Anxiety in Pregnancy: Comparing High-Risk and Normal Pregnant Women through the Beck Anxiety Inventory

Year 2024, Volume: 6 Issue: 3, 481 - 486, 24.09.2024

Mehmet Albayrak , Ali Muhtaroğlu

https://doi.org/10.37990/medr.1522002

Abstract

Aim: Pregnancy is a critical life event that necessitates adaptation to numerous physical and psychological changes. While it often brings positive emotions, it can also induce significant stress and anxiety, especially in high-risk scenarios with potential maternal and fetal health concerns. This study aims to investigate whether there is a difference in anxiety levels between pregnant women under routine obstetric care and those under perinatology care for high-risk pregnancies.
Material and Method: This cross-sectional survey was conducted at the Giresun Training and Research Hospital Obstetrics and Gynecology Hospital. Ninety pregnant women aged 18-40 were divided into two groups: 45 women receiving routine obstetric care (Group I) and 45 women receiving perinatology care for high-risk pregnancies (Group II). Data were collected using a 20-question socio-demographic and medical characteristics questionnaire, along with the Beck Anxiety Inventory.
Results: The study found no significant difference in socio-demographic characteristics such as education, employment, and income status between the two groups (p>0.05). The Beck Anxiety Inventory scores indicated that both groups predominantly experienced low-level anxiety: 82.2% in Group I and 86.7% in Group II. Moderate anxiety was reported by 15.6% of Group I and 11.1% of Group II. Only 2.2% of participants in each group experienced severe anxiety. There was no significant difference in the overall anxiety levels between the two groups (p>0.05), although Group I reported higher heart palpitations (p<0.05).
Conclusion: The findings suggest that while high-risk pregnancies managed by perinatology specialists do not significantly differ in overall anxiety levels from normal pregnancies, specific anxiety symptoms like heart palpitations may vary. This underscores the need for targeted anxiety management interventions for pregnant women, regardless of risk status, to ensure better maternal and fetal outcomes.

Keywords

Pregnancy anxiety, Beck Anxiety Inventory, perinatology, anxiety management in pregnancy

Ethical Statement

Ethical approval has been obtained.

Supporting Institution

None

Thanks

N/A

References

• Hall HG, Beattie J, Lau R, et al. Mindfulness and perinatal mental health: a systematic review. Women Birth. 2016;29:62-71.
• Gennaro S, OʼConnor C, McKay EA, et al. Perinatal anxiety and depression in minority women. MCN Am J Matern Child Nurs. 2020;45:138-44.
• Evans K, Rennick-Egglestone S, Cox S, et al. Remotely delivered interventions to support women with symptoms of anxiety in pregnancy: mixed methods systematic review and meta-analysis. J Med Internet Res. 2022;24:e28093.
• Runkle JD, Risley K, Roy M, Sugg MM. Association between perinatal mental health and pregnancy and neonatal complications: a retrospective birth cohort study. Womens Health Issues. 2023;33:289-99.
• Lavender TJ, Ebert L, Jones D. An evaluation of perinatal mental health interventions: an integrative literature review. Women Birth. 2016;29:399-406.
• Dennis CL, Ross L. Women's perceptions of partner support and conflict in the development of postpartum depressive symptoms. J Adv Nurs. 2006;56:588-99.
• Whincup PH. Mothers, babies and disease in later life. J R Soc Med. 1995;88:458.
• Coussons-Read ME. Effects of prenatal stress on pregnancy and human development: mechanisms and pathways. Obstet Med. 2013;6:52-7.
• Durat G, Çulhacik GD, Doğu Ö, et al. The development of an anxiety assessment scale for pregnant women in labor. Saudi Med J. 2018;39:609-14.
• Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25:141-8.
• Field T, Diego M, Hernandez-Reif M. Prenatal depression effects on the fetus and newborn: a review. Infant Behav Dev. 2006;29:445-55.
• Howard LM, Molyneaux E, Dennis CL, et al. Non-psychotic mental disorders in the perinatal period. Lancet. 2014;384:1775-88.
• Cumberbatch CJ, Birndorf C, Dresner N. Psychological implications of high-risk pregnancy. Int J Fertil Womens Med. 2005;50:180-6.
• Pascal R, Casas I, Genero M, et al. Maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation. J Clin Med. 2023;12:7333.
• McLeish J, Redshaw M. Maternity experiences of mothers with multiple disadvantages in England: a qualitative study. Women Birth. 2019;32:178-84.
• Guardino CM, Schetter CD. Coping during pregnancy: a systematic review and recommendations. Health Psychol Rev. 2014;8:70-94.
• Manolova G, Waqas A, Chowdhary N, et al. Integrating perinatal mental healthcare into maternal and perinatal services in low and middle income countries. BMJ. 2023;381:e073343.