Maternal Anxiety and the Second-Trimester Prenatal Screening: A Prospective Cohort Study

Mousavi, Seyed Reza; Hantoushzadeh, Sedigheh; Sheikh, Mahdi; Shariat, Mamak

doi:10.1159/000381640

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…They confirm that pregnant women experience anxiety both before amniocentesis and after receiving a positive result. 30…”

Section: Discussionmentioning

confidence: 99%

Do lifestyle factors influence the rate of complications after amniocentesis?

Homola¹,

Zimmer²

2019

Adv Clin Exp Med

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Background. The impact of lifestyle factors including health-promoting physical activity on complication rate following amniocentesis is unclear. Objectives. To examine the further course of pregnancy in patients undergoing amniocentesis in relation to selected risk factors including the level of health-promoting activity and occupational work on the complication rate after genetic amniocentesis. Material and methods. Medical records from 317 diagnostic amniocenteses were analyzed and 230 procedures carried out on 219 pregnant women were included in the study. Results. The mean maternal age was 34.50 ±5 years (range: 22−47 years). In the patients studied, amniocentesis was performed at 12−24 gestational weeks with a median at 16 gestational weeks (mean: 16. 13 ±2.02 weeks). Overall, 174 amniocenteses (75.6%) did not reveal any genetic disorder while 56 (24.4%) confirmed a genetic disorder. One hundred procedures (43.5%) were followed by at least 1 complication, while 130 procedures (56.5%) were uneventful. The following complications were observed: general pain-37 (16%), fever-5 (2.2%), dizziness-7 (3%), amniotic fluid leakage − 5 (2.2%), vaginal bleeding-3 (1.3%), and fetal death-11 (4.8%). The following lifestyle factors were reported: use of stimulants-12 (5.2%), occupational work-158 (68.7%), commuting-137 (59.6%), and physical activity-62 (27%). Abdominal pain/uterine contractions were significantly more frequent with generalized pain, fever, vaginal bleeding, and physical activity. The presence of dizziness correlated with generalized pain in women who were working and commuting. Working occupationally when pregnant correlated positively with practicing sport. Better newborn condition was significantly correlated with older gestational age and longer sick leave. Conclusions. Physical activity performed by pregnant women after amniocentesis increases the risk of postprocedural complications such as abdominal pain, uterine contractions, dizziness, and syncope. Reducing physical effort 2 weeks after the procedure is recommended. Further studies are warranted.

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“…They confirm that pregnant women experience anxiety both before amniocentesis and after receiving a positive result. 30…”

Section: Discussionmentioning

confidence: 99%

Do lifestyle factors influence the rate of complications after amniocentesis?

Homola¹,

Zimmer²

2019

Adv Clin Exp Med

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“…Almost 3 out of every 100 women, who acquire high-risk results and take diagnostic tests, expect children with Down syndrome (3). Hence, most women experience unreasonable anxiety in the process of performing such tests (4). Parents go through challenging times while anticipating test results since they are concerned about the unfavorable results (5).…”

Section: Introductionmentioning

confidence: 99%

Reducing the Anxiety and Concern of Pregnant Women during Antenatal Anomaly Screening Tests: A Systematic Review

Khakbazan

Farnam

Hantoushzadeh

et al. 2022

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Although antenatal anomaly screening tests (AAST) provide valuable information about fetal health, performed to prevent the birth of children with chromosomal abnormalities, uncontrolled stress while performing such tests may negatively affect the mother’s mental health. This study aimed to systematically review clinical trial studies in which reducing pregnant women’s anxiety and concern in the process of performing AAST was among their objectives. Materials and Methods: In this systematic review, six electronic databases (Scopus, Cochrane Library, Science Direct, PubMed, Google Scholar, and CINAHL) were searched. Data extraction was performed through randomized controlled trials (RCTs) in English, which the core fell onto designing an intervention to reduce pregnant women’s anxiety and concern associated with performing AAST. Results: Out of the 1946 studies, six were included in this systematic review. In most studies, a positive impact on knowledge and satisfaction with the information received was observed. However, no effect was reported regarding decreasing or increasing the anxiety and concern of pregnant women in the process of performing AAST. Studies were heterogeneous in terms of intervention type and gestational age of participants. Conclusions: Interventions aimed at providing pregnant women with specific information about prenatal screening for chromosomal abnormalities have no impact on reducing their anxiety and concern. Therefore, designing educational-psychological interventions to prevent and reduce anxiety and concern of pregnant women in this period is recommended.

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