Trầm cảm, lo âu, stress ở ba tháng cuối thai kỳ và mối quan hệ với chồng/bạn tình

Pregnancy is a period of profound physiological and psychological changes, making pregnant women susceptible to mental health challenges such as depression, anxiety, and stress. These antenatal mental health conditions are critically important as they can significantly impact both maternal well-being and fetal development, leading to adverse outcomes like preterm birth and neurodevelopmental issues in offspring. While prior research in Vietnam has addressed some aspects of maternal mental health, there remains a notable gap in comprehensive studies focusing on the prevalence of depression, anxiety, and stress specifically during the third trimester and their intricate relationship with husband/partner support in this crucial period. This study aims to address this gap by determining the prevalence of these symptoms and investigating the association between partner relationships and psychological distress among pregnant women in their third trimester in Hue, Vietnam.

Healthcare professionals (obstetricians, psychologists, public health practitioners), policymakers in maternal and child health, and researchers focusing on perinatal mental health.

This cross-sectional descriptive study investigated the prevalence of depression, anxiety, and stress symptoms among 232 pregnant women in their third trimester at Hue University of Medicine and Pharmacy Hospital and Hue Central Hospital from July 2024 to May 2025. Employing the DASS-21 scale, the research aimed to identify the extent of these psychological morbidities and explore their association with the husband/partner relationship. The findings revealed that anxiety was the most prevalent symptom, affecting 22.8% of participants, while depression and stress were observed in a similar, lower proportion of 6.5% each. Critically, the study found a statistically significant association (p<0.05) between various aspects of the husband/partner relationship and the experience of these mental health issues. Specifically, women who reported a negative overall assessment of their relationship, frequent disagreements, experiencing violence, or lacking support from their partners demonstrated higher rates of depression, anxiety, and stress. These results underscore the vital importance of integrating comprehensive screening for depression, anxiety, and stress into routine prenatal care, particularly during the third trimester. The study highlights the profound impact of the husband/partner relationship on maternal mental health, suggesting that interventions aimed at improving partner support and addressing relationship challenges could be crucial for mitigating psychological distress in pregnant women. These insights are valuable for healthcare providers, policymakers, and family support programs seeking to enhance maternal well-being and improve pregnancy outcomes.