Perspectives on antenatal education associated with pregnancy outcomes: Systematic review and meta-analysis

Hong, Kwan; Hwang, Hari; Han, Helin; Chae, Jaeeun; Choi, Jimi; Jeong, Yujin; Lee, Jun-Young; Lee, Kyung Ju

doi:10.1016/j.wombi.2020.04.002

Cited by 68 publications

(62 citation statements)

References 43 publications

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“…Many factors may exist together and impact the psychological states. Such as female [9], pregnant and delivery [1][2][3][4], stress to COVID-19 [5][6][7][8] all were factors related to higher prevalence of anxiety and depression. The psychological distress of COVID-19 may have important role, as these findings of previous studies show that public health emergencies can cause mental-health problems, such as the Wenchuan and Lushan earthquakes [47], the 2014 Ebola Outbreak [48,49] and Severe Acute Respiratory Syndrome (SARS) [50].…”

Section: Discussionmentioning

confidence: 99%

“…Pregnancy and childbirth are important events in life, which can cause psychological fluctuations of pregnant women. This phenomenon has been proved by many studies [1][2][3][4]. These psychological problems will be further aggravated under the stimulation of external adverse factors, and evolve into more serious mental problems [5].…”

Section: Introductionmentioning

confidence: 97%

“…Indeed, many studies of meta-analysis about mental health in pregnant and delivery women revealed their psychological problems and methods for prevention and therapeutics [17][18][19][20], but no one was about the current situation of COVID-19 on the mental health in pregnant and delivery women. We know that both facts that negative effects on emotion of COVID-19 was more in women than men [9,21,22], and women were susceptible to emotion change during pregnancy [1,2,20]. We also know that a few empirical studies related to this pandemic have reported higher prevalence of mental health problems among women compared to men [9].…”

Section: Introductionmentioning

confidence: 99%

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A systematic review involving 11,187 participants evaluating the impact of COVID-19 on anxiety and depression in pregnant women

Sun

Zhu

Tao

et al. 2020

Journal of Psychosomatic Obstetrics & Gynecology

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Background: COVID-19 has started to spread within China since the end of December 2019. As a special population, the pregnant and delivery women maybe influenced both in physical and psychological aspects. The meta-analysis was conducted about mental health in pregnant and delivery women. Methods: We searched both MEDLINE, EMBASE, Cochrane Library in English and CBM, CNKI, WANFANG and CSSCI in Chinese to find literature from December 2019 to 31 July 2020 related to COVID-19 and mental health in patient with pregnancy and delivery, among which results such as comments, letters, reviews and case reports were excluded. The prevalence of anxiety and depression in the population was synthesized and discussed. Results: A total of 11,187 subjects were included in 15 studies. Random effect model is used to account for the data by Revman 5.2. The results showed that the prevalence of depression was 30% (95% CI: 0.23-0.37), the prevalence of anxiety was 34% (95% CI: 0.26-0.43) and prevalence of both anxiety and depression was 18% (95% CI: 0.09-0.29). The prevalence of anxiety (OR ¼ 2.15, 95% CI: 1.39-3.31, Z ¼ 3.47, p¼.0005), depression (OR ¼ 1.95, 95% CI: 1.07-3.56, Z ¼ 2.19, p¼.03) were higher than that of controls. Significant heterogeneity was detected across studies regarding these prevalence estimates. Subgroup analysis was taken according to assessment tools, and sensitivity analysis was done to explore the sources of heterogeneity. Conclusions: The higher prevalence of depression, anxiety, both depression and anxiety in women with pregnancy and delivery during COVID-19 pandemic although the significant heterogeneity detected in studies. We must interpret the results with caution and also put attention to this result. As the epidemic is ongoing, it is vital to set up a comprehensive crisis prevention system.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review involving 11,187 participants evaluating the impact of COVID-19 on anxiety and depression in pregnant women

Sun

Zhu

Tao

et al. 2020

Journal of Psychosomatic Obstetrics & Gynecology

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“…Having less than 6 prenatal care (APN) makes it difficult to monitor the pregnant woman, preventing screening for lot of complications (28)(29)(30) and raising awareness of the importance of an institutional delivery (31). It should be noted that the number of APN alone does not determine the type of delivery, because the decision is multifactorial (32,33).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with home birth in Peru: An analysis of the Demographic and Health Survey, 2019

J¹,

Santos-Rosales²,

Moquillaza-Alcantara³

2021

Preprint

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Objective: To determine the proportion and factors associated with home birth in Peru, 2019. Material and methods: Cross-sectional analytical design study where the 2019 Peruvian Demographic and Family Health Survey was analyzed. The association was evaluated using Poisson Regression, supplemented with the crude prevalence ratio (cPR) and adjusted (aPR). Results: The records of 18,401 women were evaluated, where 5.39% (95%CI:4.83-6.03%) presented home birth. The probability of a home birth occurs increases when the pregnant woman is from the andean (aPR:1.24; 95%CI:1.02-1.48) and amazon region (aPR:1.38; 95%CI:1.16-1.64), resides in rural areas (aPR:3.34; 95%CI:2.61-4.29), presents less than 6 prenatal care (aPR:1.66; 95%CI:1.39 -1.96), it is very poor (aPR:9.62; 95%CI:5.13-18.1) or poor (aPR:2.39; 95%CI:1.26-4.52), it has not studied (aPR:2.66; 95%CI:2.02-3.50) or reached primary education (aPR:2.18: 95%CI:1.85-2.58) and has 2 children (aPR:1.64; 95%CI:1.46-1.85) or 3 or more children (aPR:2.18; 95%CI:1.67-2.87). On the other hand, having higher educational instruction (aPR:0.49; 95%CI:0.31-0.78) is associated with a lower probability of a home birth. Conclusions: There is a low proportion of home births; however, this indicator increases significantly according to various geographical, sociodemographic, and obstetric factors that have been identified.

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“…There are many studies in the literature that investigate the effects of antenatal education on pregnancy, childbirth, and the postnatal period. Many studies revealed that when expectant mothers participated in antenatal training, the rate of cesarean birth decreased [6,7] anxiety suffered at birth was reduced [8], fear about birth decreased, childbirth-related self-efficacy increased [9][10][11] mothers engaged in more active birth, and deliveries were less performed with epidural anesthesia. However, some other studies have demonstrated the ineffectiveness of this training [6,8,12,13].…”

Section: Introductionmentioning

confidence: 99%

Examining the birth experiences of women with and without prenatal education: A qualitative study

2021

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This qualitative study examines the intrapartum experiences of nulliparous Turkish women who participated childbirth education classes and only engaged in routine prenatal care. Material and methods: The study was conducted in a Family Health Center in primary health care service in a metropolitan city in Turkey between October 2015 and June 2016. Women engaged in routine prenatal care (RPC group) (n=17) and women participating in childbirth education classes (CEC group) (n=14) at the maternity unit were included in the study via a purposive sampling method. Data were collected in semi-structured one-on-one interviews with participants. Data were collected by The Socio-Demographic and Obstetric Information Form and The Semi-Structured Interview Form. Number, percentage, mean and standard deviation were used to evaluate descriptive data. Results: The average age of the 31 women participating was 29.33±3.75. Within the sample population, majority had an education level of university (67.74%) and a nuclear family structure (90.32%). There was no significant difference (p>.05) between the socio-demographic characteristics of both groups. Of the women participating in CEC, 92.8% in the lithotomy position; none of them received anesthesia. Within this group, 50% received no intervention during labor, while 42.86% received fundal pressure, and episiotomy was applied to 21.43% of participants. All women engaged only in RPC had their birth in the lithotomy position, and 11.76% of them received epidural anesthesia. Interventions applied included episiotomy (76.47%), induced labor (70.59%), fundal pressure (58.82%), continuous Non Stress Test (NST) (58.82%), continuous intravenous infusion (52.94%), and enema (47.05%). The statements analyzed were classified under four themes: (1) satisfaction, (2) compliance with birthing positions, (3) intrinsic concentration and (4) participant control of decision-making. Conclusion: The childbirth education classes group reported that was implemented the less intrapartum intervention, greater satisfaction, fewer distractions, greater participation in active decision-making, and a greater tendency to use non-pharmacological methods. In contrast, the routine prenatal care group mostly reported passive participation, difficulty in pain and contraction control, and greater dissatisfaction.

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Perspectives on antenatal education associated with pregnancy outcomes: Systematic review and meta-analysis

Cited by 68 publications

References 43 publications

A systematic review involving 11,187 participants evaluating the impact of COVID-19 on anxiety and depression in pregnant women

A systematic review involving 11,187 participants evaluating the impact of COVID-19 on anxiety and depression in pregnant women

Factors associated with home birth in Peru: An analysis of the Demographic and Health Survey, 2019

Examining the birth experiences of women with and without prenatal education: A qualitative study

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