Anxiety among women experiencing medically complicated pregnancy: A systematic review and meta‐analysis

Abrar, Ambar; Fairbrother, Nichole; Smith, Alastair; Skoll, Amanda; Albert, Arianne

doi:10.1111/birt.12443

Cited by 22 publications

(17 citation statements)

References 45 publications

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“…It has been reported that most GDM patients cannot cope with it in a short time [ 19 ]. Anxiety is a psychological disorder whose main characteristics are widespread and persistent anxiety and recurring panic [ 20 ]. Studies [ 21 – 23 ] have investigated the anxiety state of pregnant women with gestational diabetes, and the results show that up to 60.8% of women with GDM may have mild or more anxiety.…”

Section: Discussionmentioning

confidence: 99%

The pregnancy-related anxiety characteristics in women with gestational diabetes mellitus: why should we care?

Yan

You

et al. 2021

BMC Pregnancy Childbirth

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Background Gestational diabetes mellitus (GDM) is very commonly-seen in clinical settings, and GDM patients may have higher levels of anxiety. It’s necessary to evaluate the anxiety level and potentially influencing factors in patients with GDM, to provide insights for the management of anxiety of GDM patients. Methods Patients with GDM treated in our hospital from May, 2018 to May, 2020 were included. We evaluated the characteristics of patients and the scores of pregnancy-related anxiety scale for anxiety level, vulnerable personality style questionnaire (VPSQ) for personality, general self-efficacy scale (GSES) for self-efficacy, social support rating scale (SSRS) for social support level. Logistic regression analyses were conducted to identify the potential influencing factors of anxiety in GDM patients. Results A total of 386 GDM patients were included, the incidence of anxiety in patients with GDM was 59.07%. Anxiety was positively correlated with the susceptible personality (r = 0.604, p = 0.023), and it was negatively correlated with self-efficacy and social support (r = -0.586 and -0.598 respectively, all p < 0.05). The education level, monthly income, abnormal pregnancy (miscarriage, premature rupture of membranes) and cesarean section history and first pregnancy were the independent influencing factors for the anxiety in the patients with GDM (all p < 0.05). Conclusions The anxiety of GDM patients is very common, early care and interventions are warranted for those patients with abnormal pregnancy and cesarean section history, first pregnancy, lower education level, and less monthly income.

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Section: Discussionmentioning

confidence: 99%

The pregnancy-related anxiety characteristics in women with gestational diabetes mellitus: why should we care?

Yan

You

et al. 2021

BMC Pregnancy Childbirth

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“…Women with pregnancy-related diseases or at-risk pregnancies are a particularly vulnerable group 35 36 . In the present study, women with gestational diabetes had a significantly increased perception of stress.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 and Perinatal Stress Experience – a Study Conducted as Part of the COVGEN Initiative

Kentschke

Bauer

Moser

et al. 2022

Geburtshilfe Frauenheilkd

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Introduction During the COVID-19 pandemic, stress and anxiety in the population increased due to concerns about people’s own health and that of their relatives, as well as changes in everyday life due to measures taken to reduce the infection rate. Pregnant women are particularly stressed. The present study examines how the COVID-19 pandemic affects the stress experience and mental health of pregnant women and mothers of newborns and how care could be optimized. Methods As part of the international COVGEN initiative (https://www.covgen.org) to investigate the effects of the COVID-19 pandemic on the peripartum period, pregnant and postpartum women were asked about their experience with stress using the COPE-IS (Coronavirus Perinatal Experiences – Impact Survey) questionnaire developed for this purpose and translated from the English. In addition, demographic data, pre-existing diseases, pregnancy complications and the care situation were recorded. The questionnaire was either administered as hardcopy to inpatients at the Department of Women’s Health, University Hospital Tübingen, Germany, or online. All pregnant women and mothers who were pregnant or had given birth after the official start of the COVID-19 pandemic (11 March 2020) were eligible to participate. Results Complete data sets of n = 156 pregnant women and n = 221 postpartum women were available for evaluation. The general stress level assessed with the COPE-IS was significantly increased by the COVID-19 pandemic in both, pregnant and postpartum women, with pre-existing conditions such as respiratory diseases and pregnancy-related diseases like gestational diabetes adding to the stress. The subjectively perceived quality of care/support during pregnancy also influenced the stress level. Conclusions Fears of a COVID-19 infection and changes in preventive and aftercare services were a burden for the women surveyed. Intensified care during pregnancy and puerperium could help to stabilize the mental situation and reduce stress.

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“…Between 15-20% of pregnancies are high-risk, wherein the pregnancy is complicated by one or more serious condition(s) that affect maternal and/or fetal outcome 25 . Unfortunately, this status may exacerbate the stress associated with normal pregnancies, thereby further increasing anxiety and risk in a cyclical manner 26 . Fairbrother et al reported that women with high-risk pregnancies were found to have a 5.2x greater incidence of anxiety compared to women with low-risk pregnancies 27 .…”

Section: High-risk Pregnancy and Anxiety Disordersmentioning

confidence: 99%

An Overview of Maternal Anxiety During Pregnancy and the Post-Partum Period

Araji¹,

Griffin²,

Dixon³

et al. 2020

J Ment Health Clin Psychol

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Anxiety during pregnancy is associated with adverse outcomes in mothers and infants. Unfortunately, as anxiety is often synonymously mentioned with depression, the studies focusing solely on anxiety during pregnancy are not as robust as those in the field of depression are. In this work, we provide an overview of what is currently known about general anxiety during pregnancy, pregnancy-related anxiety and the potential impacts anxiety could have on post-partum care. An overview of potential risk factors, post-partum maternal outcomes, infant outcome along with pharmacological and nonpharmacological treatments are covered with a specific focus on high-risk pregnancies. Although anxiety during pregnancy is normative; anxiety can become problematic and negatively impact upon behavior, resulting in potential harm to the mother, as well as her developing fetus or child (ren) at home. The clinical diagnosis for anxiety and conditions associated with anxiety often require lengths of time that are not applicable for the pregnant patient, which has led to diagnosis and terms such as pregnancy-related anxiety. Importantly, increasing awareness about the increased potential risk to mothers who may be affected by anxiety during pregnancy or the post-partum period has the potential to improve maternal mental health screening and access to care.

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Anxiety among women experiencing medically complicated pregnancy: A systematic review and meta‐analysis

Cited by 22 publications

References 45 publications

The pregnancy-related anxiety characteristics in women with gestational diabetes mellitus: why should we care?

The pregnancy-related anxiety characteristics in women with gestational diabetes mellitus: why should we care?

COVID-19 and Perinatal Stress Experience – a Study Conducted as Part of the COVGEN Initiative

An Overview of Maternal Anxiety During Pregnancy and the Post-Partum Period

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