Effects of previous pregnancy loss on level of maternal anxiety after prenatal ultrasound screening for fetal malformation
Effects of previous pregnancy loss on level of maternal anxiety after prenatal ultrasound screening for fetal malformation
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DOI：
10.1080/15325020590908849
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发表时间：
2005-03-01
影响因子：
4.7
通讯作者：
Kreienberg, R
中科院分区：
文献类型：
--
作者：
Brisch, KH;Munz, D;Kreienberg, R
纵向研究了先前死产、流产或早产对胎儿畸形高风险亚组孕妇焦虑的影响，与健康无并发症妊娠的非风险对照组女性相比。通过问卷调查评估女性 (h = 674) 妊娠早期的焦虑水平。在三个时间点收集数据：超声扫描前、胎儿畸形产前检查后 5-6 周和 10-12 周。一般来说，所有高危妊娠女性 (h = 506) 在超声扫描前均表现出高度焦虑。在接下来的 10-12 周内，焦虑感显着下降。相比之下，无风险对照组的焦虑水平并未升高（h = 168）。然而，随着时间的推移，经历过流产或死产的孕妇表现出越来越高的焦虑水平。我们认为，对焦虑水平持续较高或不断升级的女性进行筛查并提供心理治疗咨询作为预防妊娠并发症的一种手段非常重要。
The impact of previous stillbirth, miscarriage, or preterm delivery on anxiety in pregnant women in various subgroups tit high risk for fetal abnormality in comparison with a nonrisk control group of women with healthy uncomplicated pregnancies was studied longitudinally. The Level of anxiety in women (h = 674) during early pregnancy was assessed by questionnaire. Data were collected at three points in time: immediately before the ultrasound scanning, at 5-6 weeks, and at 10-12 weeks after the prenatal examination for fetal malformation. In general, all women with high-risk pregnancies (h = 506) showed high levels of anxiety immediately before ultrasound scanning. There was a significant decrease in anxiety over the following 10-12 weeks. By contrast, level of anxiety was not raised in the no-risk control group (h = 168). However, pregnant women who had experienced miscarriage or stillbirth in previous pregnancies showed increasing or persistently high levels of anxiety over time. We believe it is very important to screen women whose levels of anxiety are consistently high or escalating and to offer psychotherapeutic counseling as a means of preventing pregnancy complications.