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The Impact of Prior Abortion on Anxiety and Depression Symptoms During a Subsequent Pregnancy: Data From a Population-Based Cohort Study in China

Zhaohui Huang, Jiahu Hao, Puyu Su, Kun Huang, Xiuya Xing, Daijuan Cheng, Limin Xiao, Yuanyuan Xu, Xiaoming Zhu, Fangbiao Tao.

Objective: The aims of the study were to assess anxiety and depression in women with history of spontaneous abortion or induced abortion during a subsequent pregnancy.
Methods: Data were consecutively obtained from seven maternal and child health (MCH) Centers in Anhui province of china, sociodemographic characteristics and the number of previous pregnancies, number of living children, and gestational age of the current pregnancy at the time of the interview were asked.
Results Pregnant women during the first trimester reported significant higher score than those during the second trimester both in SAS and CES-D (P < 0.05). Women with history of induced abortion were significantly more likely then those with no history of abortion to report more “cases” of depression (OR = 1.543, 95% CI = 1.055- 254) and “cases” of anxiety (OR = 2.142, 95% CI = 1.294-3.561) during first trimester, after controlling for confounding variable produce similar result. However, “cases” of depression and “cases” of anxiety were equally common in women with history of spontaneous abortion and those with no abortion history.
Conclusions These results suggest women who have experienced a previous induced abortion have omnipresent anxiety and depression symptom during a subsequent pregnancy, especially during the first trimester.

Key words: Keywords: anxiety, depression, induced abortion, spontaneous abortion, pregnant women

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