The effect of relaxation exercises training on pregnancy-related anxiety after perinatal loss: A pilot randomized control trial✰

Duman, Mesude; Ozan, Yeter Durgun; Derya, Yeşim Aksoy; Taşhan, Sermin Timur

doi:10.1016/j.explore.2020.11.002

Cited by 10 publications

(5 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This relaxation training system induces a decrease of the anxiety and depression score, a decrease in the time interval to relaxation and increases the maximum meditation score. We also found that river sound accompanied by relaxation exercises diminished pregnancy-related anxiety in pregnant women with a history of perinatal loss (Duman et al 2020 ). Watching a river also relieves psychological stress.…”

Section: River Sound Therapymentioning

confidence: 82%

River therapy

et al. 2022

View full text Add to dashboard Cite

Section: River Sound Therapymentioning

confidence: 82%

River therapy

et al. 2022

View full text Add to dashboard Cite

“…One coping intervention, the Positive Reappraisal Coping Intervention ( Lancastle and Boivin, 2008 ), is being tested in women with RPL during the waiting period between the positive pregnancy test and the 12-week scan in a new pregnancy ( Bailey et al , 2020 ). In another study, a relaxation intervention was found to reduce pregnancy-related anxiety levels in women with perinatal loss ( Duman et al , 2022 ). There are also interventions to reduce depression, anxiety, or grief after perinatal loss (including PL), but these do not target the subsequent pregnancy period specifically ( Jensen et al , 2021 ; Shaohua and Shorey, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

‘You’re never pregnant in the same way again’: prior early pregnancy loss influences need for health care and support in subsequent pregnancy

Koert,

Hartwig,

Hviid Malling

et al. 2023

Human Reproduction Open

View full text Add to dashboard Cite

STUDY QUESTION What are couples’ needs for health care and support in a subsequent pregnancy after prior early pregnancy loss and how do needs change across the pregnancy? SUMMARY ANSWER Couples described unmet needs for pregnancy care in the first 20 weeks of pregnancy and were more satisfied with the care provided during the remainder of the pregnancy. WHAT IS KNOWN ALREADY Despite early pregnancy loss (PL) being common (∼25% of pregnancies), there is a paucity of research to guide practice to optimize treatment and support future pregnancies. There has been low priority for the issue in research and a pervasive acceptance that couples should “just try again” after experiencing PL. Women with prior PL report increased anxiety during the first trimester of pregnancy compared to those without previous PL. No longitudinal studies explore what couples' needs are throughout the pregnancy and how these needs shift across time. STUDY DESIGN, SIZE, DURATION This was a qualitative longitudinal dyadic (joint) interview study. In total, 15 couples who were pregnant after a prior PL were interviewed four times over their pregnancy. Couples were recruited from the Copenhagen Pregnancy Loss Cohort Research Programme. Interviews were held in person at the hospital or university, or online. Interviews ranged from 20 to 91 minutes (mean= 54 min). PARTICIPANTS/MATERIALS, SETTING, METHODS Inclusion criteria included couples with 1-2 prior early PL(s) who self-reported a new pregnancy and were willing to be interviewed together and in English. Couples were interviewed four times: after a positive pregnancy test and once in each trimester. Interviews were transcribed and data were analyzed using thematic analysis to compare and contrast needs of the couples at each of the four time periods in the pregnancy and across the entire pregnancy. One same-sex couple and 14 heterosexual couples participated. MAIN RESULTS AND THE ROLE OF CHANCE Couples’ needs were categorized into two main longitudinal themes across the pregnancy, divided by the 20-week scan. Within each longitudinal theme there were two themes to represent each time period. In the longitudinal theme “The first 20 weeks: a ‘scary’ gap in care” there were two themes: Positive pregnancy test: “Tell them it’s not the same pregnancy” and First trimester: “We craved that someone was taking care of us”. The standard pregnancy care offered in the public health care system in Denmark includes a scan at 12 and 20 weeks. While all couples wished for additional access to scans and monitoring of the fetus in early pregnancy to provide reassurance and detect problems early, they described considerable variation in the referrals and care they were offered. Both partners expressed a high degree of worry and anxiety about the pregnancy, with pregnant women in particular describing “surviv[ing] from scan to scan” in the early weeks. Couples took scans wherever offered or paid for comfort scans, but this resulted in fragmented care. Instead, they wished for continuity in care, and acknowledgement and sensitivity that a pregnancy after PL is not the same as a first pregnancy. In the longitudinal theme “The second 20 weeks: Safety in the care system” there were two themes: Second trimester: “I think we are in good hands” and Third trimester: “It’s more of a ‘nice to know’ everything is OK than a ‘need to know’”. Couples reported their distress was lower and overall needs for care were met during this time. They expressed general satisfaction with regular or extended antenatal support although, as in the first 20 weeks, additional acknowledgement and sensitivity regarding their history of PL was desired. Couples said they felt more secure given that they had access to a 24-hour telephone support by midwife/nurse if they had any concerns or questions. LIMITATIONS, REASONS FOR CAUTION Participants were self-selected from an ongoing cohort study of patients presenting at hospital with PL. Single women were not included in the study. This study was limited to data collection in Denmark, however other countries with public health care systems may have similar offerings with regard to their provision of antenatal care, care provided in recurrent pregnancy loss (RPL) clinics and the availability of private scans. WIDER IMPLICATIONS OF THE FINDINGS The findings underscore that an early PL creates an increased need for monitoring and care in a subsequent pregnancy. This study highlights a gap in pregnancy care for those with a history of PL given that their need for monitoring and support is high in the early weeks of a new pregnancy before they have access to antenatal care, and before they have had multiple pregnancy losses and can be referred to the RPL unit. STUDY FUNDING/COMPETING INTEREST(S) This project has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 101028172 for Dr. Emily Koert. The Copenhagen Pregnancy Loss Cohort is funded by a grant from the BioInnovation Institute Foundation. HSN has received scientific grants from Freya Biosciences, Ferring Pharmaceuticals, BioInnovation Institute, Ministry of Education, Novo Nordisk Foundation, Augustinus Fonden, Oda og Hans Svenningsens Fond, Demant Fonden, Ole Kirks Fond and Independent Research Fund Denmark. HSN received personal payment or honoraria for lectures and presentations from Ferring Pharmaceuticals, Merck, Astra Zeneca, Cook Medical, Gedeon Richter and Ibsa Nordic. All other authors declare no competing interests.

show abstract

“…Thus, the students may be unable to stop or control worrying about various things. Because sustained worrying could lead to trouble relaxing and subsequent fear of an awful outcome, preemptive application of progressive muscle relaxation (52) or the therapeutic use of a coloring book (53) might be suggested.…”

Section: Influencing Patterns Among Anxiety Personal Attitudes and Changes In Lifestylementioning

confidence: 99%

Impact of COVID-19 on Lifestyle, Personal Attitudes, and Mental Health Among Korean Medical Students: Network Analysis of Associated Patterns

et al. 2021

View full text Add to dashboard Cite

The current COVID-19 pandemic have affected our daily lifestyle, pressed us with fear of infection, and thereby changed life satisfaction and mental health. The current study investigated influencing cascade of changes during the COVID-19 among the lifestyle, personal attitudes, and life (dis)satisfaction for medical students, using network-based approaches. This cross-sectional survey used self-reports of 454 medical students during June and July of 2020. Depressive mood, anxiety, and intention to drop out of school were observed in 11.9, 18.5, and 38.3% of medical students, respectively. Directed acyclic graph that estimated directional propagation of the COVID-19 in medical students' daily lives initiated from the perception of unexpected event, propagated to nervous and stressed feeling, trouble relaxing, feeling like a failure, and were followed by trouble concentrating, feeling loss of control for situation, and fear of infecting colleagues. These six features were also principal mediators within the intra-individual covariance networks comprised of changed lifestyle, personal attitude, and mental health at COVID-19 pandemic. Psychosocial supports targeting nervousness, trouble relaxing and concentrating, fear of spreading infection to colleagues, feelings of a failure or loss of situational control are required for better mental health of medical students during the COVID-19 pandemic.

show abstract

The effect of relaxation exercises training on pregnancy-related anxiety after perinatal loss: A pilot randomized control trial✰

Cited by 10 publications

References 30 publications

River therapy

River therapy

‘You’re never pregnant in the same way again’: prior early pregnancy loss influences need for health care and support in subsequent pregnancy

Impact of COVID-19 on Lifestyle, Personal Attitudes, and Mental Health Among Korean Medical Students: Network Analysis of Associated Patterns

Contact Info

Product

Resources

About