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<a href="http://doi.org/10.1016/j.jad.2019.07.007" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jad.2019.07.007</a>
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Pages
214-240
Volume
257
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Title
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State anxiety in pregnancies affected by obstetric complications: A systematic review
Publisher
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Journal of Affective Disorders
Date
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2019
2019-10
Subject
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Antenatal anxiety; Medically high-risk pregnancy; Obstetric complications; State anxiety
Creator
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Fischbein Rebecca L; Nicholas Lauren; Kingsbury Diana M; Falletta Lynn M; Baughman Kristin R; VanGeest Jonathan
Description
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BACKGROUND: Maternal mental health status remains an important area of study due to its influence on maternal health outcomes. Past reviews on anxiety in pregnancy have included multiple mental health diagnoses and pre-existing conditions. A systematic review was performed to understand maternal state anxiety during pregnancies affected by obstetrical complications. METHODS: A systematic search of electronic databases was performed including quantitative, primary studies in the English language. The population of interest was women whose pregnancies were affected by maternal and/or fetal obstetric (not pre-existing) complications with state anxiety as the outcome. Twenty-six studies met the inclusion and methodological criteria and were included in the review. RESULTS: The review revealed that 20% to 100% of women experiencing pregnancies affected by obstetric complications had high levels of state anxiety, and these rates are negatively influenced by complication type and severity, demographic characteristics, and maternal perceptions and expectations. Overall, antenatal state anxiety was shown to improve over the course of the pregnancy, though levels remained above clinical thresholds. LIMITATIONS: This review was based only on English peer-reviewed articles, many of which used convenience sampling with homogenous samples, limiting generalizability. Additional limitations include how anxiety prevalence was aggregated due to differences in measurement across studies. CONCLUSIONS: Anxiety is prevalent among women experiencing pregnancies affected by obstetric complications. Based on this review, we recommend that all women treated for obstetric complications are screened for anxiety; facilitating detection, referral, and treatment, ultimately contributing to optimal maternal outcomes.
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<a href="http://doi.org/10.1016/j.jad.2019.07.007" target="_blank" rel="noreferrer noopener">10.1016/j.jad.2019.07.007</a>
2019
Antenatal anxiety
Baughman Kristin R
Department of Family & Community Medicine
Falletta Lynn M
Fischbein Rebecca L
Journal of Affective Disorders
Kingsbury Diana M
Medically high-risk pregnancy
NEOMED College of Medicine
NEOMED College of Medicine Postdoc
Nicholas Lauren
Obstetric complications
September 2019 Update
State anxiety
VanGeest Jonathan