Case Control Study of Anxiety and Depression Among Patients with Miscarriage Compared to Those with Successful Pregnancy

Miscarriage  is one  of  the  most  common complications in pregnancy. There  is emerging evidence that psychological impact following miscarriage is not unusual. Understanding  the  magnitude of  psychological morbidity  is  important   in  the management of miscarriage.  The main objective  of this study was to compare the mean Hospital Anxiety and Depression Scale (HADS) score between women  with miscarriage  and  women  with successful pregnancy and  to determine the socio- demographic factor  and  clinical  characteristic that  are  associated with  anxiety and  depression. A descriptive  case  control  study  was  conducted in a teaching hospital,  over a period  of 12-months (from October 2014  till September  2015). A total of 65 women  were recruited  with 32 women  as the study group (miscarriage) and another  33 women  as the control  group (women with successful pregnancy). Mean  HADS-anxiety  score  was  higher  in the  study group  compared to control group  although  it was not statistically  significant (6.53 ± 3.427  vs 5.73  ± 2.875, p=0.309). Mean HADS-depression score was higher in the control  group (4.34 ± 2.695 vs 4.45 ± 3.073, p=0.878). Women with maternal age more than 35 years and history of previous  miscarriage  had a higher tendency of anxiety and depression with higher  mean  HADS score.  There was no association between other  socio- demographic data and clinical  characteristic with risk of anxiety and depression. As conclusion, there  was  no  significant  difference  in women  with  miscarriage as compared to those  with successful pregnancies, although  older  women  with history of miscarriage  had a preponderance to both disorders.