from the patients who gave written informed consent.
•43.6% of the women screened positive for depression by EDPS scale with cutoff of 10 or more as significant.
•42% of the women had GAD-7 score 5 or more indicating anxiety.
•7.5% had considered self-harm in last 14 days.
•15% had COVID-19 during this pregnancy
•The 11.87% who had COVID-19, but prior to the pregnancy, had a higher mean EDPS and GAD-7 score than others.
•Surprisingly, the women who had COVID-19 during pregnancy had statistically significant (p < 0.05) lower EDPS and lower GAD-7 score.
•University graduates and office workers had significantly (p < 0.05) higher EDPS and GAD scores.
• Women of middle eastern ethnicity (50% positive for depression and 48.5% positive for anxiety) were more prone to depression and anxiety compared to South Asian (29% positive for depression and 25.2% positive for anxiety) and African women (39.6% positive for depression and 43.4% positive for anxiety).
•There was no statistically significant difference between antenatal and postnatal patient for prevalence of anxiety or depression.
Conclusion:
Pregnant and postnatal women are at increased risk of anxiety and depression, but the fear of the COVID-19 infection to herself or her baby has had a significant negative impact on the mental health of the women.