The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Anxiety status in pregnant mothers at third trimester of pregnancy and its related factors in referrals to Bandar Abbas Hospitals in 2012

Document Type : Original Article

Authors
Narges sadeghi 1
Shilan Azizi 2
Mitra Molaeinezhad 3
1 PhD student of Nursing, School of Nursing and Midwifery, Islamic Azad University, Isfahan (Khorasgan ) Branch, Isfahan, Iran.
2 MS.c of Pediatric Nursing, Islamic Azad University, Bandar Abbas Branch, Bandar Abbas, Iran.
3 lecture of Midwifery, School of Nursing and Midwifery, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran.
10.22038/ijogi.2014.3574
Abstract
Introduction: Anxiety is one of the most common psychological disorders during pregnancy especially third trimester of pregnancy and many factors influence on the incidence of this disorder. This study was performed with the aim to determine maternal anxiety status at third trimester of pregnancy and its related factors.
Methods: This longitudinal study was performed in 2012 on 75 pregnant mothers referred to gynecology clinics of Bandar-Abbas Hospitals for routine prenatal care. Data was collected using Spielberger's questionnaire at three times (29-32, 33-36 and 37-42 weeks of pregnancy) and demographic questionnaire was collected. Data were analyzed using SPSS software (version 20), and T-test, ANOVA (analysis of variance) and one-way ANOVA. P< 0.05 was considered significant.
Results: The results of the study showed that about half of the mother had moderate and high scores of state and trate anxiety (42.6% and 45.3%, respectively), but there was no significant correlation between mean of maternal state and trate anxiety at three times of measurement (P=0.107, P=0.16). Also, no significant relations were found between maternal age, education level, job status, parity and abortion, baby gender with their state and trate anxiety at third trimester of pregnancy (P>0.05).
Conclusion: Maternal anxiety at third trimester of pregnancy is at high level. Therefore, Preparation of the programs related to health assessment during pregnancy care seems to be logical.
Keywords
Anxiety
pregnancy
Risk factors
  1. Koshan M, Vagei S. Psychiatric Nursing. Tehran: Rafi Publication; 2011.p. 22-23.
  2. Sadock B, Sadock V, Kaplan H. Synopsis of psychiatry behavioral sciences. [Rezaie F, trans] .10th  ed. Tehran: Arjmand Publication; 2010.p. 150-1.
  3. World Health Organization Report. Maternal mental health and child health and  development in low and middle income countries. Geneva: WHO; 2008.39p.
  4. Bodecs T, Horvath B, Szilagyi E, Gonda X, Rihmer Z, Sandor J. Effects of depression, anxiety, self-esteem, and health behaviour on neonatal outcomes in a population-based Hungarian sample. European Journal of Obstetrics & Gynecology and Reproductive Biology 2011; 154(1):45–50.
  5. Claesson  IM, Josefsson A, Sydsjo G. Prevalence of anxiety and depressive symptoms among obese pregnant and postpartum women: an intervention study. BMC Public Health 2010; 10(1):766.
  6. Nasreen HE, Kabir ZN, Forsell Y, Edhborg M. Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: a population based study in rural Bangladesh. BMC Women’s Health 2011; 11(2):22.
  7. Ali NS, Azam IS, Ali BS, Tabbusum Gh, Moin SS. Frequency and associated factors for anxiety and depression in pregnantwomen: A Hospital-based cross-sectional study. The ScientificWorld Journal 2012; 2012:1-9.
  8. Faisal-Cury A, Rossi Menezes P. Prevalence of anxiety and depression during pregnancy in a private setting sample. Archives of Women's Mental Health  2007; 10(1): 25-32.
  9. Nasiri Amiri F, Salmalian H, Hajiahmadi M, Ahmadi AM. Association between prenatal anxiety and spontaneous preterm birth . Journal of  Babol University of Medical Sciences 2009; 11(4): 42-8. (Persian).
  10. Bazrafshan MR, Mahmoudi Rad AR. The effect of pregnant women's anxiety on apgar score and birth weight of newborns . Scientific Journal of Hamadan Nursing & Midwifery Faculty 2009; 17(1-2):58-62. (Persian).
  11. Shahhosseini Z, Abedian K, Azimi H. Role of anxiety during pregnancy in preterm delivery. Journal of Mazandaran University of Medical Sciences 2008; 16 (63):85-92. (Persian).
  12. Alipour Z, Lamyian M, Hajizadeh E. Anxiety during pregnancy: a risk factor for neonatal physical outcome?. Journal of Urmia Nursing and Midwifery Faculty 2010; 9(1):30-38. (Persian).
  13. Babanazari L, Kafi SM. Relationship of pregnancy anxiety to its different periods, sexual satisfaction and demographic factors. Iranian Journal of Psychiatry and Clinical Psychology 2008; 14(2):206-13. (Persian).
  14. Foruzandeh N, Delaram M, Deris F. Mental health status and its determinant factors in women who referred to health centers in Shahrekord 2001-2002 . Journal of Reproduction & Infertility 2003; 4(2):146-55. (Persian)
  15. Lee AM, Lam SK, Sze Mun Lau SM, Chong CS, Chui HW, Fong DY. Prevalence, course, and risk factors for antenatal anxiety and depression. Obstet Gynecol. 2007; 110 (5):1102-12.
  16. Hyde JSh. Half the human experience: the psychology of women. [Khamse A, trans]. Tehran: Arjmand Publication; 2010.p. 364-65.
  17. Nassiri M. Mental health pregnancy and childbirth. Isfahan: Boshra Pablication 2000. (Persian)
  18. Hernández-Martínez C, Arija V, Balaguer A, Cavalle P, Canals J. Do the emotional states of pregnant women affect neonatal behaviour?. Early Human Development. 2008; 84(11):745–50.
  19. Shayeghian Z, Rasolzadeh Tabatabaey SK. Effect of maternal anxiety during third trimester on pregnancy outcomes and infants' mental health. Hayat 2009; 14(4):57-64. (Persian)
  20. T.C.E. de Bruijn A, Van Bakel HJA, Van Baar AL. Sex differences in the relation between prenatal maternal emotional complaints and child outcome. Early Human Development 2009; 85(5):319-24
  21. Dehdari T. Design and evaluation of theory-based educational Program for reducing patients` anxiety after CABG. [Ph.D thesis]. Tehran: Medical Sciences Faculty Tarbiat Modares University; 2007.
  22. Buss C, Davis EP, Hobel CJ, Sandman CA. Maternal pregnancy-specific anxiety is associated with child executive function at 6–9 years age. Stress 2011; 14(6): 665–76.
  23. Keim SA, Daniels JL, Dole N, Herring AH, Siega-Riz AM,  Scheidt PC. A prospective study of maternal anxiety, perceived stress, and depressive symptoms in relation to infant cognitive development. Early Hum Dev 2011; 87(5):373–80.
  24. Davis EP, Glynn LM, Waffarn F, Sandman CA. Prenatal maternal stress programs infant stress regulation. J Child Psychol Psychiatry 2011; 52(2):119–29.
  25. Ghanei R, rezaei K, Mahmoodi R. The Relationship between Preoperative Anxiety and Postoperative Pain after Cesarean Section. The Iranian Journal Obstetrics, Gynecology and Infertility Feb 2013; 15(39):16-22.(Persian).
  26. Hall WA, Stoll K, Hutton EK, Brown H.  A prospective study of effects of psychological factors and sleep on obstetric interventions, mode of birth, and neonatal outcomes among low-risk British Columbian women. BMC Pregnancy and Childbirth 2012; 12(1):78.