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RCOG World Congress 2025
June 23 - 25, 2025 | ExCeL London, UK
EP.1798
Anxiety, Depression and Birth Trauma in Late Gestation and Postpartum
Poster Presenter
Part of Topic
PNMH
Antenatal Anxiety and Depression in Low-Risk, Nulliparous Women and its Impacts on Birth Outcomes and Birth Trauma.
Rafila A, Bansal S, Kyriakopoulou V, Waheed H, Popescu N, Bennett J, Gonzaga L, Chandiramani M, Rutherford M
Background
•Perinatal mental illness affects 10-20% of women.
•Emergency operative birth includes emergency caesarean section and assisted vaginal delivery with forceps + ventouse.
•Emergency operative birth is associated with an increased incidence of birth trauma symptoms.
Aims and objectives
1.Investigate the prevalenceof antenatal anxiety, depression at late gestation ( GA>36 weeks) and postnatal birth trauma symptoms.
2.Explore the associationbetween mental health conditions and mode of delivery.
3.Ascertain whether symptoms of birth trauma were more common after emergency caesarean section and assisted births.
This study aimed to fill gaps in research around antenatal mental health, emergency operative delivery and birth trauma
•Prevalence of antenatal anxiety was 30.43%, of these 74.19% were mild.
•Prevalence of antenatal depression was 4.35% , all were comorbid with anxiety.
56.72% had an emergency operative birth; 35.1% had an SVD
•Women above the threshold for anxiety had lower rates of SVD and higher rates of emergency operative delivery (not statistically significant )
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• 80% of the cohort reported birth trauma symptoms
•No statistically significant associations between MOD and birth trauma symptoms (p=0.435).
Conclusions
•High rates of antenatal anxiety, emergency operative birth and birth trauma symptoms suggest unmet needs in this cohort of low-risk nulliparous women.
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•Trends linked antenatal anxiety to higher intervention rates, addressing this could improve emergency operative birth rates.
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•Future directions= replication with a larger cohort.