High-risk pregnancy: Effects on postpartum depression and anxiety

Zadeh, Marzieh Akbar; Khajehei, Marjan; Sharif, Farkhondeh; Hadzic, Maja

doi:10.12968/bjom.2012.20.2.104

Cited by 20 publications

(18 citation statements)

References 28 publications

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“…The prevalence of symptoms of depression and moderate anxiety was higher among women who had a high-risk pregnancy than those with normal pregnancies. However, anxiety was more prevalent than depression in both groups 26 .…”

Section: Discussionmentioning

confidence: 80%

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

Fontoura¹,

Cardoso

Rodrigues

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to analyze the anxiety level of the mothers of newborns with congenital malformations who were diagnosed in prenatal and postnatal care. Methods:a cross-sectional study with 115 mothers of 117 newborns with congenital malformation admitted to three neonatal units. A questionnaire containing maternal and neonatal variables was used, as well as the Trait-State Anxiety Inventory. Data were analyzed by Student’s t-test and Kolmogorov-Sminorv test. The anxiety level was categorized as low (percentile <25), moderate (25-75) and high (> 75), with a significance level of 5%. Results:most mothers had moderate levels of anxiety. Regarding the diagnosis of the malformation, 57% received the news in the prenatal and 43% in the postnatal period. The anxiety level of those who received the prenatal diagnosis was lower than those who received in the postnatal period, evaluated by the Trait Anxiety Inventory (p = 0.026). Conclusion:mothers of newborns with malformations presented moderate anxiety, and this was higher when the diagnosis was given in the postnatal period. The use of the Trait-State Anxiety Inventory can provide guidance to other studies and to clinical practice.

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Section: Discussionmentioning

confidence: 80%

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

Fontoura¹,

Cardoso

Rodrigues

et al. 2018

Rev. Latino-Am. Enfermagem

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“…According to the very stringent criteria set up by our MAP group for post-hoc definition of low-risk, uncomplicated pregnancies, around 60% of the pregnancies observed in the Italian region of Lombardy, should have been candidates for "routine" ANC. The complementary figure that about 40% of pregnancies should be considered at intermediate/highrisk, a percentage enormously higher than expected 6-33% [4,[23][24][25], must be considered as a very precautionary tool for advising additional specialized care addressed to pregnancy at greater risk. Our selection criteria explain that very low prevalence of adverse outcomes have been observed.…”

Section: Discussionmentioning

confidence: 99%

Association between Adherence with Recommended Antenatal Care in Low-Risk, Uncomplicated Pregnancy, and Maternal and Neonatal Adverse Outcomes: Evidence from Italy

Corrao

Cantarutti

Locatelli

et al. 2020

IJERPH

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Antenatal care (ANC) aims of monitoring wellbeing of mother and foetus during pregnancy. We validate a set of indicators aimed of measuring the quality of ANC of women on low-risk, uncomplicated pregnancy through their relationship with maternal and neonatal outcomes. We conducted a population-based cohort study including 122,563 deliveries that occurred between 2015 and 2017 in the Lombardy Region, Italy. Promptness and appropriateness of number and timing of gynaecological visits, ultrasounds and laboratory tests were evaluated. We assessed several maternal and neonatal outcomes. Log-binomial regression models were used to estimate prevalence ratio (PR), and corresponding 95% confidence interval (95% CI), for the exposure→outcome association. Compared with women who adhered with recommendations, those who were no adherent had a significant higher prevalence of maternal intensive care units admission (PR: 3.1, 95%CI: 1.2–7.9; and 2.7, 1.1–7.0 respectively for promptness of gynaecological visits, and appropriateness of ultrasound examinations), low Apgar score (1.6, 1.1–1.2; 1.9, 1.3–2.7; and 2.1, 1.5–2.8 respectively for appropriateness and promptness of gynaecological visits, and appropriateness of ultrasound examinations), and low birth weight (1.8, 1.5–2.3 for appropriateness of laboratory test examinations). Benefits for mothers and newborn are expected from improving adherence to guidelines-driven recommendations regarding antenatal care even for low-risk, uncomplicated pregnancies.

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“…Problems during pregnancy should be seriously taken care of not only by the women, but also by the family and society, particularly on high-risk cases as early as possible. To date, there is no consensus definition for high-risk pregnancy yet this condition is normally defined as when the woman or fetus experiences problem which requires medical treatment or medication [1] [2]. Serious problems might occur especially in Iodine Deficiency Disorders (IDD) endemic area in which pregnant women have higher iodine deficiency risk which triggers thyroid dysfunction with bad impact on fetus, such as abortus, low birth weight, stillbirth, congenital defect, and endemic cretinism [3].…”

Section: Introductionmentioning

confidence: 99%

High Risk Profile of Pregnancy in Iodine Deficiency Areas

Supadmi¹,

Kusrini²

2020

Proceedings of the 5th Universitas Ahmad Dahlan Public Health Conference (UPHEC 2019)

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High-risk pregnancy, such as abortion, low birth weight, mortality, congenital defects of fetus, disorders of growth and hypothyroidism, might lead to many serious health problems, especially in iodine deficiency disorders (IDD) endemic areas. The aim of this research is to discover high-risk pregnancy profile in iodine deficiency areas. This research used cross-sectional research design. The population and samples were all pregnant mothers settled in research location which was purposively selected based on high IDD-alleged cases prevalence. The data were collected through observation, structured questionnaire, sampling of blood and urine, followed by laboratory analyses. Iodine deficiency was measured using urinary iodine excretion (UIE), thyroid stimulating hormone (TSH) and free thyroxin (fT4) analyses. The results of the study reveal that they are 27% pregnant mothers with hypothyroidism in IDD endemic areas with more than half (59.5%) have iodine deficiency. Palpation measurement of thyroid gland shows that one third of the respondents (35.1%) have grade I and II gland enlargement. There are 16.2% pregnant mothers at high-risk age and 8.1% with high-risk of gravidarum (G), partus (P), and abortion (A). Most of them (64.9%) have high-risk birth distance. The chisquare test shows no correlation between high-risk factors of pregnancy and GPA. The conclusion of the research is that hypothyroidism is the most prevalent in high risk profile in pregnant women living in iodine deficiencies areas. Other factors are height of pregnant women, period of stay, birth distance and age, respectively. However, statistically they are not significant. Therefore, it is recommended to establish policy on continuous and sustainable program in coordination with related stakeholders and organizations in district level supported nationally by the government.

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High-risk pregnancy: Effects on postpartum depression and anxiety

Cited by 20 publications

References 28 publications

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

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

Association between Adherence with Recommended Antenatal Care in Low-Risk, Uncomplicated Pregnancy, and Maternal and Neonatal Adverse Outcomes: Evidence from Italy

High Risk Profile of Pregnancy in Iodine Deficiency Areas

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