AIM: The goal of the study was to determine the trajectories of perinatal anxiety symptoms and their determinants among women who report with risk anxiety during pregnancy and live in a low-resource context in Sriperumbuthur, Chennai. Study Design: A Cross sectional study design METHADOLOGY: This cross-sectional study included 192 women from Sriperumbuthur, a low-income neighborhood in Chennai, who were selected at their rst prenatal visit if they scored 13 or higher on the Edinburgh Postnatal Anxiety Scale, were at least 18 years old, and were fewer than 29 weeks pregnant. Participants were followed up on at eight months gestation, three months postpartum, and twelve months postpartum. Growth mixture modelling was used to nd latent trajectories of anxiety symptoms based on the Hamilton Anxiety Scale (HAS). Because HAS scores did not differ between the control and intervention groups, all individuals were evaluated jointly. Using health, social, and economic variables of trajectories were studied to identify high-risk groups with more or more chronic rage symptoms. RESULTS:There were two trajectories identied: prenatal alone (88%) with moderate to severe symptoms at baseline that subsequently diminish; and antenatal and postnatal (12%) with severe anxiety symptoms during pregnancy and later in the postpartum period that subside to moderate levels at 3 months postpartum. Severe food hardship, intimate partner violence, reduced social support, more functional impairment, problematic drinking, and suicide risk are all predictors for the prenatal and postnatal trajectory. CONCLUSION: A small percentage of women who are at risk for anxiety prenatally remain at risk during pregnancy and can be distinguished from those who experience a spontaneous remission. These ndings should be included into identication and referral efforts, especially considering the scarcity of mental health services in low-income areas.

Background and Objective: Maternal depression is an important public health problem. Preterm labour, low birth weight, and intrauterine growth restriction have all been linked to antenatal depression, which is generally underdiagnosed. Postpartum depression has been linked to motherinfant bonding issues, child maltreatment, child neglect, maternal drug misuse, and self-harm in studies. Depression among pregnant and postpartum teenagers is prevalent in many parts of the world. The incidence of depression and its related risk factors among pregnant and postpartum adolescents in Sriperumbudhur, Chennai, is reported in this research. Methods: Descriptive cross-sectional research using a sample of 160 teenage girls using maternity health care in a medium-sized rural peripheral district hospital in Chennai was undertaken between June and November 2021. The Edinburgh Postnatal Depression Scale was used to examine pregnant and postnatal adolescents who took part in the study as the treatment of depression. Mean of parameters were assessed and correlation value were calculated by Fisher's exact test. The statistically signicant Pvalue was less than 0.05. Results: The sociodemographic factors have been demonstrated to have a major role in explaining the variation in prenatal and postpartum depression prevalence rates. According to the data, less than a third of pregnant women suffer from depression as a result of life events such as economic problems, which they must overcome in order to sustain their family. These were shown to be signicant risk factors (P>0.05). In the meanwhile, it was 9.4% (15/160) among postpartum participants. Physical violence (adjusted odds ratio (aOR) 7.32, 95% CI 1.66-29.44, p = 0:005), verbal abuse (aOR) 4.3, 95% CI 1.03-15.79, p = 0:03), and intimate partner violence (aOR) 9.58, 95% CI 1.58-48.82, p = 0:008) were all linked to postnatal depression. Conclusion: In the research sample, prenatal depression was more common than postpartum depression. As a result of the ndings, maternal healthcare providers are being advised to examine the mental health of pregnant and postpartum teenagers seeking treatment at health institutions.