Related Psychosocial Factors and Delivery Mode of Depression and Anxiety in Primipara in Late Pregnancy

Abstract

Studies in recent years show that the delivery process, the choice of delivery mode, and the delivery outcome of primiparas are affected by their mental state. With the transformation of the medical model from the single biomedical model to the biopsychosocial medical model, the influence of social psychological factors on maternal psychological state has aroused heated discussion among clinical scholars. In this study, 480 cases of normal primiparas who had regular prenatal examination and delivered in hospital were selected as the research object. The Hospital Anxiety and Depression Scale (HAD) was used to record the depressive anxiety state of all study subjects in the third trimester, and we analyzed the effects of age, education background of pregnant women and their spouses, the nature of jobs, family income, prenatal and pregnancy health status, medical insurance status, attend pregnant women’s school, and accompanying status of family member on their depressive anxiety state. The influence of depression and anxiety on delivery mode was analyzed. The result showed that the age, health status during prenatal and pregnancy, accompanying status of family members, and attend pregnant women’s school are the independent risk factors affecting depression and anxiety status of primiparas during late pregnancy. Antenatal depression and anxiety have certain influence on the choice of the delivery mode of pregnant women. Targeted psychological intervention for primiparas with high-risk factors is helpful to improve their psychological state and reduce the rate of cesarean section.

Fear and anxiety related to COVID-19 pandemic may predispose to perinatal depression in Italy

“…The perinatal period (i.e., that period including all pregnancy and the first postpartum year) ( 19 ), indeed represents a critical vulnerable period for the de novo onset and recurrence of mental conditions, especially among women with a positive psychiatric history or those who experience gestational and/or delivery complications ( 20 , 21 ). Based on the bio-psycho-social paradigm of mental disorders ( 22 ), the perinatal period may predispose women to experience high psychological distress due to physiological, biological, and social changes ( 17 , 23 – 25 ). Moreover, within this framework, experiencing stressful and subjectively perceived traumatic events, during the perinatal period, may predispose women to the onset of de novo psychopathological manifestations, also in not predisposed pregnant and puerperal women ( 26 ).…”

Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation

“…A total of 630 women were recruited in the second trimester at a median [IQR] gestational age of 20 weeks [20,21]). The majority of women (n = 497, 79.3%) were of white ethnicity and with university studies (n = 427, 68%).…”

“…Maternal mental stress, anxiety, compromised well-being, and sleep quality have been associated with several adverse pregnancy outcomes such as preterm birth (PTB) [6][7][8][9][10][11][12], low birthweight (LBW) [7,[13][14][15], gestational diabetes (GD) [16,17], labor complications [12,[18][19][20][21], or hypertension and preeclampsia (PE) [22,23]. Moreover, maternal stress has been demonstrated to be a prenatal programming factor that affects the fetal neurodevelopment [24] and could compromise the socioemotional competencies in childhood that are the foundation for future well-being [24].…”

Fear and Anxiety related to Covid-19 pandemic may predispose to perinatal depression

“…The COVID-19 pandemic situation signi cantly affected the mental health of the general and clinical population (Holmes et The perinatal period (i.e., that period including all pregnancy and the rst postpartum year) (Austin, 2004), indeed represents a critical vulnerable period for the de novo onset and recurrence of mental conditions, especially among women with a positive psychiatric history or those who experience gestational and/or delivery complications (Howard and Khalifeh 2020;Sommer et al, 2021). Based on the bio-psycho-social paradigm of mental disorders (Chen et al 2021a), the perinatal period may predispose women to experience high psychological distress due to physiological, biological, psychological and social changes (Bjelica et al 2018;Diamond et al 2020; Baran et al 2021;Duberstein et al 2021). Moreover, within this framework, experiencing stressful and subjectively perceived traumatic events, during the perinatal period, may predispose women to the onset of de novo psychopathological manifestations, also in not predisposed pregnant and puerperal women (Chen et al 2021b).…”