Pregnancy worries: a longitudinal study of Spanish women

Peñacoba, Cecilia; Monge, Francisco Javier Carmona; Marín-Morales, Dolores

doi:10.1111/j.1600-0412.2011.01208.x

Cited by 49 publications

(32 citation statements)

References 15 publications

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“…Earlier studies have reported a decline in maternal distress towards 30 weeks gestation [26], [27], [48], [49]. Glynn et al found an association between an increase in stress and anxiety during pregnancy and risk of preterm birth in a study of 415 women including 38 preterm births [28].…”

Section: Discussionmentioning

confidence: 98%

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Antenatal Maternal Emotional Distress and Duration of Pregnancy

et al. 2014

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Objective(s)We sought to prospectively study the association between antenatal emotional distress and gestational length at birth as well as preterm birth.Study DesignWe followed up 40,077 primiparous women in the Norwegian Mother and Child Cohort Study. Emotional distress was reported in a short form of the Hopkins Symptom Checklist-25 (SCL-5) at 17 and 30 weeks of gestation. Gestational length at birth, obtained from the Medical Birth Registry of Norway, was used as continuous (gestational length in days) and categorized (early preterm (22–31 weeks) and late preterm (32–36 weeks) versus term birth (≥37 weeks)) outcome, using linear and logistic regression analysis, respectively. Births were divided into spontaneous and provider-initiated.ResultsOf all women, 7.4% reported emotional distress at 17 weeks, 6.0% at 30 weeks and 5.1% had a preterm birth. All measurements of emotional distress at 30 weeks were significantly associated with a reduction of gestational length, in days, for provider-initiated births at term. Emotional distress at 30 weeks showed a reduced duration of pregnancy at birth of 2.40 days for provider-initiated births at term. An increase in emotional distress from 17 to 30 weeks was associated with a reduction of gestational length at birth of 2.13 days for provider-initiated births at term. Sustained high emotional distress was associated with a reduction of gestational length at birth of 2.82 days for provider-initiated births. Emotional distress did not increase the risk of either early or late preterm birth.ConclusionEmotional distress at 30 weeks, an increase in emotional distress from 17 to 30 weeks and sustained high levels of emotional distress were associated with a reduction in gestational length in days for provider-initiated term birth. We found no significant association between emotional distress and the risk of preterm birth.

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Section: Discussionmentioning

confidence: 98%

“…Research indicates that levels of anxiety and depression vary during pregnancy, with higher levels at the beginning and lower levels at 30 weeks gestation [26], [27]. The only study investigating this so far, by Glynn et al, suggests that a deviation from this pattern, i.e.…”

Section: Introductionmentioning

confidence: 98%

Antenatal Maternal Emotional Distress and Duration of Pregnancy

et al. 2014

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“…(2009) 18 . Luego los resultados alcanzados, resultan preocupantes si tenemos en cuenta que, en la actualidad, la edad del primer embarazo en la mujer española se ha retrasado considerablemente, situándose próxima a los 30 años 19 . Del mismo modo, el promedio de hijos por cada pareja en España se sitúa en 1,2 19 .…”

Section: Discussionunclassified

“…Luego los resultados alcanzados, resultan preocupantes si tenemos en cuenta que, en la actualidad, la edad del primer embarazo en la mujer española se ha retrasado considerablemente, situándose próxima a los 30 años 19 . Del mismo modo, el promedio de hijos por cada pareja en España se sitúa en 1,2 19 . Respecto a la relación existente entre los niveles séricos de estrógenos, prolactina y el estado nutricional de las pacientes cabe destacar como a medida que las pacientes incrementan su peso, los niveles circulantes de dichas hormonas se elevan.…”

Section: Discussionunclassified

Estudio de factores obstétricos, nutricionales y hormonales y su influencia en el desarrollo de cáncer de mama

González‐Jiménez

Alonso

2013

Rev. méd. Chile

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“…This may relate to greater pregnancy specific worries [8,9], specifically in relation to there being something wrong with the baby, caring for the baby and giving birth [10]. Indeed, Sikorski et al reported that nulliparous women were more likely to decline participation in their trial of reduced visits, suggesting that they found the prospect of fewer visits to be less acceptable than multiparous women [3].…”

Section: Introductionmentioning

confidence: 99%

Antenatal telephone support intervention with and without uterine artery Doppler screening for low risk nulliparous women: a randomised controlled trial

Snaith

Hewison

Steen

et al. 2014

BMC Pregnancy Childbirth

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BackgroundThe number of routine antenatal visits provided to low risk nulliparous women has been reduced in the UK, acknowledging this change in care may result in women being less satisfied with their care and having poorer psychosocial outcomes. The primary aim of the study was to investigate whether the provision of proactive telephone support intervention (TSI) with and without uterine artery Doppler screening (UADS) would reduce the total number of antenatal visits required. A secondary aim was to investigate whether the interventions affected psychological outcomes.MethodsA three-arm randomised controlled trial involving 840 low risk nulliparous women was conducted at a large maternity unit in North East England. All women received antenatal care in line with current UK guidance. Women in the TSI group (T) received calls from a midwife at 28, 33 and 36 weeks and women in the telephone and Doppler group (T + D) received the TSI and additional UADS at 20 weeks’ gestation. The main outcome measure was the total number of scheduled and unscheduled antenatal visits received after 20 weeks’ gestation.ResultsThe median number of unscheduled (n = 2.0), scheduled visits (n = 7.0) and mean number of total visits (n = 8.8) were similar in the three groups. The majority (67%) of additional antenatal visits were made to a Maternity Assessment Unit because of commonly occurring pregnancy complications. Additional TSI+/–UADS was not associated with differences in clinical outcomes, levels of anxiety, social support or satisfaction with care. There were challenges to the successful delivery of the telephone support intervention; 59% of women were contacted at 29 and 33 weeks gestation reducing to 52% of women at 37 weeks.ConclusionsProvision of additional telephone support (with or without UADS) in low risk nulliparous women did not reduce the number of unscheduled antenatal visits or reduce anxiety. This study provides a useful insight into the reasons why this client group attend for unscheduled visits.Trial registrationISRCTN62354584

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Pregnancy worries: a longitudinal study of Spanish women

Cited by 49 publications

References 15 publications

Antenatal Maternal Emotional Distress and Duration of Pregnancy

Antenatal Maternal Emotional Distress and Duration of Pregnancy

Estudio de factores obstétricos, nutricionales y hormonales y su influencia en el desarrollo de cáncer de mama

Antenatal telephone support intervention with and without uterine artery Doppler screening for low risk nulliparous women: a randomised controlled trial

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