O845 Role of anxiety during pregnancy in preterm delivery

The Relationship Between the Social Determinants of Health and Preterm Birth in Iran Based on the WHO Model: A Systematic Review and Meta-analysis

“…Of the 16 papers reviewed, 9 were cross-sectional (24-32), 4 were cohort (33)(34)(35)(36), and 3 were case-control (37-39).…”

“…All 16 studies had examined the relationship between the intermediate determinants of health and preterm birth, but of all the determinants based on the WHO model, only 7 were examined, including anxiety in 3 studies (33)(34)(35), depression in 2 (33,36), violence in 7 (24,(26)(27)(28)32,36), unwanted pregnancy in 2 (29,36), poor health behaviors in 2 (37,38), exposure to secondhand tobacco smoke in 3 (31,36,40), and prenatal care in 2 studies (36,39) (Table 3). Generation of Results As shown in Figure 2, evaluating the relationship between education and preterm birth, Alizadeh et al showed that preterm birth is more common in illiterate compared to educated women.…”

“…Of the studies that had examined the intermediate determinants of health, only 7 determinants were examined in relation to preterm birth, including anxiety, depression, and violence as the psychological determinants. Three studies had examined anxiety (33)(34)(35), 2 depression (33,36), and seven violence (27,28,32,36,41), and their results revealed the high incidence of preterm birth in those with anxiety, depression, and violence compared to those without these determinants. Some of the studies discussed the adverse effects of psychosocial factors such as stress during pregnancy, childbirth, and breastfeeding on pregnancy outcomes such as miscarriage, nausea and vomiting, preeclampsia, weight loss, preterm birth, low birth weight, immunosuppression, and the subsequent increase in episiotomy and neonatal infections and some degree of postpartum mental disorder (21,47).…”

Effect of vocalization of the Holy Quran with and without translation on pregnancy outcomes: a randomized clinical trial

“…The sample size was determined based on the basic outcomes. It was measured using G-Power with respect to the existing data of the previous study (30). That is, the sample size was determined as 51 with mL = 5.38 and assuming a 15% reduction in the mean of the state of anxiety after intervention (m 2 = 7.32; sd 1 = sd 2 = 9.9), α = 0.05, and power = 90%.…”

Anxiety and fear of childbirth as predictors of postnatal depression in nulliparous women

“…17 The effect of antenatal anxiety disorders and fear of childbirth on the risk of postpartum depression is not precisely known. Particularly, evaluation of the relation between anxiety during pregnancy and postpartum depression requires more investigation considering the high prevalence of anxiety disorders (64%), 18 fear of childbirth (57%), 19 and postnatal depression (25-39.5%(, 20,21 in Iran (the rate is 3.5-63.3% in Asia). 22 To our knowledge, no study has examined whether antenatal trait and state anxiety and also fear of childbirth are predictors of postpartum depression in Iran.…”