Demographic, Medical, and Psychosocial Predictors of Pregnancy Anxiety

Schetter, Christine Dunkel; Niles, Andrea N.; Guardino, Christine M.; Khaled, Mona; Kramer, Michael S.

doi:10.1111/ppe.12300

Cited by 58 publications

(35 citation statements)

References 40 publications

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“…1 Pregnancy is the most exhilarating experience of the women's lives but concerns about the status and health of the fetus, physical changes, fear of delivery, worries about receiving sufficient care during pregnancy, and lack of energy for performing daily activities lead in emerging and intensifying the causes of depression, anxiety and stress during pregnancy. 2 Also, pregnancy is a critical period for women in which their mentalrelated problems can appear. 3 Many studies have been conducted in different communities in order to investigate the stressing factors in pregnant mothers and their consequences during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Relationship between Islamic Lifestyle and Mental Health in Pregnant Women : A Cross-Sectional Study

Pakzad

Dolatian

Jahangiri³

et al. 2020

Bangladesh J Med Sci

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Objective: Mental health problems in women during pregnancy are widely associated with the negative consequences of pregnancy. Various factors can affect the mental health improvement in pregnancy. The effects of lifestyle and especially the Islamic lifestyle on mental health are unknown. Therefore, the researcher determined to examine the correlation between the Islamic lifestyle and women’s mental health in pregnancy. Materials and Methods: The study on 300 pregnant women referred to the clinics affiliated to Shahid Beheshti University of Medical Sciences was carried out as descriptive cross-sectional. The research tools included the Islamic lifestyle questionnaire and DASS-21. Results: The results showed that there is a significant negative relationship between mental health and the Islamic lifestyle. (r = -0.310). The regression test results show that the mean score of the mental health problems decreases 0.09 per unit by increasing an Islamic lifestyle score. Conclusion: Since the results show that there is a significant negative relationship between Islamic lifestyle and the women’s mental health, interventional studies are suggested to increase awareness and change lifestyle in order to improve the mental health. Bangladesh Journal of Medical Science Vol.19(3) 2020 p.394-400

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Section: Introductionmentioning

confidence: 99%

Relationship between Islamic Lifestyle and Mental Health in Pregnant Women : A Cross-Sectional Study

Pakzad

Dolatian

Jahangiri³

et al. 2020

Bangladesh J Med Sci

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“…There is also a need for additional research examining potential associations among psychosocial data, haemodynamics and biomarkers. Future studies would also benefit from a more multidimensional approach to prenatal stress, 70–72 measuring racism exposure, 4 73–75 chronic stress, major life events, 76 health-related behaviours, 71 domestic violence exposure, 77–79 resilience 80 and partner/social support. 76 80–82 Such studies would contribute to a more nuanced, biopsychosocial model of obstetric research.…”

Section: Discussionmentioning

confidence: 99%

“…Future studies would also benefit from a more multidimensional approach to prenatal stress, 70–72 measuring racism exposure, 4 73–75 chronic stress, major life events, 76 health-related behaviours, 71 domestic violence exposure, 77–79 resilience 80 and partner/social support. 76 80–82 Such studies would contribute to a more nuanced, biopsychosocial model of obstetric research. Moreover, future studies assessing associations between maternal mental health and fetal and infant well-being in the context of SGA or growth-restricted pregnancy would benefit from including fetal biometry, uterine artery Doppler velocimetry and analysis of placental histomorphology.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy-specific stress, fetoplacental haemodynamics, and neonatal outcomes in women with small for gestational age pregnancies: a secondary analysis of the multicentre Prospective Observational Trial to Optimise Paediatric Health in Intrauterine Growth Restriction

et al. 2017

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ObjectivesTo examine associations between maternal pregnancy-specific stress and umbilical (UA PI) and middle cerebral artery pulsatility indices (MCA PI), cerebroplacental ratio, absent end diastolic flow (AEDF), birthweight, prematurity, neonatal intensive care unit admission and adverse obstetric outcomes in women with small for gestational age pregnancies. It was hypothesised that maternal pregnancy-specific stress would be associated with fetoplacental haemodynamics and neonatal outcomes.DesignThis is a secondary analysis of data collected for a large-scale prospective observational study.SettingThis study was conducted in the seven major obstetric hospitals in Ireland and Northern Ireland.ParticipantsParticipants included 331 women who participated in the Prospective Observational Trial to Optimise Paediatric Health in Intrauterine Growth Restriction. Women with singleton pregnancies between 24 and 36 weeks gestation, estimated fetal weight <10th percentile and no major structural or chromosomal abnormalities were included.Primary and secondary outcome measuresSerial Doppler ultrasound examinations of the umbilical and middle cerebral arteries between 20 and 42 weeks gestation, Pregnancy Distress Questionnaire (PDQ) scores between 23 and 40 weeks gestation and neonatal outcomes.ResultsConcerns about physical symptoms and body image at 35–40 weeks were associated with lower odds of abnormal UAPI (OR 0.826, 95% CI 0.696 to 0.979, p=0.028). PDQ score (OR 1.073, 95% CI 1.012 to 1.137, p=0.017), concerns about birth and the baby (OR 1.143, 95% CI 1.037 to 1.260, p=0.007) and concerns about physical symptoms and body image (OR 1.283, 95% CI 1.070 to 1.538, p=0.007) at 29–34 weeks were associated with higher odds of abnormal MCA PI. Concerns about birth and the baby at 29–34 weeks (OR 1.202, 95% CI 1.018 to 1.421, p=0.030) were associated with higher odds of AEDF. Concerns about physical symptoms and body image at 35–40 weeks were associated with decreased odds of neonatal intensive care unit admission (OR 0.635, 95% CI 0.435 to 0.927, p=0.019).ConclusionsThese findings suggest that fetoplacental haemodynamics may be a mechanistic link between maternal prenatal stress and fetal and neonatal well-being, but additional research is required.

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“…The few studies available indicate that pregnant women with distress are more likely to develop pre‐eclampsia and vaginal bleeding/spotting . Perinatal distress has also been reported among women hospitalised due to hyperemesis and those at risk of pregnancy complications . More researchers have focused on pregnancy among women diagnosed with depression and/or anxiety.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships

Jónsdóttir

Swahnberg

Thome

et al. 2019

Scandinavian Caring Sciences

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Introduction Although perinatal distress is acknowledged as a burdening condition for pregnant women, its effects on pregnancy are not well known. This study was conducted to increase knowledge regarding the effects of distress on pregnancy‐related problems. The study also assessed women's need for sick leave and increased prenatal care due to distress, and the effects of weak social support and dissatisfaction with their partner relationships. Methods In total, 2523 women were screened for perinatal distress three times during pregnancy in this quantitative cohort study. Structured psychiatric interviews were conducted following the screening, with 562 of the participants. Data from participants’ pregnancy records were also analysed. The study was conducted in primary healthcare centres in Iceland after receiving approval from the Icelandic National Bioethical Committee. The main outcome measures were pregnancy problems, sick leave issued and prenatal service needs. Results Data from 503 women were analysed. The perinatal distress group (PDG) was significantly more likely than was the nondistressed group (NDG) to experience fatigue, vomiting and pelvic pain after controlling for background variables. Distressed women who reported weak family support experienced symptoms of nausea and heartburn. The PDG needed more frequent prenatal care than did the NDG and was issued sick leave for up to 42 days longer. Dissatisfaction in the partner relationship and with the division of household tasks and childcare was strongly associated with distress, the development of complications and the need for sick leave. Discussion Identification of perinatal distress by midwives and other healthcare professionals is important, since distress may be linked to women's complaints of fatigue, vomiting, pelvic pain and need for prolonged sick leave, and additional prenatal care services will be needed. Perceived dissatisfaction in the partner relationship and with the division of household tasks should also form part of clinical practice and assistance provided.

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Demographic, Medical, and Psychosocial Predictors of Pregnancy Anxiety

Cited by 58 publications

References 40 publications

Relationship between Islamic Lifestyle and Mental Health in Pregnant Women : A Cross-Sectional Study

Relationship between Islamic Lifestyle and Mental Health in Pregnant Women : A Cross-Sectional Study

Pregnancy-specific stress, fetoplacental haemodynamics, and neonatal outcomes in women with small for gestational age pregnancies: a secondary analysis of the multicentre Prospective Observational Trial to Optimise Paediatric Health in Intrauterine Growth Restriction

Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships

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