Psychosocial stress during pregnancy is related to adverse birth outcomes: results from a large multi-ethnic community-based birth cohort

Loomans, Eva M.; Dijk, Aimée E. van; Vrijkotte, Tanja G. M.; Eijsden, Manon van; Stronks, Karien; Gemke, Reinoud J. B. J.; Bergh, Bea Van den

doi:10.1093/eurpub/cks097

Cited by 180 publications

(134 citation statements)

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“…Previous studies supports this suggestion as their studies also revealed that request for caesarean sections were higher among pregnant women particularly nulliparous with more childbirth fears (Fenwick et al, 2009;Hall et al, 2012;Handelzalts et al, 2012;Laursen et al, 2009;Nieminen et al, 2009;Rubertsson et al, 2014). Evidences also established the relationship between high levels of pregnancy anxiety and adverse labour outcomes such as preterm births, low birth weight and mode of delivery (Catov et al, 2010;Hernandez-Martinez et al, 2011;Loomans et al, 2013;Rauchfuss & Maier, 2011). So current study recommend that the prenatal care should focus on measures to reduce pregnancy specific anxiety particularly among nulliparous women which would reduce adverse pregnancy outcomes.…”

Section: Childbirth Anxietysupporting

confidence: 64%

“…The results from a large-multi ethnic community-based study in Amsterdam involving 7740 pregnant women revealed that pregnancy anxiety was related with adverse labour outcomes such as preterm and low birth weight (Loomans, van Dijk, et al, 2013). Catov et al (2010) conducted a prospective longitudinal study among 667 African American pregnant women revealed that maternal anxiety was associated with increased risk of preterm birth and low birth weight.…”

Section: Literature Reviewmentioning

confidence: 99%

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Prevalence of pregnancy anxiety and associated factors

Madhavanprabhakaran

D’Souza

Karkada

2015

International Journal of Africa Nursing Sciences

123

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a b s t r a c tObjective: To determine the prevalence of pregnancy-specific anxiety (PSA) and its associated factors among pregnant women during the three trimesters of pregnancy. Design: A prospective explorative survey was conducted among 500 low-risk Indian pregnant women of age 18-35 years. Setting: A major maternity government hospital in southern state of Kerala, India. Participants: 500 low risk pregnant women who attended the major maternity government hospital during the period June 2004-July 2005 were selected as convenient sample. Methods: An exploratory research design with a prospective cohort approach was adopted for the study. State Trait Anxiety Inventory (STAI) and Pregnancy-Specific Anxiety Inventory (PSAI) were used to collect the data. Results: Highest prevalence of pregnancy-specific anxiety (PSA) was reported during the third trimester of pregnancy. All pregnant women rated high levels of third trimester childbirth anxiety compared to other three components of pregnancy-specific anxiety. Nulliparous pregnant women reported higher levels of PSA than parous pregnant women (M = 134.40, M = 116.8). Young age, nulliparous status and nuclear family nature were identified as common risk factors of pregnancy-specific anxiety. Conclusion: During the transition to motherhood, the risk factors and timing of heightened pregnancy-specific anxiety differ. Higher prevalence of pregnancy anxiety among nulliparous and younger pregnant women necessitates an integrated routine screening of PSA during prenatal care. Early detection, prevention and management of pregnancy anxiety will enable women to cope with the challenges of pregnancy.

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Section: Childbirth Anxietysupporting

confidence: 64%

Section: Literature Reviewmentioning

confidence: 99%

Prevalence of pregnancy anxiety and associated factors

Madhavanprabhakaran

D’Souza

Karkada

2015

International Journal of Africa Nursing Sciences

123

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“…Emotional distress has been related to poor obstetric outcomes such as preterm birth and low birth weight (Dunkel Schetter, 2012;Goedhart, 2010;Graignic-Philippe, Dayan, Chokron, Jacquet, & Tordjman, 2014;Loomans et al, 2013). Regarding long-term effects, there is growing evidence that maternal distress during pregnancy might interfere with infant development up until adolescence (Van den Bergh, Mulder, Mennes, & Glover, 2005;Dorrington et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Validation of a short form Three Facet Mindfulness Questionnaire (TFMQ-SF) in pregnant women

Truijens

Nyklı́ček

Son

et al. 2016

Personality and Individual Differences

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“…Depression, anxiety and pregnancy-related anxiety are the most frequent occurring psychological signs and symptoms that construct maternal distress, varying in severity [1]. Prevalence rates of maternal distress among Dutch healthy pregnant women vary from 2 % to 30 % [3][4][5][6][7][8][9][10][11][12][13][14] measured with psychometric measures of depression and/ or (pregnancy-related) anxiety with scores above set cut-off points. Maternal distress can be caused by either pregnancy itself or non-pregnancy related factors [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

An Intervention to Prevent and Reduce Maternal Distress in the Netherlands - Its Development from Start to Finish

Fontein-Kuipers¹

2016

Women Heal Int

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IntroductionPregnancy is not solely a physical process. The many emotional and social changes and the challenges and demands that accompany pregnancy mark it as a psychosocial process as well. These changes, challenges and demands can affect a woman's emotional wellbeing during pregnancy and for some women this effect is more profound than it is for others [1,2]. Affected emotional wellbeing accompanied by psychological signs and symptoms during pregnancy is defined as maternal distress. Depression, anxiety and pregnancy-related anxiety are the most frequent occurring psychological signs and symptoms that construct maternal distress, varying in severity [1]. Prevalence rates of maternal distress among Dutch healthy pregnant women vary from 2 % to 30 % [3][4][5][6][7][8][9][10][11][12][13][14] measured with psychometric measures of depression and/ or (pregnancy-related) anxiety with scores above set cut-off points. Maternal distress can be caused by either pregnancy itself or non-pregnancy related factors [1][2][3]. Maternal distress can be regarded as a spectrum. This is consistent with a broad approach to antenatal maternal emotional health and wellbeing, as opposed to a one-dimensional view that emphasizes distinct psychological constructs such as depression and anxiety. A broad approach can be interpreted as viewing all aspects of health and wellbeing without emphasizing a specific construct [15,16]. There does not seem to be a need to prioritize or select between the above-mentioned mood disorders, as there is a recognized interrelation between them [17]. Maternal distress can be a predictor for negative birth outcomes and short or long-term post partum health problems for both mother as well as child [18][19][20][21].In the Netherlands, midwives are the main providers of antenatal care [22], making them the default healthcare practitioners for the identification of women who are at-risk to develop maternal distress or who experience maternal distress [23]. A timely antenatal intervention in midwife-led care may prevent or reduce maternal distress. To prevent or reduce maternal distress an intervention must be based on an understanding of the factors that can promote positive change, factors that consider not only the situation of pregnant women, but also the abilities of the midwives who will provide the intervention [24]. "Promoting Healthy Pregnancy" And the Development of the InterventionThe "Promoting Healthy Pregnancy" project (2011Pregnancy" project ( -2015 was funded and launched as a response to the Department of Health concerns about maternal distress and to midwives' uncertainty about their specific role and responsibilities in providing care for women with maternal distress [25]. The aim of the "Promoting Healthy Pregnancy" project was to gather evidence that could be used to create an antenatal intervention for the prevention or reduction of maternal distress during pregnancy for women receiving midwife-led care, i.e. women with healthy pregnancies.The Intervention Mapping protocol [24] was use...

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Psychosocial stress during pregnancy is related to adverse birth outcomes: results from a large multi-ethnic community-based birth cohort

Abstract: Babies from pregnant women reporting both high levels of anxiety and depressive symptoms are at highest risk for adverse birth outcomes.

Cited by 180 publications

References 28 publications

Prevalence of pregnancy anxiety and associated factors

Prevalence of pregnancy anxiety and associated factors

Validation of a short form Three Facet Mindfulness Questionnaire (TFMQ-SF) in pregnant women

An Intervention to Prevent and Reduce Maternal Distress in the Netherlands - Its Development from Start to Finish

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