EP11.17: A specified time of maternal anxiety and depression during perinatal period

This study aimed to assess a specified time and associated factors for perinatal period anxiety and depression using the Korean Beck Anxiety Inventory (K-BAI) and the Korean Edinburgh Postnatal Depression Scale (K-EPDS). We retrospectively included women who tested K-BAI and K-EPDS every pregnancy trimester and postpartum at Jeju National University Hospital, Jeju, Republic of Korea, between December 2021 and January 2023. Multiple pregnancies and non-Korean pregnant women were excluded. Three hundred fifty-five women responded to the K-BAI and K-EPDS screening tests. Anxiety was screened in 29.8% (54/181) of women during pregnancy, which was higher than 18.7% (70/375) in the postpartum. Depression was screened in 21.7% (42/193) of women during pregnancy and was higher in 29.7% (102/343) of the postpartum period. In the case of anxiety, obesity and hyperemesis were significant risk factors during pregnancy. Whereas had children and admission to the neonatal intensive care unit were risk factors in postpartum. In the case of depression, having a gynecologic disease was a significant risk factor during pregnancy. In contrast, previous bad obstetric history and lower birthweight of neonates were significant risk factors in postpartum. The anxiety would originate during pregnancy; however, the depression would originate during the postpartum. Several perinatal factors are significantly associated with anxiety and depression. Therefore, anxiety and depression that may occur in the perinatal period must be managed well by understanding the preceding factors.