Association between Prenatal Anxiety and Spontaneous Preterm Birth

BACKGROUND AND OBJECTIVE: Preterm delivery is an important determinant of neonatal and infant morbidity and mortality. The effect of psychological factors on preterm delivery is inconsistent. However some studies have shown psychological factors to increase maternal corticotrophin-releasing factor t...

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Autores principales:	F Nasiri Amiri, H Salmalian, M Hajiahmadi, AM Ahmadi
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2009
Materias:	anxiety preterm labor low birth weight outcome pregnancy Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f9aab9b0a7d346138502b4ad13b6065c
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spelling	oai:doaj.org-article:f9aab9b0a7d346138502b4ad13b6065c2021-11-10T09:03:00ZAssociation between Prenatal Anxiety and Spontaneous Preterm Birth1561-41072251-7170https://doaj.org/article/f9aab9b0a7d346138502b4ad13b6065c2009-10-01T00:00:00Zhttp://jbums.org/article-1-3257-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Preterm delivery is an important determinant of neonatal and infant morbidity and mortality. The effect of psychological factors on preterm delivery is inconsistent. However some studies have shown psychological factors to increase maternal corticotrophin-releasing factor to play preterm delivery. This study was conducted to determine the effect of prenatal anxiety on spontaneous preterm delivery.METHODS: We conducted a prospective cohort study of 682 women with singleton pregnancies consecutively recruited between 20 and 28 weeks of gestation in Babol health care centers for prenatal care and received regular antenatal care. Women who had history of psychological disease, chronic diseases, pregnancy complications and taking medicine excluded from the study. The assessment of gestational age was based on last menstrual period or ultrasound examination in first half of pregnancy. Anxiety was assessed using self-administered questionnaires: the Spielberger State-Trait Anxiety Inventory. The women were considered as case group with anxiety score >45. Furthermore, these cases were followed up and compared carefully regarding to preterm delivery FINDINGS: The mean Spielberger state and trait anxiety in women with preterm delivery were respectively 42.7± 10.8 and 52.9±3.9, but the mean Spielberger state and trait anxiety in women with term delivery were respectively 37.81± 5.71 and 50.68±5.20. A significant association was found between scores for both Spielberger state anxiety and trait anxiety >45 and preterm and low birth weight (LBW) (p<0.0001). For preterm delivery (RR= 3.1, 95% CI = 2.50-4.7) and for LBW (RR= 2.6, 95% CI = 1.6-4.2). There was a statistically significant relationship.CONCLUSION: These findings provide evidence that antenatal anxiety is significantly associated with spontaneous preterm birth and LBW. Thus, screening for mental and psychological disorders among women in regular prenatal care is recommended.F Nasiri Amiri,H SalmalianM Hajiahmadi,AM AhmadiBabol University of Medical Sciencesarticleanxietypreterm laborlow birth weightoutcomepregnancyMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 11, Iss 4, Pp 42-48 (2009)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	anxiety preterm labor low birth weight outcome pregnancy Medicine R Medicine (General) R5-920
spellingShingle	anxiety preterm labor low birth weight outcome pregnancy Medicine R Medicine (General) R5-920 F Nasiri Amiri, H Salmalian M Hajiahmadi, AM Ahmadi Association between Prenatal Anxiety and Spontaneous Preterm Birth
description	BACKGROUND AND OBJECTIVE: Preterm delivery is an important determinant of neonatal and infant morbidity and mortality. The effect of psychological factors on preterm delivery is inconsistent. However some studies have shown psychological factors to increase maternal corticotrophin-releasing factor to play preterm delivery. This study was conducted to determine the effect of prenatal anxiety on spontaneous preterm delivery.METHODS: We conducted a prospective cohort study of 682 women with singleton pregnancies consecutively recruited between 20 and 28 weeks of gestation in Babol health care centers for prenatal care and received regular antenatal care. Women who had history of psychological disease, chronic diseases, pregnancy complications and taking medicine excluded from the study. The assessment of gestational age was based on last menstrual period or ultrasound examination in first half of pregnancy. Anxiety was assessed using self-administered questionnaires: the Spielberger State-Trait Anxiety Inventory. The women were considered as case group with anxiety score >45. Furthermore, these cases were followed up and compared carefully regarding to preterm delivery FINDINGS: The mean Spielberger state and trait anxiety in women with preterm delivery were respectively 42.7± 10.8 and 52.9±3.9, but the mean Spielberger state and trait anxiety in women with term delivery were respectively 37.81± 5.71 and 50.68±5.20. A significant association was found between scores for both Spielberger state anxiety and trait anxiety >45 and preterm and low birth weight (LBW) (p<0.0001). For preterm delivery (RR= 3.1, 95% CI = 2.50-4.7) and for LBW (RR= 2.6, 95% CI = 1.6-4.2). There was a statistically significant relationship.CONCLUSION: These findings provide evidence that antenatal anxiety is significantly associated with spontaneous preterm birth and LBW. Thus, screening for mental and psychological disorders among women in regular prenatal care is recommended.
format	article
author	F Nasiri Amiri, H Salmalian M Hajiahmadi, AM Ahmadi
author_facet	F Nasiri Amiri, H Salmalian M Hajiahmadi, AM Ahmadi
author_sort	F Nasiri Amiri,
title	Association between Prenatal Anxiety and Spontaneous Preterm Birth
title_short	Association between Prenatal Anxiety and Spontaneous Preterm Birth
title_full	Association between Prenatal Anxiety and Spontaneous Preterm Birth
title_fullStr	Association between Prenatal Anxiety and Spontaneous Preterm Birth
title_full_unstemmed	Association between Prenatal Anxiety and Spontaneous Preterm Birth
title_sort	association between prenatal anxiety and spontaneous preterm birth
publisher	Babol University of Medical Sciences
publishDate	2009
url	https://doaj.org/article/f9aab9b0a7d346138502b4ad13b6065c
work_keys_str_mv	AT fnasiriamiri associationbetweenprenatalanxietyandspontaneouspretermbirth AT hsalmalian associationbetweenprenatalanxietyandspontaneouspretermbirth AT mhajiahmadi associationbetweenprenatalanxietyandspontaneouspretermbirth AT amahmadi associationbetweenprenatalanxietyandspontaneouspretermbirth
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Association between Prenatal Anxiety and Spontaneous Preterm Birth

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