Needle Phobia During Pregnancy

Searing, Kimberly; Baukus, Mary; Stark, Mary Ann; Morin, Karen H.; Rudell, Barb

doi:10.1111/j.1552-6909.2006.00076.x

Cited by 15 publications

(6 citation statements)

References 14 publications

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“…The most common specific phobias relating to pregnancy include tokophobia, emetophobia or blood-injection-injury,3–7 with other phobias including a fear of epidural anaesthesia, or of infant injury or death during labour also described 8. This patient’s case is in contrast to the above specific phobias and in particular differs from tokophobia,6 as the patient wanted to become pregnant, did not have a morbid fear of childbirth, and actually was looking forward to childbirth as this would potentially reduce or fully alleviate her anxiety symptoms.…”

Section: Discussionmentioning

confidence: 84%

“…Indeed, anxiety disorders occurring during pregnancy may include specific phobias, particularly in early pregnancy,3 4 with many of these having an onset in childhood or adolescence. The most common specific phobias, related to pregnancy include needle phobia, tokophobia (a fear of becoming pregnant) and emetophobia (a fear of vomiting) 3 5 6. We report an unusual specific phobia related to pregnancy, claustrophobia related to being pregnant, with the patient describing feeling entrapped with associated significant anxiety symptoms.…”

Section: Introductionmentioning

confidence: 90%

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Pregnancy-related claustrophobia

2022

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A 35-year-old primigravida presented with significant anxiety symptoms at 26 weeks’ gestation. Symptoms were preceded by a nightmare about her upcoming labour. She developed repetitive intrusive thoughts of being trapped emotionally and physically in her pregnancy. Her symptoms were suggestive of new-onset claustrophobia associated with pregnancy, which has not been previously reported on. Her symptoms ameliorated with a combination of cognitive–behavioural therapy and pharmacotherapy (sertraline and low dose quetiapine). The later stages of pregnancy were associated with minimal symptoms and the resolution of her subjective ‘entrapment’. A subsequent pregnancy resulted in similar although less severe symptomatology. No postpartum anxiety symptoms were demonstrated on both occasions. Anxiety symptoms can adversely impact both the mother and fetus, and thus correct identification and management of pregnancy-related claustrophobia improved symptomatology and functioning and allowed for earlier detection and reduced symptomatology in a subsequent pregnancy.

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Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 90%

Pregnancy-related claustrophobia

2022

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“…Second, using noninvasive urine samples increases patient compliance because sample collection is painless. Many individuals, especially those suffering from needle phobias [ 45 , 46 ], will be more willing to provide urine samples than blood. Risk of exposure to blood-borne pathogens is also avoided.…”

Section: Discussionmentioning

confidence: 99%

Soluble Tumor Necrosis Factor-α Receptor 2 in Urine Is a Potential Biomarker for Noninvasive Diagnosis of Malaria During Pregnancy

Yunga

Thévenon

Leke

et al. 2016

Open Forum Infectious Diseases

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Background. During pregnancy, the placenta is inaccessible for diagnosis of placental malaria (PM), but soluble tumor necrosis factor-α receptors (sTNFR) are elevated in the plasma of women with PM.Methods. In this study, sTNFR-1 and sTNFR-2 were quantified in urine of pregnant and nonpregnant Cameroonian women who were positive or negative for malaria by blood-smear microscopy.Results. We found that levels of both sTNFR in urine were higher in pregnant compared with nonpregnant women, but malaria-positive pregnant women excreted substantially more sTNFR-1 (P = .005) and sTNFR-2 (P < .001) than malaria-negative pregnant women. The amount of sTNFR-1(rs = 0.784, P < .001) and sTNFR-2 (rs = 0.816, P < .001) in urine correlated with parasitemia, even in afebrile pregnant women. Urine sTNFR-2 predicted maternal malaria with an area under curve of 0.892 (95% confidence interval, .787–.898). At cutoff concentrations of 9.8 ng and 13.6 ng of sTNFR-2 per mL urine, the sensitivity/specificity were 82.6%/87.0% and 78.3%/95.7%, respectively.Conclusions. The sTNFR-2 in noninvasive urine samples may be useful for diagnosis of malaria during pregnancy.

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“…A lack of trust may help to explain lower rates of care seeking, preventive services and surgical treatments [2]. Research has also shown that the establishment of a trustful relationship can reduce needle phobia during pregnancy [11] and that a high level of trust may make patients more accepting of the presence of residents during risky operations [12].…”

Section: Introductionmentioning

confidence: 99%

Received knowledge of elective surgical patients and their trust in hospital staff: a cross-sectional multicentre study

Conradsen¹,

Iversen²

2017

EJPCH

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Rationale, aims and objectives: Trust is an essential component of the patient-physician relationship and is of relevance to all patients, including those undergoing elective surgery. Trust can be considered a collective good and there is also evidence of a positive relationship between mutual trust and numerous health benefits. Although information interventions for these patients have been studied and have several positive outcomes, little is known about the relationship between information provision and trust. The aim of this study is to investigate whether an association exists between knowledge received by elective surgical patients and their trust in hospital staff.Methods: We used the following instruments in this cross-sectional multicentre study: Hospital Patients’ ReceivedKnowledge(HPRK) and a questionnaire to measuretrustinanemergencydepartment. The main variables were 40 items about received knowledge and 3 items on trust in physicians. Results: There is a positive association between the patients’ self-reported knowledge that they received related to the hospital stay and their trust in the physicians (Pearson’s r between the knowledge index and the trust index, r = 0.416, P < 0.01). Conclusion: The study suggests that successful patient information is positively related to patients’ trust in hospital staff.

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Needle Phobia During Pregnancy

Cited by 15 publications

References 14 publications

Pregnancy-related claustrophobia

Pregnancy-related claustrophobia

Soluble Tumor Necrosis Factor-α Receptor 2 in Urine Is a Potential Biomarker for Noninvasive Diagnosis of Malaria During Pregnancy

Received knowledge of elective surgical patients and their trust in hospital staff: a cross-sectional multicentre study

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