Anxiety of mothers of newborns with congenital malformations in the pre- and postnatal periods

Fontoura, Fabíola Chaves; Cardoso, Maria Vera Lúcia Moreira Leitão; Rodrigues, Sofia Esmeraldo; Almeida, Paulo César de; Carvalho, Liliane Brandão

doi:10.1590/1518-8345.2482.3080

Cited by 20 publications

(18 citation statements)

References 21 publications

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“…The results of this study showed that mothers of gastrointestinal anomalies suffered from a high level of anxiety in the first day of anomaly diagnosis. Anxiety is one of the emotional distresses in mothers of infants with anomalies, which can delay the relationship between mothers and their newborns (8,(22)(23)(24). Therefore, health care professionals should assess the emotional state of mothers following the birth of congenital anomalies and provide parents the required information in this regard (25).…”

Section: Discussionmentioning

confidence: 99%

“…The results of the study's Fonseca et al (2012) show that parents of newborns with congenital anomalies experience a high level of anxiety and depression (7). Another study in Brazil demonstrated that most mothers with abnormal newborn, had a moderate level of anxiety; however, the anxiety levels were higher in mothers who had a diagnosis of postpartum anomalies (8).…”

Section: Introductionmentioning

confidence: 93%

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The effect of the supportive program on the anxiety of mothers of infants with gastrointestinal anomalies

Seyedrasooli

Malakouti

Jabraeili

et al. 2020

NPT

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Background & Aim: The birth of an abnormal infant and his admission to the intensive care unit creates various mental health effects on their mothers and increases their anxiety. The goal of this study was to determine the effect of supportive programs on the anxiety of mothers of infants with gastrointestinal anomalies. Methods & Materials: This randomized controlled clinical trial was conducted in the Neonatal Intensive Care Unit in Tabriz, Iran. In this study, 50 mothers who had infants with gastrointestinal anomalies were assigned randomly to control and intervention groups. The control group received routine care, and the intervention group received special supportive care: emotional, informational, self-esteem, and caring support during four sessions for a 45-minute duration. Maternal anxiety was measured using the State-Trait Anxiety Inventory. Data were analyzed by using SPSS/19 and paired-sample and independent t-test. Results: The results showed that both groups of mothers had high-level anxiety in the pre-test. In the post-test, the mothers' anxiety level in the intervention group was significantly lower than the control group. ANCOVA test to compare the mean difference of state and trait anxiety in both groups showed that these changes were statistically significant (P<0.001). Conclusion: This study tried to introduce a protocol to protect mothers of gastrointestinal anomalies, which could be used in the Neonatal Intensive Care Unit. The findings of this study also highlighted the importance of supporting one of the fundamental principles of family-centered care. Based on the outcomes of this research, emotional, informational, self-esteem, and caring support could reduce the mother’s anxiety.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

The effect of the supportive program on the anxiety of mothers of infants with gastrointestinal anomalies

Seyedrasooli

Malakouti

Jabraeili

et al. 2020

NPT

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“…O escore total para o somatório dos 20 itens para cada participante varia de 20-80 pontos. A classificação adotada para os níveis de ansiedade foram graus: baixo (0-34 pontos), moderado (35-49), alto (50-64) e muito alto (65-80) (Fontoura, Cardoso, Rodrigues, Almeida & Carvalho, 2018). Vale ressaltar que o estudo não objetivou diagnosticar a ansiedade como transtorno, considerando que esta é uma atribuição médica, mas enquanto variável identificada pela classificação dos graus deste transtorno emergentes nos somatórios de um instrumento multidisciplinar.…”

Section: Metodologiaunclassified

Ansiedade entre gestantes atendidas na atenção básica

Silva¹,

Queiroz

Andrade³

et al. 2021

RSD

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Objetivo: verificar a relação entre manifestações clínicas e aspectos sociais, reprodutivos e relacionados à gestação de mulheres e elaborar diagnósticos de enfermagem. Método: trata-se de pesquisa transversal, realizada com 30 gestantes durante o pré-natal em município nordestino por meio do State - Trait Anxiety Inventory e formulário de manifestações clínicas do transtorno da ansiedade generalizada, com análise descritiva e inferencial. Resultados: Houve relações estatísticas entre número de consulta pré-natal e nervosismo, transpiração com etnia e com mulheres com menos de 20 semanas gestacionais. Maior renda foi fator de proteção à tontura e mais de seis consultas pré-natais é fator de proteção ao medo. Conclusão: Atenção especial frente às manifestações clínicas da ansiedade deve ser dada às mulheres não brancas, com idade superior a 26 anos. Os diagnósticos de enfermagem como sono comprometido e padrão de repouso alterado devem ser incorporados no plano de cuidados da atenção básica.

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“…In addition, prenatal identification of CHDs allows referral of patients hospitals with neonatal intensive care units and expertise in neonatal management of these conditions. Finally, early screening (regardless of positive or negative results) significantly reduces maternal anxiety 13 . In the field of prenatal diagnosis, the utility of metabolomics is being realized and increasing in application 14‐18 .…”

Section: Introductionmentioning

confidence: 99%

Noninvasive screening for congenital heart defects using a serum metabolomics approach

et al. 2021

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Objective Heart anomalies represent nearly one‐third of all congenital anomalies. They are currently diagnosed using ultrasound. However, there is a strong need for a more accurate and less operator‐dependent screening method. Here we report a metabolomics characterization of maternal serum in order to describe a metabolomic fingerprint representative of heart congenital anomalies. Methods Metabolomic profiles were obtained from serum of 350 mothers (280 controls and 70 cases). Nine classification models were built and optimized. An ensemble model was built based on the results from the individual models. Results The ensemble machine learning model correctly classified all cases and controls. Malonic, 3‐hydroxybutyric and methyl glutaric acid, urea, androstenedione, fructose, tocopherol, leucine, and putrescine were determined as the most relevant metabolites in class separation. Conclusion The metabolomic signature of second trimester maternal serum from pregnancies affected by a fetal heart anomaly is quantifiably different from that of a normal pregnancy. Maternal serum metabolomics is a promising tool for the accurate and sensitive screening of such congenital defects. Moreover, the revelation of the associated metabolites and their respective biochemical pathways allows a better understanding of the overall pathophysiology of affected pregnancies.

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Anxiety of mothers of newborns with congenital malformations in the pre- and postnatal periods

Cited by 20 publications

References 21 publications

The effect of the supportive program on the anxiety of mothers of infants with gastrointestinal anomalies

The effect of the supportive program on the anxiety of mothers of infants with gastrointestinal anomalies

Ansiedade entre gestantes atendidas na atenção básica

Noninvasive screening for congenital heart defects using a serum metabolomics approach

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