State anxiety in pregnancies affected by obstetric complications: A systematic review

Title

State anxiety in pregnancies affected by obstetric complications: A systematic review

Creator

Fischbein Rebecca L; Nicholas Lauren; Kingsbury Diana M; Falletta Lynn M; Baughman Kristin R; VanGeest Jonathan

Publisher

Journal of Affective Disorders

Date

2019
2019-10

Description

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.

Subject

Antenatal anxiety; Medically high-risk pregnancy; Obstetric complications; State anxiety

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

214-240

Volume

257

Citation

Fischbein Rebecca L; Nicholas Lauren; Kingsbury Diana M; Falletta Lynn M; Baughman Kristin R; VanGeest Jonathan, “State anxiety in pregnancies affected by obstetric complications: A systematic review,” NEOMED Bibliography Database, accessed April 17, 2021, https://neomed.omeka.net/items/show/6503.

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