Background: Pregnancy is a major psychological, as well as physiological event; women may find themselves unable to cope with additional demands of pregnancy. Mental illness during pregnancy-whether anxiety, depression or more severe psychiatric disorders-can have a significant negative impact on a mother and her baby. Poor psychological health has been associated with low birth weight, premature birth, perinatal and infant death, postnatal depression, as well as long term behavioural and psychological impacts on the child. Depressive disorders are a common source of disability among women. Mental health problems during pregnancy and postpartum periods are one of the alarming health issue among women. Community-based epidemiological data on antenatal depression from developing countries is scarce. This study was conducted to assess the mental health status of pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar (J and K). Methods: A cross sectional study was conducted over a period of six months from 1stSeptember 2016 to 28th February 2017 among randomly selected pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar. A total of 200 pregnant women formed the study subjects. Data was collected by interviewing the pregnant women using pre-designed, pre-tested, semi-structured questionnaire. Data was analysed using Statistical Programme for the social science (SPSS) version 19.0. Results: Amongst the study population, prevalence of depressive disorder was 26%. The depression was significantly increasing with advancing pregnancy and advancing age. Socio-economic status and depression was associated statistically significant (p=0.024). Women with bad relationship with in laws had significantly more depression compared to those who had good relationship with in laws (P=0.0037). The association between parity and depressive disorder was statistically insignificant(P=0,7144). Conclusions: When we care for mother we care for two live and live without psychological consideration is completely materialistic. A depressive symptom occurs commonly during 2nd and 3rd trimester of pregnancy, drawing attention to a need to screen for depression during antenatal care. Maternal health policies, a priority in developing countries, must integrate maternal depression as a disorder of public health importance. Intervention should target women in the early antenatal period.

Background: Cigarette smoking, in the developed world, has been the major habit among children for both boys and girls. They usually take to the habit while in school before the age of 18. In India, tobacco consumption in multiple forms presents an emerging, significant and growing threat to the health of the adolescents. As per  WHO Global Youth tobacco Survey GYTS (2009) India, 14.6% of students currently use any form of tobacco, 4.4%currently smoke cigarettes, 12.5% currently use some other form of tobacco. Objective was to assess the knowledge, attitude and practice of school going adolescents regarding smoking.Methods: A descriptive cross sectional study was taken in school going adolescents of Kashmir. The study included three districts from Kashmir valley and from each district, 2 government middle schools (1 girls and 1 boys), 2 government high schools (1 girls and 1 boys), 2 government higher secondary schools (1 girls and 1 boys) were selected. Also from the list of private schools one middle school, one high school and one higher secondary school (All  having co-education) were selected. Thus, a total of 27 schools, 9 from each selected district, were included in the study. A total of 1000 students participated in this study.Results: The current study included 464 males (46.4%) and 536 (53.6%) females. Among the study subjects, 523 (52.30%) belonged to the 12-15 year age bracket and 477 (47.70%) were between 16-18 years of age. Maximum of study participants belonged to nuclear family (63.10%) followed by joint family (36.90%). Majority of the study subjects belonged to socio-economic class IV (lower middle) 36.10% followed by class III (middle) 23.90% as per Modified BG Prasad’s classification.Conclusions: 75.9% opined that smoking tobacco is harmful to health in comparison to 89.1% of non-smokers, a difference found to be statistically highly significant (p value <0.001). Prevention of tobacco use in young people and the consumption of tobacco, among school students should be considered as a matter of great concern which requires holistic understanding.

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