Maternal Anxiety Related to Prenatal Diagnoses of Fetal Anomalies That Require Surgery

Wilpers, Abigail; Kennedy, Holly Powell; Wall, Diane; Funk, Marjorie; Bahtiyar, Mert Ozan

doi:10.1016/j.jogn.2017.02.001

Cited by 17 publications

(15 citation statements)

References 26 publications

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“…Our study also highlights that the prenatal ultrasonographic detection of fetal structural anomaly largely affects maternal stress and anxiety level as early as one-to-two weeks post-detection. Similar findings were found by Wilpers et al (2017) in which maternal anxiety state level was higher among mothers with fetal anomaly [ 32 ]. Similarly, Kaasen et al (2017) reported an initial high level of distress post-detection of fetal anomaly but did not evaluate the baseline level [ 37 ].…”

Section: Discussionsupporting

confidence: 90%

“…This prenatal ultrasonographic detection may improve the chances of survival with appropriate antenatal and postnatal preparation; however, it is not without risk to maternal mental health. Being recommended for a detailed scan due to high-risk pregnancy is generally a stressful life event [29], let alone being diagnosed with a fetus with structural anomalies, which may adversely influence maternal mental health [30][31][32]. Poor mental health during pregnancy is harmful as it is associated with shorter gestation, lower birth weight, adverse neurodevelopment, and postpartum depression [29,[33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

“…Multiple studies have shown that maternal mental health was affected upon prenatal detection of fetal anomaly. For instance, a prospective study in the United States found that participants with fetal anomalies that require future surgery had a greater mean state anxiety score than those without [ 32 ]. Another prospective study conducted among conveniently-sampled pregnant women who were recruited in 2006 to 2009 found that pregnant women with detected fetal structural anomaly had higher psychological distress score post-detection which gradually decreased over time [ 37 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Maternal Mental Health following Ultrasonographic Detection of Fetal Structural Anomaly in the Midst of the COVID-19 Pandemic

Roslan

Fauzi²,

Teng

et al. 2021

IJERPH

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Prenatal ultrasonographic detection of fetal structural anomaly may adversely affect maternal mental health throughout pregnancy, particularly in the current COVID-19 pandemic. This study aims to prospectively assess maternal stress, anxiety, and depression following ultrasonographic detection of fetal structural anomaly from diagnosis until delivery during the COVID-19 pandemic. A total of 141 pregnant women at a tertiary hospital who underwent detailed scans between 16 and 24 gestational weeks were included and categorized into the study (anomaly finding, n = 65) and comparison (normal finding, n = 76) groups. Self-administered questionnaires of 10-item Perceived Stress Scale (PSS-10) and Hospital Anxiety and Depression Scale (HADS) were used to assess maternal stress, anxiety, and depression at prior detection (T1), two-to-four weeks post-detection (T2), one-to-two weeks prior to delivery (T3), and one-to-two weeks post-delivery (T4). Repeated measures of analysis of variance (ANOVA) were conducted to assess time-, between-group, and time–group interaction effect. In general, maternal stress improved, but anxiety worsened, while depression persisted, over the time from T1 to T4. The average maternal stress and anxiety levels were significantly higher among groups with fetal anomaly. The maternal stress and anxiety level were significantly affected within one-to-two weeks post-detection of fetal structural anomaly. In conclusion, maternal mental health parameters were affected differently during the COVID-19 pandemic, with higher vulnerability of stress and anxiety among pregnant women with fetal structural anomaly particularly within one-to-two weeks post-detection.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Maternal Mental Health following Ultrasonographic Detection of Fetal Structural Anomaly in the Midst of the COVID-19 Pandemic

Roslan

Fauzi²,

Teng

et al. 2021

IJERPH

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“…A recent meta-analysis shows that common perinatal complications, such as preterm premature rupture of membranes or gestational hypertension could be risk factors for maternal psychosis [ 38 ]. Not only fetal abnormalities requiring surgery [ 39 ], but also a simple referral for fetal echocardiography [ 40 ] was associated with increased anxiety level. Considering all the above-mentioned reports, we have decided to exclude pathological pregnancies from the study.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic-Related Anxiety in Pregnant Women

Nowacka¹,

Kozłowski²,

Januszewski³

et al. 2021

IJERPH

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The COVID-19 pandemic outbreak influenced general and mental health worldwide. The objective of this study was to assess the anxiety level during the COVID-19 pandemic among pregnant women and compare it between COVID-infected and non-infected groups. We prospectively assessed the daily routine and anxiety level using a bespoke questionnaire and GAD-7 scale validated for pregnant women. With logistic regression, we established possible risk factors of generalized anxiety disorder spectrum and main causes of concern. The dataset included 439 responders of our survey. Of which, 21% had COVID-19 infection during pregnancy; 38% were screened for possible generalized anxiety disorder and the proportion was higher in women who suffered from COVID-19 (48% vs. 35%, p = 0.03). Pre-pregnancy anxiety or depression diagnosis and intentional social contact avoidance increased the risk of anxiety (aOR 3.4 and 3.2). Fetal wellbeing was the main concern for 66% of the responders. The COVID-19 pandemic and related restrictions substantially altered daily lives of pregnant women, exaggerating the prevalence of anxiety compared with the pre-COVID-19 studies (38% vs. 15%). COVID-19 infection during pregnancy was associated with increased levels of generalized anxiety scores. Patient-tailored psychological support should be a mainstay of comprehensive antenatal medical care in order to avoid anxiety- and stress-related complications.

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“…Badania przesiewowe obejmują badania biochemiczne z surowicy krwi matki oraz badania ultrasonograficzne (USG). Pierwsze [3][4][5][6][7] Wymienione problemy skłaniają do rozważań na temat motywacji pacjentek do poddania się diagnostyce prenatalnej oraz przeżyć towarzyszących badaniom. Kolejnym niezwykle ważnym aspektem jest kształtowanie się, w dobie rozwoju medycyny perinatalnej, opinii kobiet ciężarnych w różnych grupach społecznych na temat diagnostyki prenatalnej.…”

Section: Wprowadzenieunclassified

Pregnant women’s opinion about prenatal screening: A single-center study

Szablewska¹,

Michalik²

2018

Piel. Zdr. Publ.

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Nie występujePraca wpłynęła do Redakcji: 29.08.2017 r. Po recenzji: 11.12.2017 r. Zaakceptowano do druku: 16.02.2018 r. StreszczenieWprowadzenie. Diagnostyka prenatalna stanowi jedno z największych osiągnięć współczesnej perinatologii. Dzięki niej można we wczesnym stadium ciąży uzyskać istotne informacje o zagrożeniach dla płodu oraz podjąć racjonalne działania prewencyjne bądź lecznicze. Szacuje się, iż w ogólnej populacji u 2-4% żywo urodzonych noworodków rozpoznawana jest przynajmniej 1 wada wrodzona. Częstość występowania chorób uwarunkowanych genetycznie oraz wad wrodzonych uzmysławia, jak wiele rodzin jest obciążonych problemami natury psychologicznej i społecznej.Cel pracy. Celem pracy było poznanie opinii kobiet ciężarnych na temat diagnostyki prenatalnej.Materiał i metody. Materiał kliniczny obejmował grupę 105 ciężarnych, które poddały się diagnostyce prenatalnej: 79 z nich było w grupie ryzyka wystąpienia wady wrodzonej (grupa A), 26 nie miało bezpośrednich wskazań medycznych do przeprowadzenia diagnostyki prenatalnej (grupa B). Badanie przeprowadzono metodą sondażu diagnostycznego z wykorzystaniem kwestionariuszy ankiety (Kwestionariusz Percepcji Ryzyka Genetycznego, Kwestionariusz Postaw Wobec Diagnostyki Prenatalnej oraz Kwestionariusz Diagnostyki Prenatalnej autorstwa Kornas-Bieli). Analizę statystyczną przeprowadzono za pomocą programu statystycznego STATISTICA 10.Wyniki. Wykazano istotną statystycznie różnicę pomiędzy grupami pod względem: wieku, liczby posiadanych dzieci oraz czasu potrzebnego do namysłu od momentu uzyskania informacji o możliwości poddania się diagnostyce a podjęciem decyzji o jej przeprowadzeniu. Wykazano istotną statystycznie zależność pomiędzy liczbą posiadanych dzieci a dopuszczalnością przerwania ciąży.Wnioski. Diagnostyka prenatalna jest akceptowana przez ciężarne. Aprobują one badania prenatalne, nawet jeśli stwierdzona na ich podstawie nieprawidłowość nie jest możliwa do wyleczenia. Zarówno ciężarnym posiadającym wskazania medyczne do przeprowadzenia badań prenatalnych, jak i tym, które zdecydowały się na nie mimo braku wskazań, towarzyszyło takie samo uczucie lęku. Kobiety posiadające potomstwo uważają aborcję ze względu na wadę płodu za niedopuszczalną.

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Maternal Anxiety Related to Prenatal Diagnoses of Fetal Anomalies That Require Surgery

Cited by 17 publications

References 26 publications

Maternal Mental Health following Ultrasonographic Detection of Fetal Structural Anomaly in the Midst of the COVID-19 Pandemic

Maternal Mental Health following Ultrasonographic Detection of Fetal Structural Anomaly in the Midst of the COVID-19 Pandemic

COVID-19 Pandemic-Related Anxiety in Pregnant Women

Pregnant women’s opinion about prenatal screening: A single-center study

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