Biological Mechanisms in Pregnant Women With Anxiety (Happy Mother-Healthy Baby Supplement Study): Protocol for a Longitudinal Mixed Methods Observational Study

Morgan L Sherer   ¹ , PhD ;   Abid Malik   ² , PhD ;   Lauren M Osborne   ¹ , MD ;   Armaan A Rowther   ³ , PhD ;   Ahmed Zaidi   ² , MSc ;   Najia Atif   ² , PhD ;   Atif Rahman   ⁴ , MBBS, MRES, PhD ;   Lubna E Kahloon   ⁵ , MBBS, MCPS-HPE ;   Muhammad Salman   ⁶ , MBBS ;   Gayane Yenokyan   ⁷ , MPH, MHS, MD, PhD ;   Pamela J Surkan   ³ , SCD, PhD

¹ Johns Hopkins Center for Women’s Reproductive Mental Health, Departments of Psychiatry & Behavioral Sciences and Gynecology & Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD, United States

² Human Development Research Foundation, Gujar Khan, Pakistan

³ Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States

⁴ Department of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom

⁵ Department of Obstetrics and Gynecology, Holy Family Hospital, Rawalpindi Medical University, Rawalpindi, Pakistan

⁶ Public Health Laboratory Division, National Institute of Health, Islamabad, Pakistan

⁷ Johns Hopkins Biostatistics Center, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States