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Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

Prevalence of Anxiety During Pregnancy in Women with Previous Spontaneous Abortions

Author(s): Keerthana Radhakrishnan and Shraddha Shetty Kandavar*

Volume 18, Issue 2, 2022

Published on: 13 April, 2021

Article ID: e241221192820 Pages: 6

DOI: 10.2174/1573404817666210413121626

Price: $65

Abstract

Backgroundː: Abortion results in emotional stress affecting the mental health of women. Women become more anxious in the subsequent pregnancy. The severity of anxiety depends on the number of prior pregnancy losses.

Aim: To study the prevalence of anxiety during pregnancy in women with previous spontaneous abortions.

Materials and Methods: A case control study was conducted on 200 women (study group) with a previous history of spontaneous abortions and compared with 200 women (control group) with a previous normal delivery. Anxiety levels were measured using the Hamilton Anxiety Scale for all women in the first trimester. Anxiety score <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe anxiety.

Results: In the study population, most women were found to be in the age group of 26-30 years. 149 (74.5%) women had previous one spontaneous abortion and 51 (25.5%) had previous two spontaneous abortions in the study group. The prevalence of anxiety was observed in 42 (21%) in the study group and 20 (10%) in the control group and was found to be statistically significant. In the study group, 26 (62%) women had mild anxiety, 13 (31%) with moderate anxiety and 3 (7%) had severe anxiety and 14 (60%) had mild anxiety, 6(40%) moderate anxiety in the control group.

Conclusion: Women experience emotional trauma and stress following previous pregnancy losses, which can have a negative impact on their mental health. Anxiety increases in the subsequent pregnancy. Anxiety level depends on the number of previous pregnancy losses. Hence careful prenatal care and psychological support should be advised to pregnant women with prior spontaneous abortions to improve the quality of life.

Keywords: Anxiety, habitual abortion, psychological trauma, pregnancy, quality of life, stress.

Graphical Abstract
[1]
Carter D, Misri S, Tomfohr L. Psychologic aspects of early pregnancy loss. Clin Obstet Gynecol 2007; 50(1): 154-65.
[http://dx.doi.org/10.1097/GRF.0b013e31802f1d28] [PMID: 17304032]
[2]
Chalana H, Sachdeva JK. A study of psychiatric morbidity during second trimester of pregnancy subsequent to abortion in the previous pregnancy. Asian J Psychiatr 2012; 5(3): 215-9.
[http://dx.doi.org/10.1016/j.ajp.2011.11.006] [PMID: 22981048]
[3]
Blackmore ER, Côté-Arsenault D, Tang W, et al. Previous prenatal loss as a predictor of perinatal depression and anxiety. Br J Psychiatry 2011; 198(5): 373-8.
[http://dx.doi.org/10.1192/bjp.bp.110.083105] [PMID: 21372060]
[4]
Lok IH, Neugebauer R. Psychological morbidity following miscarriage. Best Pract Res Clin Obstet Gynaecol 2007; 21(2): 229-47.
[http://dx.doi.org/10.1016/j.bpobgyn.2006.11.007] [PMID: 17317322]
[5]
Geller PA, Kerns D, Klier CM. Anxiety following miscarriage and the subsequent pregnancy: a review of the literature and future directions. J Psychosom Res 2004; 56(1): 35-45.
[http://dx.doi.org/10.1016/S0022-3999(03)00042-4] [PMID: 14987962]
[6]
Berth H, Puschmann AK, Dinkel A, Balck F. The trauma of miscarriage- factors influencing the experience of anxiety after early pregnancy loss. Psychother Psychosom Med Psychol 2009; 59(8): 314-20.
[http://dx.doi.org/10.1055/s-2008-1067540] [PMID: 18821478]
[7]
Bergner A, Beyer R, Klapp BF, Rauchfuss M. Pregnancy after early pregnancy loss: a prospective study of anxiety, depressive symptomatology and coping. J Psychosom Obstet Gynaecol 2008; 29(2): 105-13.
[http://dx.doi.org/10.1080/01674820701687521] [PMID: 17943588]
[8]
Gong X, Hao J, Tao F, Zhang J, Wang H, Xu R. Pregnancy loss and anxiety and depression during subsequent pregnancies: data from the C-ABC study. Eur J Obstet Gynecol Reprod Biol 2013; 166(1): 30-6.
[http://dx.doi.org/10.1016/j.ejogrb.2012.09.024] [PMID: 23146315]
[9]
Binns A, Egger G, Reznik R. Dealing with worry and anxiety. Lifestyle medicine 3rd ed Academic Press 2017; pp 235-46.
[10]
Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32(1): 50-5.
[http://dx.doi.org/10.1111/j.2044-8341.1959.tb00467.x] [PMID: 13638508]
[11]
Brier N. Anxiety after miscarriage: a review of the empirical literature and implications for clinical practice. Birth 2004; 31(2): 138-42.
[http://dx.doi.org/10.1111/j.0730-7659.2004.00292.x] [PMID: 15153134]
[12]
Jacob L, Polly I, Kalder M, Kostev K. Prevalence of depression, anxiety, and adjustment disorders in women with spontaneous abortion in Germany - A retrospective cohort study. Psychiatry Res 2017; 258: 382-6.
[http://dx.doi.org/10.1016/j.psychres.2017.08.064] [PMID: 28865722]
[13]
Chojenta C, Harris S, Reilly N, Forder P, Austin M-P, Loxton D. History of pregnancy loss increases the risk of mental health problems in subsequent pregnancies but not in the postpartum. PLoS One 2014; 9(4): e95038.
[http://dx.doi.org/10.1371/journal.pone.0095038] [PMID: 24733508]
[14]
Brunton RJ, Dryer R, Krägeloh C, Saliba A, Kohlhoff J, Medvedev O. The pregnancy-related anxiety scale: A validity examination using Rasch analysis. J Affect Disord 2018; 236: 127-35.
[http://dx.doi.org/10.1016/j.jad.2018.04.116] [PMID: 29730512]
[15]
Fertl KI, Bergner A, Beyer R, Klapp BF, Rauchfuss M. Levels and effects of different forms of anxiety during pregnancy after a prior miscarriage. Eur J Obstet Gynecol Reprod Biol 2009; 142(1): 23-9.
[http://dx.doi.org/10.1016/j.ejogrb.2008.09.009] [PMID: 18986753]
[16]
Marcinko VM, Marcinko D, Dordević V, Oresković S. Anxiety and depression in pregnant women with previous history of spontaneous abortion. Coll Antropol 2011; 35(Suppl. 1): 225-8.
[PMID: 21648338]
[17]
Tavoli Z, Mohammadi M, Tavoli A, et al. Quality of life and psychological distress in women with recurrent miscarriage: a comparative study. Health Qual Life Outcomes 2018; 16(1): 150.
[http://dx.doi.org/10.1186/s12955-018-0982-z] [PMID: 30055644]
[18]
Côté-Arsenault D. Threat appraisal, coping, and emotions across pregnancy subsequent to perinatal loss. Nurs Res 2007; 56(2): 108-16.
[http://dx.doi.org/10.1097/01.NNR.0000263970.08878.87] [PMID: 17356441]
[19]
Couto ER, Couto E, Vian B, et al. Quality of life, depression and anxiety among pregnant women with previous adverse pregnancy outcomes. Sao Paulo Med J 2009; 127(4): 185-9.
[http://dx.doi.org/10.1590/S1516-31802009000400002] [PMID: 20011922]
[20]
San Lazaro Campillo I, Meaney S, McNamara K, O’Donoghue K. Psychological and support interventions to reduce levels of stress, anxiety or depression on women’s subsequent pregnancy with a history of miscarriage: an empty systematic review. BMJ Open 2017; 7(9): e017802.
[http://dx.doi.org/10.1136/bmjopen-2017-017802] [PMID: 28882928]
[21]
Boryri T, Navidian A, Zehi FH. Assessing the effect of self-care education on anxiety and depression among pregnant women with a history of spontaneous abortion. J Educ Health Promot 2020; 9: 347.
[http://dx.doi.org/10.4103/jehp.jehp_465_20] [PMID: 33575383]

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