Analysis of Factors Influencing Pregnancy-Related Anxiety in Age-Appropriate Pregnant Women

Abstract

This study investigated the prevalence of pregnancy-related anxiety among school-age pregnant women and explored influencing factors. From February to June 2023, 250 pregnant women of appropriate age from three tertiary hospitals’ obstetrics outpatient clinics in Urumqi were surveyed using the Chinese version of the Pregnancy-Related Anxiety Scale (Simplified Version) (PrAS-S). The prevalence of pregnancy-related anxiety was 65.6%. Influencing factors included expectation of fetal sex, knowledge of labor and delivery, and confidence in caring for the baby. Expectation of fetal sex was a significant positive predictor, while knowledge of labor and delivery and confidence in caring for the baby were significant negative predictors. The study concluded that pregnancy-related anxiety is common among pregnant women of appropriate age. Targeted interventions should be implemented to address high-risk factors and protect the psychological well-being of pregnant women.

Keywords

Pregnancy-related anxiety / Influencing factors / Correlation

References

[1] Blackmore E. R., Gustafsson H., Gilchrist M., Wyman C., & O'Connor T. G. (2016). Pregnancy—related anxiety: Evidence of distinct clinical significance from a prospective longitudinal study. Journal of Affective Disorders, 197, 251-258. https://doi.org/10.1016/j.jad.2016.03.008

[2] Bayrampour H., Ali E., McNeil D. A., Benzies K., MacQueen G., & Tough S. (2016). Pregnancy—related anxiety: A concept analysis. International Journal of Nursing Studies, 55, 115-130. https://doi.org/10.1016/j.ijnurstu.2015.10.023

[3] Chen L., Xu L., Liao D., He L., & Tang J. (2015). Analysis of anxiety status and related factors of pregnant women before labor. China Nursing Management, 15(10), 1193-1197.

[4] Dryer R., Brunton R., He D., & Lee E. (2022). Psychometric properties of the Pregnancy—Related Anxiety Scale—Screener. Psychological Assessment, 34(5), 443. https://doi.org/10.1037/pas0001112

[5] Ding X. X., Mao L. J., Ge X., Wang M. C., & Tao F. B. (2015). A longitudinal study of changes in pregnancy—related anxiety and its influencing factors among pregnant women in Maanshan City. Journal of Hygiene Research, 44(3), 371-375.

[6] Field T. (2017). Prenatal anxiety effects: A review. Infant Behavior and Development, 49, 120—128. https://doi.org/10.1016/j.infbeh.2017.08.008

[7] Gerardin P., Wendland J., Bodeau N., Galin A., Bialobos S., Tordjman S., ... & Cohen D. (2010). Depression during pregnancy: Is the developmental impact earlier in boys? A prospective case—control study. The Journal of Clinical Psychiatry, 71(3), 4181. https://doi.org/10.4088/JCP.09m05724blu

[8] Hart R., & McMahon C. A. (2006). Mood state and psychological adjustment to pregnancy. Archives of Women’s Mental Health, 9(6), 329-337. https://doi.org/10.1007/s00737—006—0151—y

[9] Jacobsen G., Schei B., & Hoffman H. J. (1997). Psychosocial factors and small—for—gestational—age infants among parous Scandinavian women. Acta Obstetricia et Gynecologica Scandinavica, 76, 14-18.

[10] Kapoor A., Petropoulos S., & Matthews S. G. (2008). Fetal programming of hypothalamic—pituitary—adrenal (HPA) axis function and behavior by synthetic glucocorticoids. Brain Research Reviews, 57(2), 586-595. https://doi.org/10.1016/j.brainresrev.2007.06.001

[11] Khashan A. S., McNamee R., Abel K. M., Pedersen M. G., Webb R. T., Kenny L. C., ... & Baker P. N. (2008). Reduced infant birthweight consequent upon maternal exposure to severe life events. Biopsychosocial Science and Medicine, 70(6), 688-694. https://doi.org/10.1097/PSY.0b013e318183dc4b

[12] Li J., Cao S., & Yu X. (2016). Analysis of pregnancy—related anxiety and its influencing factors in women in mid— to late—pregnancy. Chinese Journal of Nursing, 51(7), 798-803. https://doi.org/10.3761/j.issn.0254—1769.2016.07.005

[13] Lin H., Tan W., Xu Z., Chen Y., Lin L., & Gong W. (2013). Analysis of factors influencing maternal fertility concepts and their anxiety and depression in women of different origins. Chinese General Practice, 16(2B), 639-642. https://doi.org/10.3969/j.issn.1007—9572.2013.02.105

[14] Li M. Y., Hu W. Q., Ma X. Y., Liu Y. Y., & Li H. Y. (2023). Survey on the current status of maternal depression in late pregnancy and analysis of its influencing factors. Yunnan Medical Journal, 44(5), 28-31.

[15] McCowan L., & Horgan R. P. (2009). Risk factors for small for gestational age infants. Best Practice & Research Clinical Obstetrics & Gynaecology, 23(6), 779-793. https://doi.org/10.1016/j.bpobgyn.2009.06.003

[16] Poikkeus P., Saisto T., Unkila—Kallio L., Punamaki R. L., Repokari L., Vilska S., ... & Tulppala M. (2006). Fear of childbirth and pregnancy—related anxiety in women conceiving with assisted reproduction. Obstetrics & Gynecology, 108(1), 70-76. https://doi.org/10.1097/01.AOG.0000218702.72892.81

[17] Qian Z., Zhang G., Chen P., Zhang Y., & Xu Q. (2021). Effects of pregnancy—related anxiety on offspring internalizing behavior . South China Preventive Medicine, 47(3), 271—274.

[18] Rees S., Channon S., & Waters C. S. (2019). The impact of maternal prenatal and postnatal anxiety on children's emotional problems: A systematic review. European Child & Adolescent Psychiatry, 28(2), 257-280. https://doi.org/10.1007/s00787—018—1173—5

[19] Rothenberger S. E., Moehler E., Reck C., & Resch F. (2011). Prenatal stress: Course and interrelation of emotional and physiological stress measures. Psychopathology, 44(1), 60-67. https://doi.org/10.1159/000319309

[20] Saisto T., Kaaja R., Helske S., Ylikorkala O., & Halmesmäki E. (2004). Norepinephrine, adrenocorticotropin, cortisol and beta—endorphin in women suffering from fear of labor: Responses to the cold pressor test during and after pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 83(1), 19-26. https://www.sci—hub.ru/10.1111/j.1600—0412.2004.00300.x

[21] World Health Organization . (2006). Reproductive health indicators: Guidelines for their generation, interpretation and analysis for global monitoring. In Reproductive health Indicators: Guidelines for Their Generation, Interpretation and Analysis for Global Monitoring (pp. 67).

[22] Xiao L. M. (2010). Development of the pregnancy—specific anxiety questionnaire and study of pregnancy—specific anxiety in early pregnancy [Doctoral dissertation]. Anhui Medical University.

[23] Xiao L. M., Tao F. B., Zhang J. L., Xiong J. W., & Hao J. H. (2012). Development of the pregnancy—specific anxiety questionnaire and study of pregnancy—specific anxiety in early pregnancy. Chinese Journal of Public Health, 28(3), 275-277. https://10.12102/J.issn.1009—6493.2019.01.020