مقايسه ميزان افسردگي، اضطراب و تنيدگي در سه ماهه‌هاي اول، دوم و سوم بارداري در زنان باردار عادي و زنان باردار تحت درمان ناباروري

A Comparison of Depression, Anxiety and Stress Levels in First, Second and Third Trimesters Between Women With Normal Pregnancy and Pregnant Women Who Have Received Infertility Treatment

هدف: هدف پژوهش حاضر مقايسه ميزان افسردگي، اضطراب و تنيدگي، در سه‌ماهه‌هاي بارداري، در زنان باردار عادي و زنان بارداري است كه تحت درمان ناباروي بوده‌اند. روش: تعداد 267 نفر (137 زن باردار تحت درمان ناباروري و 130 زن باردار عادي)، به روش عليّ- مقايسه‌اي، توسط مقياس 42-DASS مورد مطالعه قرار گرفتند و براي تحليل داده‌ها از مدل‌هاي غير‌پارامتريك Uمان‌ويتني و كروسكال واليس استفاده شد. يافته ها:ميزان اضطراب و تنيدگيدر سه‌ماهه‌هاي اول و دوم در گروه نابارور به طور معني‌داري بيشتر از گروه عادي به دست آمد اما بين سه‌ماهه‌هاي بارداري، در ميزان افسردگي، تفاوت معناداري بين دو گروه وجود نداشت. نتيجه گيري: مشكلات روان‌شناختي قبل از بارداري گروه نابارور و عدم اطمينان اين مادران از نتيجه درمان، مي‌تواند باعث بالا بودن اضطراب و تنيدگي در طول بارداري نسبت به مادران باردار عادي شود.به همين دليل مشاوره روان‌شناختي منظم دوره‌اي در طول بارداري براي زناني كه تحت درمان ناباروري قرار داشتند، پيشنهاد مي‌شود.

Objective: %10-15 of couples are infertile and suffer from psychological problems. Comparison of stress, anxiety and depression levels in first, second and third trimesters between women with normal pregnancy and pregnant women who have received infertility treatment, is the main aim of this study. Method: In this cross-sectional study 267 persons (137 pregnant women who have received infertility treatment and 130 women with normal pregnancy) were studied with Causal-Inferential by DASS-42 (Depression, Anxiety and Stress Scale-42 questions). Mann-Whitney U and Kruskal-Wallis-H were used for statistical analysis. Results: The levels of anxiety and stress in pregnant women who have received infertility treatment were significantly more than women with normal pregnancy at first and second trimesters but there was no statistically significant difference between trimesters of both groups in depression. Conclusion: The psychological problems that infertile women suffer from, before pregnancy, and uncertainty about the outcome of infertility treatment could be the cause of arising levels of depression, anxiety and stress during pregnancy comparing with control group. Therefore, it is strongly recommended that women with infertility history should receive routine and supportive psychological counseling during pregnancy.