Psychosocial stress in high risk pregnancy

Abstract

Objective: A high risk pregnancy may introduce additional psychological stress on a pregnant woman. The aim of this study was to review systematically the available evidence of the psychological consequences, in terms of anxiety and depression, of high-risk pregnancy. Methods:A systematic search of the electronic databases was performed. This review considered only quantitative, primary studies in the English language, published during the period 2000-2015 and relevant to the objective. The population of interest was previously high-risk pregnant women. Outcome variables were general anxiety, depressive symptoms and pregnancy-specific anxiety. Seven studies met the inclusion and methodological criteria and were included in the review. Results:The review revealed that high-risk pregnant women had high levels of depression ranging from 18% to 58% and these rates decrease throughout the course of hospitalization and are similar between women hospitalized in a hospital/health centre and women bed-rested in home. The review identifies additionally the main psychosocial variables that were related to antenatal anxiety and depression in high-risk pregnancy.Discussion: Future studies should overcome specific limitations.Health care professionals should enhance the implementation of psychological screening and counselling to populations of high-risk pregnant women hospitalized in a hospital/health centre or bed-rested in home.

Early detection of mental illness for women suffering high-risk pregnancies: an explorative study on self-perceived burden during pregnancy and early postpartum depressive symptoms among Chinese women hospitalized with threatened preterm labour

“…A high-risk pregnancy may involve traumatic events and introduce severe mental illness to a woman. A better understanding of women's mental health in high-risk pregnancies is imperative and requires additional investigation [1,2]. Threatened preterm labour (TPL) is one of most common indications of a high-risk pregnancy.…”

Yüksek Riskli Gebelerde Anksiyete ve Depresyon ile Hemşirelik Bakım Memnuniyetinin İncelenmesi

“…Gouronti ve ark. (2015) [28], yüksek riskli gebelerde anksiyete ve depresyon semptomlarının gebelik ilerledikçe azaldığını, kadınların stresli duruma kademeli olarak adapte olduğunu ve kaygının azaldığını belirtmiştir. Anksiyete ve depresyon puanlarının riskli gebelerde gebelik ilerledikçe azalmasının nedeni gebelik haftasının artması ile birlikte bebeğin yaşama şansının da artması düşüncesi olabilir.…”

Dispelling Myths about Antenatal TAPS: A Call for Action for Routine MCA-PSV Doppler Screening in the United States

“…Women experiencing pregnancies with obstetric complications face increased rates of stress and anxiety [51,52] and MCDA twins are recognized for their high risk [47]. Rates of maternal anxiety typically decrease as the complicated pregnancy proceeds [53,54,55,56,57] however, Beauquier-Maccotta et al [58] report that MC pregnancies not affected by TTTS demonstrated increased maternal anxiety as the pregnancy progressed.…”