Depression, anxiety and stress in Swedish midwives: A cross-sectional survey
Annika Båtsman 1, 2
Hanna Fahlbeck 1, 3
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Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden
Department of Psychiatry, LARO, University Hospital of Umeå, Umeå, Sweden
Uppsala University Hospital, Uppsala, Sweden
Department of Nursing, Mid Sweden University, Sundsvall, Sweden
Ingegerd Hildingsson   

Department of Women’s and Children’s Health, Uppsala University, Uppsala University Hospital, Uppsala, 75385, Sweden
Publication date: 2020-07-27
Submission date: 2020-06-02
Final revision date: 2020-06-26
Acceptance date: 2020-07-03
Eur J Midwifery 2020;4(July):29
Midwives are exposed to emotional strain, which could affect their overall health. Lack of emotional well-being could be a reason for workforce attrition. The aim of the study was to investigate the prevalence of depressive symptoms, anxiety and stress among Swedish midwives in relation to background variables.

A random sample of 1000 midwives were asked to participate and complete a questionnaire. Participants completed the Depression, Anxiety and Stress Scale, Copenhagen Burnout Inventory and Quality of Life inventories together with demographic and work-related data.

In all, 470 midwives responded to the questionnaire (48%). The prevalence of moderate/severe/very severe symptoms of depressive symptoms was 12%, anxiety 8.6%, and stress 7.2%. Midwives aged <40 years and those with <10 years work experience reported higher levels of depressive symptoms, anxiety and stress. The factors most strongly associated with symptoms of depression were personal burnout (AOR=12.26), client burnout (AOR=1.95) and quality of life (AOR=0.26) The factors most strongly associated with symptoms of anxiety were work burnout (AOR=2.53) and personal burnout (AOR=5.61). The factors most strongly associated with stress were personal burnout (AOR=3.90) and work burnout (AOR=3.58) and high quality of life (AOR=0.34).

Swedish midwives experience symptoms of depression, anxiety and stress. Symptoms of burnout were associated with all aspects of mental health, while high quality of life was protective against these symptoms. These findings are relevant to consider in the work environment for Swedish midwives in order to reduce attrition rates.

We thank all the midwives included in the study.
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
There was no source of funding for this research.
IH was the principal investigator of the study. AB and HF analysed the data under supervision from IH, and wrote the main draft of the manuscript. IH supervised the analysis and writing.
Not commissioned; externally peer reviewed.
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