![]() 9 Among a sample of pregnant women from Tanzania (a low-income country 12), in the city of Mwanza, the rate of PRA was 18.3%, which was associated with antenatal depression (OR 1.36, 95% CI 1.23 to 1.5) (Rwakarema, unpublished data, 2013). PRA prevalence estimates in high-income countries range from 6% to 29% 8–11 however, high-risk populations tend to yield higher rates of PRA. 7 Africa has the highest rate of PTB where some regions reach 17.5% 7 approximately 14.3% of births are preterm in Eastern Africa. 2 4–6 An estimated 85% of PTB globally occurs in Africa and Asia. ![]() 1–4 PRA is a distinct and different phenomenon than general anxiety occurring concurrent to pregnancy 1 and has stronger correlations to preterm birth (PTB) (birth at less than 37 weeks’ gestation) than more commonly studied general anxiety or depression. Pregnancy-related anxiety (PRA) is characterised by anxiety pertaining to the pregnancy, including labour and delivery, the fetus or infant’s health, the mother’s health, accessibility and quality of healthcare resources, and/or the ability to parent. ![]()
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