An Overview of Maternal Anxiety During Pregnancy and the Post-Partum Period

Araji, Sarah; Griffin, Ashley; Dixon, Laura; Spencer, Shauna‐Kay; Peavie, Charlotte; Wallace, Kedra

doi:10.29245/2578-2959/2020/4.1221

Cited by 58 publications

(46 citation statements)

References 91 publications

(123 reference statements)

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“…12,13 The prevalence of postpartum anxiety is 33.70% in Romania (23.80% in the general population), 25-50% in the USA (19.10%), 15.20% in Asia (25.80%), and 10% in Egypt (21.20%). [14][15][16][17][18][19][20][21] Anxiety is a condition with different signs such as tremors, facial erythema and/or pallor, dyspnea, tachycardia, palpitation, sweating, and paresthesias, as well as symptoms of fear, hypoprosexia, hypervigilance, insomnia, anhedonism, and digestive disorders. 22 Anxiety can be seen as both a condition (temporary characteristic) and a trait (general characteristic).…”

Section: Introductionmentioning

confidence: 99%

Postpartum Maternal Emotional Disorders and the Physical Health of Mother and Child

Dragomir¹,

Popescu²,

Jurca³

et al. 2022

PRBM

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Purpose The purpose of this study is to identify the relationships between postpartum emotional manifestations and various neonatal variables, as well as variables within this category, in the context of hospitalization together after birth. Patients and Methods Between 1 March 2020 and 1 September 2020, a cross-sectional research design was used including mother–child couples (112 mothers, 121 newborns - 13 twins/triplets). Results Using a t -test for independent samples, we observed: a) the symptoms of depression were more severe in mothers of newborns hospitalized in neonatal intensive care units (NICUs) [ t (110) = 4.334)], provided oxygen therapy [ t (109.99) = 3.162], born prematurely [ t (110) = 3.157], or with adjustment disorders [ t (109) = −2.947] ( p < 0.01); b) a similar, for anxiety as a state [ t (82.38) = 5.251], t (107.29) = 4.523, t (110) = 3.416, t (109) = −3.268, p < 0.01], and as a trait was more common [ t (80.79) = 4.501, t (108.790) = 4.669, t (109) = −3.268, p < 0.001] compared to other mothers. Using Pearson’s test ( p < 0.001), several very strong correlations were observed between neonatal variables, including number (no.) of days of hospitalization with birth weight (BW) ( r = −0.802), head circumference (HC) ( r = −0.822), and gestational age (GA) ( r = −0.800) and the mother’s postpartum anxiety as a state/trait ( r = 0.770). Using Poisson regression, it was observed that anxiety as a state ( Λ = 0.020, z = 4.029, p < 0.001) and as a trait ( Λ = 0.800, z = 6.160, p < 0.001) stimulated the intensity of symptoms of postpartum depression (optimal models). Conclusion Postpartum maternal psychological manifestations were associated with NICU hospitalization, pathology, and some neonatal therapies. We also noticed, that the duration of hospitalization, BW, HC, and GA, were correlated with maternal emotional disorders. Results will facilitate future optimization of birth management and postnatal care.

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Section: Introductionmentioning

confidence: 99%

Postpartum Maternal Emotional Disorders and the Physical Health of Mother and Child

Dragomir¹,

Popescu²,

Jurca³

et al. 2022

PRBM

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“…The scientific evidence has established an association of pregnancy and the risk for mental health problems due to hormonal, psychosocial, and familial role changes (Araji et al, 2020 ; Dunkel Schetter & Tanner, 2012 ). Systematic reviews show that antepartum anxiety and depression are prevalent among pregnant women with a global prevalence of 22.9% and 15–65%, respectively (Dadi et al, 2020 ; Dennis et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…Pregnant women are usually subject to worries and fears about their pregnancy and its outcome. Concerns regarding the unpredictability of childbirth, anticipated medical interventions, or complication during birth (Araji et al, 2020 ) led women to experience additional fears and exacerbated anxiety levels at the end of pregnancy. Additionally, the current evidence indicates that maternal wellbeing and foetal development are negatively influenced by maternal mental health problems.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, the current evidence indicates that maternal wellbeing and foetal development are negatively influenced by maternal mental health problems. More specifically, anxiety, depression, and stress during pregnancy are associated with maternal and neonatal complications such as prematurity, low birth weight, disrupted parenting and bonding, and developmental problems during the child’s life (Araji et al, 2020 ; Dunkel Schetter & Tanner, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

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Fears and uncertainties of expectant mothers during the COVID-19 pandemic: trying to reclaim control

Sabbah

Eqylan²,

Al-Maharma

et al. 2022

International Journal of Qualitative Studies on Health and Well

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Purpose The novel coronavirus disease (COVID-19) outbreak has exponentially spread across the globe and formed one of the greatest health threats in history. Pregnant women are vulnerable, and their vulnerability is amplified by the associated containment measures of the pandemic. In this study, we aim to explore and describe expectant mothers’ experiences during the lockdown of COVID-19. Method A qualitative descriptive design was used. Eighteen pregnant and postpartum women were recruited through purposive and snowball sampling. Semi-structured phone call interviews were conducted by a female researcher. Braun and Clarke’s thematic data analysis was followed. Results Three main themes are developed: (1) Living with fears and uncertainties amid the COVID-19 pandemic, (2) Lockdown disrupting the normalcy of pregnancy, (3) Trying to control the chaos of life. Five subthemes underlined the three themes. Conclusion Findings portrayed expectant mothers’ uncertainties, fears, and the fragility of the healthcare systems in responding to mothers’ needs during the COVID-19 pandemic. Although the pandemic has resulted in disruption of the normalcy of pregnancy, mothers sought adaptive means to protect themselves and maintain control. Governmental authorities and healthcare providers are directly responsible to maintain considerate perinatal care services for expectant mothers during lockdown and crises.

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“…This increase in activity, if it continues to occur, will cause the production of cortisol to increase, which can damage neuron cells in the hypothalamus so that hypothalamic atrophy occurs and as a result, can give rise to cognitive disorders, for example anxiety. 4,5 Anxiety in pregnant women in the third trimester needs to be treated because it can influence the physical and psychic of the mother and fetus. Anxiety can affect the hypothalamus to stimulate the endocrine glands that regulate the pituitary gland so that it will cause an increase in the production of stress hormones including Adreno Corticotropin Hormone (ACTH), cortisol, catecholamines, ß-Endorphins, Growth Hormone (GH), prolactin and Luteinizing Hormone (LH) / Follicle Stimulating Hormone (FSH).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Antepartum Yoga Sequences on Anxiety Levels, Vital Sign Values, and Fetal Heart Rate in Third-Trimester Primigravida

Astutik

Pramono

Susanto

et al. 2022

JIKM

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Anxiety in the third-trimester pregnancy can affect the physical and psychological aspects of the mother and fetus. Until now, there has been no study comparing yoga sequences that are effective in reducing anxiety levels in third-trimester primigravida. The yoga sequence will cause the heart rate to return to normal after finishing exercising, and the body will feel more comfortable. This study aims to determine the effect of antepartum yoga sequences on anxiety levels, vital sign values, and fetal heart rate in third-trimester primigravida. This study was quasi experiments with a pretest posttest control group design conducted in January-April 2022. The sampling technique used cluster sampling to determine the intervention group and control group. The intervention group was given antepartum yoga sequences for six sessions with a duration of 60 minutes, consisting of 18 respondents in A group model and 18 respondents in B group model. The control group consisting of 18 respondents, received pregnancy exercise for six sessions with a duration of 60 minutes. Data analysis using T-test. The results showed differences in the control group for anxiety (p-value = 0.042), pulse (p-value = 0.021) and respiratory frequency (0.032). In the intervention group model A, there were differences in anxiety, diastolic blood pressure, pulse, and respiratory rate with p-values of 0.032, 0.005, 0.005, and 0.005, respectively. While in the intervention group model B, there were significant differences in anxiety, systolic blood pressure, diastolic blood pressure, pulse, respiratory rate, and fetal heart rate, namely p-values of 0.005, 0.002, 0004, 0.005, 0.005, 0.005. The results of this study can be used by midwifery service providers as one of the complementary treatments for reducing anxiety experienced by third-trimester primigravida mothers, namely by giving antepartum yoga, which is done for 60 minutes.

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An Overview of Maternal Anxiety During Pregnancy and the Post-Partum Period

Cited by 58 publications

References 91 publications

Postpartum Maternal Emotional Disorders and the Physical Health of Mother and Child

Postpartum Maternal Emotional Disorders and the Physical Health of Mother and Child

Fears and uncertainties of expectant mothers during the COVID-19 pandemic: trying to reclaim control

The Effect of Antepartum Yoga Sequences on Anxiety Levels, Vital Sign Values, and Fetal Heart Rate in Third-Trimester Primigravida

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