Sistema de Salut de Catalunya
Institut Català de la Salut
[Sandonis M] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Departament de Psiquiatria i Medicina Forense, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Temprado J, Hernández-Fleury A] Servei d’Obstetrícia, Unitat de Medicina Materna i Fetal, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Parramón-Puig G, Dip ME] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Ramos-Quiroga JA] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain. [Maiz N, Carreras E, Brik M] Servei d’Obstetrícia, Unitat de Medicina Materna i Fetal, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain
Vall d'Hebron Barcelona Hospital Campus
2023-08-30T06:53:28Z
2023-08-30T06:53:28Z
2023
Anxiety; Birthweight; Perinatal mental health
Ansietat; Pes de naixement; Salut mental perinatal
Ansiedad; Peso de nacimiento; Salud mental perinatal
To explore the effects of antenatal anxiety on fetal growth an observational cohort study was performed, including a cohort of 204 women with singleton pregnancies during the strict lockdown of the COVID-19 pandemic in 2020. Psychosocial factors, maternal demographics, obstetric outcomes, social support (Medical Outcomes Study Social Support Survey, MOS-SSS), and symptoms of anxiety (State-Trait Anxiety Inventory, STAIs and STAIt) and depression (Edinburgh Postpartum Depression Scale, EPDS) were studied as potential predictors of low birth weight. Main outcome measures were birth weight, head circumference and length. Results showed a negative correlation between STAIt score (trait anxiety) and birth weight percentile (r = −0.228, p = .047). In the univariate linear regression analysis, a lower maternal weight and BMI before pregnancy, parity, increased STAIt score and preterm birth below 37 weeks of gestation (p = .008, p = .015, p = .028, p = .047 and p = .022, respectively) were identified as predictive risk factors for low birth weight, whereas in the multivariate lineal regression analysis only a lower maternal weight before pregnancy and an increased STAIt score were independent predictors for low birth weight (p = .020, p = .049, respectively). To conclude, anxiety during pregnancy impacts birth weight, and specifically the trait anxiety, is a predictor for low birth weight.
This study was supported by Maternal and Fetal Research Group of Vall d’Hebron Research Institute (VHIR).
Article
Published version
English
Embaràs; Pes neonatal; Ansietat; PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Emotions::Anxiety; DISEASES::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Body Weight::Birth Weight; PHENOMENA AND PROCESSES::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproduction::Pregnancy; PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::emociones::ansiedad; ENFERMEDADES::afecciones patológicas, signos y síntomas::signos y síntomas::peso corporal::peso al nacer; FENÓMENOS Y PROCESOS::fenómenos fisiológicos reproductivos y urinarios::fenómenos fisiológicos de la reproducción::reproducción::embarazo
Taylor & Francis
Journal of Psychosomatic Obstetrics & Gynecology;44
https://doi.org/10.1080/0167482X.2023.2241631
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
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