Risk factors of transient and persistent anxiety during pregnancy

Bayrampour, Hamideh; McDonald, Sheila; Tough, Suzanne

doi:10.1016/j.midw.2015.02.009

Cited by 100 publications

(119 citation statements)

References 45 publications

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“…Thus, the characterization of the participants of this study resembled that of other studies regarding age and marital status (4) , however it differs from other studies regarding income and educational level (6) . Considering the incidence of anxiety during pregnancy, there are no homogeneous data.…”

Section: Discussionmentioning

confidence: 59%

“…According to that study, the association between the presence of prenatal anxiety and complications in previous pregnancies including the experience of an abortion/risk of preterm birth reflect how previous pregnancies impact women's experience in the ongoing pregnancy, so that the history of complications in past pregnancies invariably has a negative effect translated into accentuating anxiety levels in the present pregnancy (5) . Regarding the woman's desire for pregnancy, it is relevant to mention that an unwanted pregnancy may contribute to psychological maladaptation, being responsible for developing anxiety during pregnancy, as demonstrated in another study (6) . In this context, there is evidence of an association between the maternal desire regarding pregnancy and the greater propensity to trigger emotional disturbances, such as feelings of anguish and unhappiness that, when associated with other factors, may represent potential triggers for developing mental disorders in pregnant women, giving an indication of the profound impact of an unwanted pregnancy on women's mental health.…”

Section: Discussionmentioning

confidence: 95%

“…Although maternal anxiety indexes during pregnancy are heterogeneous, anxiety symptoms and disorders are common in the perinatal period (3)(4) , and the symptoms may range from mild to severe (5) . National and international studies point to variable anxiety indexes around 23% in a study conducted in Alberta, Canada (6) , 15.6% in a study carried out in Germany (7) and 49% in Pakistan (8) .…”

Section: Introductionmentioning

confidence: 96%

“…The evidence suggests that the likelihood of anxiety during pregnancy increases in cases of psychiatric comorbidity, stressful events (6,9) , social disadvantage, history of abortion, fetal loss, preterm delivery or early neonatal loss (8,10) , previous history of mental illness or a history of psychiatric treatment during an earlier pregnancy or throughout life (9,11) . Considering the belief among many societies that the psychological state of the mother can affect the child in her womb, anxiety disorder is considered one of the risk factors in pregnancy development, since its onset may compromise the fetus in being associated with negative neonatal outcomes, such as prematurity, low birth weight (12) , lower Apgar scores, fetal development deficit, in addition to lasting effects on the physical and psychological development of the child (13) and obstetric complications, such as vaginal bleeding and the risk of abortion (3) .…”

Section: Introductionmentioning

confidence: 99%

“…As well as prenatal depression, anxiety in this period is one of the major risk factors for postpartum depression (9) . Despite its harmful impact on pregnancy, women's mental health in prenatal care has sometimes received less attention compared to maternal emotional state in the postpartum period (5) ; investigations on the occurrence of anxiety during pregnancy and its associated factors are scarce (6) . Understanding its occurrence as well as the factors associated with prenatal anxiety may help in developing screening strategies to identify risk groups of women in need of intervention during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Anxiety in pregnancy: prevalence and associated factors

Silva

Nogueira

Clapis

et al. 2017

Rev. esc. enferm. USP

100

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Objective: Evaluating the occurrence of anxiety in pregnant women and the factors associated with its occurrence; comparing the presence of anxiety in each gestational trimester. Method: A descriptive, correlational cross-sectional study. Data were collected from January to May 2013 using the Hospital Anxiety Subscale and a form composed of socioeconomic characterization; gestational anamnesis; life-changing habits and events; preexisting conditions and interpersonal relationships. Results: A total of 209 pregnant women from a municipality in the south of Minas Gerais, Brazil, participated in the study. Anxiety was present in 26.8% of the pregnant women, being more frequent in the third trimester (42.9%). Occupation (p=0.04), complications in previous pregnancies (p=0.00), history of miscarriage risk of preterm birth (p=0.05), maternal desire regarding the pregnancy (p=0.01), number of abortions (p=0.02), number of cigarettes smoked daily (p=0.00) and drug use (p=0.01) were statistically associated with the occurrence of anxiety during pregnancy. Conclusion: Anxiety occurred frequently during pregnancy. Understanding the factors associated with its occurrence allows for elaborating preventive measures in prenatal care.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Anxiety in pregnancy: prevalence and associated factors

Silva

Nogueira

Clapis

et al. 2017

Rev. esc. enferm. USP

100

View full text Add to dashboard Cite

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Associations of Unintended Pregnancy With Maternal and Infant Health Outcomes

Nelson

Darney

Ahrens

et al. 2022

JAMA

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ImportanceUnintended pregnancy is common in the US and is associated with adverse maternal and infant health outcomes; however, estimates of these associations specific to current US populations are lacking.ObjectiveTo evaluate associations of unintended pregnancy with maternal and infant health outcomes during pregnancy and post partum with studies relevant to current clinical practice and public health in the US.Data SourcesCochrane Central Register of Controlled Trials and Database of Systematic Reviews, PsycINFO, SocINDEX, and MEDLINE databases (January 1, 2000, to June 15, 2022) and manual review of reference lists.Study SelectionEpidemiologic studies relevant to US populations that compared key maternal and infant health outcomes for unintended vs intended pregnancies and met prespecified eligibility criteria were included after investigators’ independent dual review of abstracts and full-text articles.Data Extraction and SynthesisInvestigators abstracted data from publications on study methods, participant characteristics, settings, pregnancy intention, comparators, confounders, and outcomes; data were validated by a second investigator. Risk of bias was independently dual rated by investigators using criteria developed by the US Preventive Services Task Force. Results of studies controlling for confounders were combined by using a profile likelihood random-effects model.Main Outcomes and MeasuresPrenatal depression, postpartum depression, maternal experience of interpersonal violence, preterm birth, and infant low birth weight.ResultsThirty-six studies (N = 524 522 participants) were included (14 cohort studies rated good or fair quality; 22 cross-sectional studies); 12 studies used large population-based data sources. Compared with intended pregnancy, unintended pregnancy was significantly associated with higher odds of depression during pregnancy (23.3% vs 13.9%; adjusted odds ratio [aOR], 1.59 [95% CI, 1.35-1.92]; I2 = 85.0%; 15 studies [n = 41 054]) and post partum (15.7% vs 9.6%; aOR, 1.51 [95% CI, 1.40-1.70]; I2 = 7.1%; 10 studies [n = 82 673]), interpersonal violence (14.6% vs 5.5%; aOR, 2.22 [95% CI, 1.41-2.91]; I2 = 64.1%; 5 studies [n = 42 306]), preterm birth (9.4% vs 7.7%; aOR, 1.21 [95% CI, 1.12-1.31]; I2 = 1.7%; 10 studies [n = 94 351]), and infant low birth weight (7.3% vs 5.2%; aOR, 1.09 [95% CI, 1.02-1.21]; I2 = 0.0%; 8 studies [n = 87 547]). Results were similar in sensitivity analyses based on controlling for history of depression for prenatal and postpartum depression and on study design and definition of unintended pregnancy for relevant outcomes. Studies provided limited sociodemographic data and measurement of confounders and outcomes varied.Conclusions and RelevanceIn this systematic review and meta-analysis of epidemiologic observational studies relevant to US populations, unintended pregnancy, compared with intended pregnancy, was significantly associated with adverse maternal and infant outcomes.Trial RegistrationPROSPERO Identifier: CRD42020192981

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