Obstetric and perinatal outcomes among women with blood- and injection phobia during pregnancy

Lilliecreutz, Caroline; Sydsjö, Gunilla; Josefsson, Ann

doi:10.1016/j.jad.2010.08.013

Cited by 29 publications

(15 citation statements)

References 37 publications

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“…22 They reported that the likelihood of having cesarean delivery for women who had an anxiety disorder was 2.5‐fold higher than that for other women . Also, specific anxiety disorders, such as blood phobia, may be associated with obstetric interventions . Future research may clarify the relation between severe psychiatric disorders and obstetric outcomes and the mechanisms by which depression is associated with emergency cesarean delivery.…”

Section: Discussionmentioning

confidence: 99%

Effect of depressive and anxiety symptoms during pregnancy on risk of obstetric interventions

Bayrampour

Salmon

Vinturache

et al. 2015

J of Obstet and Gynaecol

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Section: Discussionmentioning

confidence: 99%

Effect of depressive and anxiety symptoms during pregnancy on risk of obstetric interventions

Bayrampour

Salmon

Vinturache

et al. 2015

J of Obstet and Gynaecol

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“…SGA) and for development problems later in life. [8][9][10][11][12][13][14] There is also evidence that an altered hypothalamic-adrenal-pituitary axis (HPA) in women with anxiety during pregnancy can be a result of increased stress. 10,15 Lilliecreutze 2011 16 condensed the pathways for stress ⁄ anxiety from mother to fetus: 1 Neuroendocrine system: The effect of maternal hormones on the uterus and the in-utero exposure of the foetus to abnormally high levels of maternal hormones, especially cortisol are plausible mechanisms by which maternal stress affects the foetus.…”

Section: Resultsmentioning

confidence: 99%

Long‐Term Consequences of Non‐Optimal Birth Characteristics

Sydsjö

2011

American J Rep Immunol

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Citation Sydsjö G. Long‐term Consequences of Non‐Optimal Birth Characteristics. Am J Reprod Immunol 2011; 66 (Suppl. 1): 81–87Problem The intrauterine milieu, gestational length as well as size at birth have a profound impact on the individual’s mental, physical health and development both in childhood as well as in adult life.Method of study This paper reviews the associations between preterm birth and restricted fetal growth with neuro‐developmental sequelae, including increased symptoms of psychiatric disorder in childhood and early adulthood. There is also evidence that physical morbidity such as the metabolic syndrome is more common in adult life. In addition, preterm birth and restricted fetal growth have been shown to be related to respiratory disease, infectious disease, and even malignancy. Morbidity, mental and physical as well as personality/intellectual traits hugely impact on family planning and reproductive performance in adults. As restricted fetal growth may alter organ structure and functions, it is likely to also influence subsequent fertility and/or reproductive health.Results Individuals with non‐optimal birth characteristics appears to have a reduction in childbearing and a deviant reproduction pattern compared to controls.Conclusion Future studies with sophisticated models for measuring the most vulnerable period of birth for children who have a low birth weight or who are at risk for being born preterm are needed to be able to explore the underlying biological mechanisms and also to plan for prevention as well as for interventions during pregnancy.

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“…The estimated prevalence of blood and injection phobia in pregnancy is 7.2% 19 , and women with this anxiety disorder present increased risk for adverse obstetric outcomes, premature delivery and higher neonatal morbidity 20 . Fear is a different emotion, not as severe as phobia, but it may hamper therapy in patients that are on insulin therapy.…”

Section: Discussionmentioning

confidence: 99%

Frequency of fear of needles and impact of a multidisciplinary educational approach towards pregnant women with diabetes

Feitosa¹,

Sampaio²,

Batista³

et al. 2013

Rev. Bras. Ginecol. Obstet.

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PURPOSE: To evaluate the frequency of fear of needles and the impact of a multidisciplinary educational program in women with pre-gestational and gestational diabetes taking insulin during pregnancy. METHODS: The short Diabetes Fear of Injecting and Self-testing Questionnaire (D-FISQ), composed by two subscales that access fear of self injection (FSI) and fear of self testing (FST), was administered twice during pregnancy to 65 pregnant women with pre-gestational and gestational diabetes: at the first endocrine consult and within the last two weeks of pregnancy or postpartum. An organized multidisciplinary program provided diabetes education during pregnancy. Statistical analysis was carried out by Wilcoxon and McNemar tests and Spearman correlation. A p<0.05 was considered to be significant. RESULTS: Data from the short D-FISQ questionnaire shows that 43.1% of pregnant women were afraid of needles in the first evaluation. There was a significant reduction in scores for FSI and FST subscales between the first and second assessments (first FSI 38.5% compared with second 12.7%, p=0.001; first FST 27.7% compared with second FST 14.3%, p=0.012). CONCLUSIONS: The fear of needles is common in pregnant women on insulin therapy and an organized multidisciplinary educational diabetes program applied during pregnancy reduces scores of such fear. ResumoOBJETIVO: Avaliar a frequência do medo de agulhas e o impacto de um programa educacional multidisciplinar em mulheres com diabetes pré-gestacional e gestacional em uso de insulinas durante a gravidez. MÉTODOS: O questionário Diabetes Fear of Injecting and Self-testing Questionnaire (D-FISQ) resumido, composto por duas subescalas que acessam o medo de injeções (FSI) e o medo da automonitoração (FST), foi administrado duas vezes durante a gestação de 65 mulheres com diabetes pré-gestacional e gestacional: na primeira consulta endocrinológica e dentro das últimas duas semanas de gestação ou pós-parto. Durante a gravidez, as gestantes foram submetidas a um programa multidisciplinar sistematizado para prover educação em diabetes. A análise estatística foi realizada por meio dos testes de Wilcoxon e McNemar e a correlação de Spearman. Valor p<0,05 foi considerado como significativo. RESULTADOS: A aplicação do questionário D-FISQ resumido indicou que 43,1% das gestantes apresentavam medo de agulhas na primeira avaliação. Houve significativa redução nos escores das subescalas FSI e FST entre a primeira e segunda avaliação (primeiro FSI 38,5% comparado com o segundo 12,7%, p=0,001; primeiro FST 27,7% comparado com segundo FST 14,3%, p=0,012). CONCLUSÃO: O medo de agulhas é frequente em gestantes em uso de terapia com insulina, e um organizado programa multidisciplinar educacional em diabetes aplicado durante a gestação reduz os escores do medo.

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Obstetric and perinatal outcomes among women with blood- and injection phobia during pregnancy

Cited by 29 publications

References 37 publications

Effect of depressive and anxiety symptoms during pregnancy on risk of obstetric interventions

Effect of depressive and anxiety symptoms during pregnancy on risk of obstetric interventions

Long‐Term Consequences of Non‐Optimal Birth Characteristics

Frequency of fear of needles and impact of a multidisciplinary educational approach towards pregnant women with diabetes

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