Does Relaxation Education in Anxious Primigravid Iranian Women Influence Adverse Pregnancy Outcomes?

Bastani, Farideh; Hidarnia, Alireza; Montgomery, Kristen S.; Aguilar-Vafaei, Maria E; Kazemnejad, Anoshirvan

doi:10.1097/00005237-200604000-00007

Cited by 91 publications

(94 citation statements)

References 33 publications

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“…There is burgeoning academic and clinical interest in application of training in relaxation techniques to ameliorate potentially hazardous consequences of stress, reduce pregnancy complications, and maximize the labor and delivery experience (Bastani, Hidarnia, Montgomery, Aquilar-Vafaei, & Kazemnejad, 2006;Nickel et al, 2006;Saisto, Toivanen, Salmela-Aro, & Halmesmaki, 2006). Despite the well-educated, fairly affluent nature of our sample, the prime population seeking complementary therapies, few pregnant women routinely engage in relaxation techniques.…”

Section: Discussionmentioning

confidence: 99%

Fetal responses to induced maternal relaxation during pregnancy

DiPietro

Costigan

Nelson

et al. 2008

Biological Psychology

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Fetal responses to induced maternal relaxation during the 32 nd week of pregnancy were recorded in 100 maternal-fetal pairs using a digitized data collection system. The 18-minute guided imagery relaxation manipulation generated significant changes in maternal heart rate, skin conductance, respiration period, and respiratory sinus arrhythmia. Significant alterations in fetal neurobehavior were observed, including decreased fetal heart rate (FHR), increased FHR variability, suppression of fetal motor activity (FM), and increased FM-FHR coupling. Attribution of the two fetal cardiac responses to the guided imagery procedure itself, as opposed to simple rest or recumbency, is tempered by the observed pattern of response. Evaluation of correspondence between changes within individual maternal-fetal pairs revealed significant associations between maternal autonomic measures and fetal cardiac patterns, lower umbilical and uterine artery resistance and increased FHR variability, and declining salivary cortisol and FM activity. Potential mechanisms that may mediate the observed results are discussed.

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Section: Discussionmentioning

confidence: 99%

Fetal responses to induced maternal relaxation during pregnancy

DiPietro

Costigan

Nelson

et al. 2008

Biological Psychology

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“…The ability to relax helps one to concentrate on breathing and coping with contractions during labour and delivery [49], and to accept different emotions during different phases of labour and delivery [50]. The ability to relax can also affect the experience of pain and, according clinical findings, it gives a woman belief in her selfcompetence, both of which also lead to a better childbirth experience [51]. Previous studies have shown the importance of social support on a woman's well-being after delivery [52][53][54] and our results support this.…”

Section: Discussionmentioning

confidence: 99%

Group psychoeducation with relaxation for severe fear of childbirth improves maternal adjustment and childbirth experience – a randomised controlled trial

Rouhe

Salmela‐Aro

Toivanen

et al. 2014

Journal of Psychosomatic Obstetrics & Gynecology

102

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“…Bastani, Hidarnia, Kazemnejad, Vafaei, and Kashanian (2005) reported reduced measures of state anxiety and perceived stress, compared to a control group, for a randomized control trial of applied relaxation training. This same group of researchers (Bastani, Hidarnia, Montgomery, Aguilar-Vafaei, & Kazemnejad, 2006) showed that low-risk primigravid women with measurement of high anxiety levels who received applied relaxation training showed significant reductions in low birth weight, cesarean section, and/or instrumental delivery. One further study (Guerreiro da Silva, 2007) measuring emotional complaints in pregnancy regarding mood, sleep, relationships, social activities, sexual life, and joy of living showed that the intensity of distress decreased by at least half (60%) in patients participating in the experimental condition, compared to 26% of those in the control group (p = 0.013).…”

Section: Complementary and Alternative Medical (Cam) Therapiesmentioning

confidence: 93%

Psychosocial Adaptation to Pregnancy

Lederman

Weis²

2009

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except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) PrefaceThe subject of this book is the psychosocial development of gravid women, both primigravid and multigravid women. Seven personality dimensions, or developmental challenges, are discussed and intended to serve as a guide for understanding and assessing the gravidas' adaptation to pregnancy and expectant parenthood.The book is an outgrowth of research projects 1 that investigated the relationship of maternal psychosocial adaptation in pregnancy to maternal anxiety and labor progress during childbirth, to prenatal and parturition obstetric complications, to newborn birthweight, and to maternal and infant postpartum adaptation. Verbatim statements made by the women who participated in the study are used throughout the text to provide examples of good and poor adaptation for each dimension. The excerpts from prenatal interviews illustrate specific conflicts and fears, as well as methods used to cope with them, which are also indicative of levels of adaptation. The chapters have been expanded to incorporate recent literature and research results in the analysis and interpretation of interview statements, with examples of good, moderate, and low maternal adaptation for each dimension.The items on interview schedules and on a subsequently developed questionnaire were specifically designed to assess the universal aspects of each personality dimension. Questionnaire scales to assess the prenatal dimensions have consistently produced reliable and valid results over time in different cultures, socioeconomic classes, and family constellations.Furthermore, there has been limited advancement in the development of theory or alternative theories to explicate maternal psychosocial development or adaptation during pregnancy. For these reasons, the original theoretical model and the results obtained with interview and questionnaire assessment remain current and significant to date, and are utilized in this third edition.Research results over the past 30 years support the validity and significance of the personality dimensions. These results and an overview of each dimension are v

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Does Relaxation Education in Anxious Primigravid Iranian Women Influence Adverse Pregnancy Outcomes?

Abstract: The findings suggest beneficial effects of nurse-led relaxation education sessions during the prenatal period. This intervention could serve as a resource for improving pregnancy outcomes in women with high anxiety.

Cited by 91 publications

References 33 publications

Fetal responses to induced maternal relaxation during pregnancy

Fetal responses to induced maternal relaxation during pregnancy

Group psychoeducation with relaxation for severe fear of childbirth improves maternal adjustment and childbirth experience – a randomised controlled trial

Psychosocial Adaptation to Pregnancy

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