Psychological impact of first-trimester prevention for preeclampsia on anxiety

Simeone, Serena; Lojo, Cristina; García-Esteve, Lluïsa; Triunfo, Stefania; Crovetto, F.; Arranz, A.; Gratacós, E.; Figueras, F.

doi:10.1002/pd.4485

Cited by 17 publications

(28 citation statements)

References 25 publications

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“…But by active engagement and alertness in their personal health, they expected the disadvantage of anxiety to be levelled out. Which is in line with findings of Simeone et al [25], who demonstrated that participating in a first-trimester preventive program for PE did not increase levels of anxiety [25]. …”

Section: Discussionsupporting

confidence: 92%

“…The results of our study suggest that the majority of women in this study had a positive attitude towards preeclampsia screening and were willing to participate when available, which is in line with earlier research regarding PE screening [24, 25]. When identified as high-risk, self-monitoring, together with increased alertness of healthcare professionals, was perceived as a means to take active actions to potentially improve pregnancy outcomes.…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Perspectives, preferences and needs regarding early prediction of preeclampsia in Dutch pregnant women: a qualitative study

Crombag

Ruiter

Kwee

et al. 2017

BMC Pregnancy Childbirth

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BackgroundTo improve early risk-identification in pregnancy, research on prediction models for common pregnancy complications is ongoing. Therefore, it was the aim of this study to explore pregnant women’s perceptions, preferences and needs regarding prediction models for first trimester screening for common pregnancy complications, such as preeclampsia, to support future implementation.MethodTen focus groups (of which five with primiparous and five with multiparous women) were conducted (n = 45). Six focus groups were conducted in urban regions and four in rural regions. All focus group discussions were audio taped and NVIVO was used in order to facilitate the thematic analysis conducted by the researchers.ResultsWomen in this study had a positive attitude towards first trimester screening for preeclampsia using prediction models. Reassurance when determined as low-risk was a major need for using the test. Self-monitoring, early recognition and intensive monitoring were considered benefits of using prediction models in case of a high-risk. Women acknowledged that high-risk determination could cause (unnecessary) anxiety, but it was expected that personal and professional interventions would level out this anxiety.ConclusionWomen in this study had positive attitudes towards preeclampsia screening. Self-monitoring, together with increased alertness of healthcare professionals, would enable them to take active actions to improve pregnancy outcomes. This attitude enhances the opportunities for prevention, early recognition and treatment of preeclampsia and probably other adverse pregnancy outcomes.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 86%

Perspectives, preferences and needs regarding early prediction of preeclampsia in Dutch pregnant women: a qualitative study

Crombag

Ruiter

Kwee

et al. 2017

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Whilst incorporation of PET screening into the combined first-trimester test presents some difficulties for counselling, expedience dictates this is both the most appropriate gestational point and cost-effective approach for screening [39]. There is no evidence that women defined as being at high risk for ePET have higher levels of anxiety later in their pregnancy [40].…”

Section: Prediction and Prevention Of Petmentioning

confidence: 98%

The first trimester: Prediction and prevention of the great obstetrical syndromes

Sweeting

Park

Hyett

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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“…Furthermore, there is a concern about the long-term consequences of PE, as women who experience this disorder represent a high-risk group for subsequent premature cardiovascular, cerebrovascular, peripheral arterial diseases and other chronic illnesses later in life [19] [22] [29]- [33]. Early onset PE, which requires delivery before 34 weeks gestation is the clinical form that largely contributes to these increased risks [19]. Changes in PC noted in this study are in agreement with those reported by other researchers [9] [34]- [36].…”

Section: Discussionmentioning

confidence: 99%

“…[19]- [28]. Furthermore, there is a concern about the long-term consequences of PE, as women who experience this disorder represent a high-risk group for subsequent premature cardiovascular, cerebrovascular, peripheral arterial diseases and other chronic illnesses later in life [19] [22] [29]- [33].…”

Section: Discussionmentioning

confidence: 99%

Changes in Platelet Indices during Pregnancy as Potential Markers for Prediction of Preeclampsia Development

Nooh¹,

Abdeldayem²

2015

OJOG

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Objective: To assess whether changes in platelet indices, detectable by simple complete blood count (CBC), during pregnancy could be used as markers for prediction of development of preeclampsia (PE). Methods: A total of 2813 pregnant women who received regular antenatal care until delivery were included. Participants were divided into 3 groups: normotensive pregnant women (n = 2621), women with PE without severe features (n = 169), and women with PE with severe features (n = 23). Blood samples were collected during antenatal visits and/or during the period of in-patient hospital stay, and changes in platelet indices were compared among the three groups. Results: Platelet count (PC) was decreasing while mean platelet volume (MPV) and platelet distribution width (PDW) were increasing as PE progressed. Receiver operating characteristics (ROC) curve analysis showed that PDW had the largest area under curve (AUC) [0.980 (95% CI: 0.964 -1.000)], making it the best marker for predicting development of PE. Also, PDW showed the most statistically significant correlation with mean arterial pressure (MAP) (r = 0.902, p = 0.000), making it the best marker for predicting severity of hypertension. Conclusion: This study provides evidence that PC decreases while MPV and PDW increase as pregnancy advances, and these changes are more pronounced in PE than normotensive pregnancy. These changes predate development of PE by 2 -8 weeks and are proportional to the progress of this disorder. The selected platelet indices, especially PDW, have the potential to be utilized as markers for not only prediction of PE development but also severity of hypertension.

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Psychological impact of first-trimester prevention for preeclampsia on anxiety

Abstract: A strategy of first-trimester screening for preeclampsia does not increase maternal anxiety.

Cited by 17 publications

References 25 publications

Perspectives, preferences and needs regarding early prediction of preeclampsia in Dutch pregnant women: a qualitative study

Perspectives, preferences and needs regarding early prediction of preeclampsia in Dutch pregnant women: a qualitative study

The first trimester: Prediction and prevention of the great obstetrical syndromes

Changes in Platelet Indices during Pregnancy as Potential Markers for Prediction of Preeclampsia Development

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