A case-control study was conducted to determine the quality of life, frequency of anxiety symptoms, depression and stress among pregnant women with previous adverse antenatal record. Forty-five patients who presented at the Sheikh Zayed Medical College/Hospital Rahim Yar Khan with adverse pregnancy outcome in the previous pregnancy and 45 patients who had normal live birth in the last pregnancy were evaluated to assess the impact of previous experience with anxiety, depression, stress and quality of life (QOL) during the subsequent pregnancy. The study was conducted between October 2018 and April 2019. Depression, anxiety and stress scale (DASS) 21 was used to determine the anxiety, depression and stress. To determine the quality of life, Quality of life scale (QOL) consisting of 16 questions was used. It was revealed that the study group patients had higher illiteracy rate 6 (13.3%) as compared to the control group 0 (0.00%). Rate of previous planned pregnancy was lower in the study group 6 (13.3%) as against 15 (33.3%) among controls. Anxiety, depression and stress score was also significantly higher among the study group as compared to the control group. The study showed that women who had previous adverse antenatal record have poor quality of life, and higher degree of anxiety, depression and stress in subsequent pregnancy as compared to those who had normal live birth in the previous pregnancy. Previous pregnancy outcome should be considered along with other psychological variables to develop the conceptual model of anxiety and depression during pregnancy.
Keywords: Adverse pregnancy outcomes, Quality of life, Depression, Anxiety, Stress..