2023, Number 07
<< Back Next >>
Ginecol Obstet Mex 2023; 91 (07)
Level of anxiety according to gestational trimester in a primary care health establishment
Salgado CRM, Torres CML, Salazar CRM, Bolívar RJL, Quispe AY, Chilipio CMA
Language: Spanish
References: 28
Page: 469-478
PDF size: 224.60 Kb.
ABSTRACT
Objective: To determine the anxiety level of pregnant women according to the
trimester of gestation.
Materials and Methods: Observational, analytical and prospective study of a
random sample of pregnant women attended in a first level facility of the Ministry
of Health (MINSA). Anxiety was assessed with the Perinatal Anxiety Screening Scale
(PASS) and its variation according to the trimester of pregnancy with the χ
2, Kruskall-
Wallis and ANOVA tests.
Results:: The prevalence of anxiety during pregnancy was 69.9% (n = 107) in a sample
of 153 patients. Except for the social anxiety dimension (p › 0.05), significant differences
were found in the scores of the anxiety dimensions by trimester. They were highest in
the first, followed by the third trimester (p ‹ 0.05). The global anxiety score showed
different behavior by trimester of pregnancy (ANOVA: p = 0.006), with predominance
of higher anxiety in the first trimester followed by the third trimester. Comparison by
couples only showed significant differences in anxiety score between the first and third
trimester (Tukey test: p › 0.05).
Conclusions: More than half of the pregnant women had anxiety, especially in the
first and third trimester and less in the second trimester.
REFERENCES
Organización Mundial de la Salud. Depresión y otrostrastornos mentales comunes. Estimaciones sanitariasmundiales. [Online].; 2017 [cited 2019 agosto 17.Available from:https:iris.paho.org/bitstream/handle/10665.2/34006/PAHONMH17005-spa.pdf.
Field T. Prenatal anxiety effects: A review. Infant Behaviorand Development. 2017; 49: 120-128. doi: 10.1016/j.infbeh.2017.08.008.
Kingston D AMHKMSLG. Study protocol for a randomized,controlled, superiority trial comparing the clinical andcost-effectiveneness of integrated online mental healthassessment-referral-care in pregnancy to usual prenatalcare on prenatal an postnatal mental health and infan.2014; 15(72): 72. doi: 10.1186/1745-6215-15-72.
Arranz A, García M, Montenegro G, Camacho A, Parés S,Goberna J, et al. La influencia del estrés o ansiedad de lagestante en el peso fetal o neonatal: revisión bibliográfica.Matronas Prof. 2017; 18(2): 19-77. https://s3-eu-south-2.ionoscloud.com/assetsedmayo/articles/BH5i04LoLl7M-1SKzoqxXrQ589PKXbZ3a7k9EAH3d.pdf
Purizaca M. Modificaciones Fisiológicas en el Embarazo.Rev Per Ginecol Obstet. 2010; 56(1): 57-69. https://www.redalyc.org/pdf/3234/323428195010.pdf
Díaz M, Amato R, Chávez J, Ramirez M, Rangel S, RiveraL, et al. Depresión y ansiedad en embarazadas. SalusOnline. 2013; 17(2): 32-40. http://ve.scielo.org/pdf/s/v17n2/art06.pdf
Piazza M, Fiesta F. Prevalencia anual de trastornos y uso deservicios de salud mental en el Perú: Resultados del estudiomundial de salud mental, 2005. Rev. Perú Med, exp. SaludPublica. 2014; 31(1): 30-38. http://www.scielo.org.pe/pdf/rins/v31n1/a05v31n1.pdf
Vara L, Rimari F. Evaluación de la ansiedad en embarazadasen tiempos de Covid-19, en un hospital del Callao. AgoraRev Cient. 2021; 8(1): 17-22. doi: 10.21679/arc.v8i1.202.
Ramirez H, Rodriguez I. Salud mental en madres en elperiodo perinatal. Andes Pediatr. 2014; 92(5): e01-e09.doi: 10.32641/andespediatr.v92i5.3519.
Berlanga S PRVMBF. Satisfacción en la provisión de redesde apoyo social en grupos de acompañamiento a la maternidad.Enferm Glob. 2014;(33): 18-32. https://scielo.isciii.es/pdf/eg/v13n33/clinica2.pdf
Somerville S, Dedman K, Hagan R, Oxnan E, Wettinger M, ByrneS, et al. The Perinatal Anxiety Screening Scale: developmentand preliminary validation. Arch Womens Ment Health. 2014;17(5): 443-454. doi: 10.1007/s00737-014-0425-8.
Mohammad E, Othman A, Khalaf I. The Translation ofPerinatal Anxiety Screening Scale (PASS) into Arabic. OpenJournal of Nursing. 2020; 10(4): 367-380. doi: 10.4236/ojn.2020.104025.
Yazici E, Mutu T, Uslu H, Kose E, Cevrioglu S, Bulent A. PerinatalAnxiety Screening Scale validiy and reliability studyin Turkish (PASS-TR validity and reliability). Psychiatry andClinical Psychopharmacology. 2019; 29(4): 609-617. doi:10.1080/24750573.2018.1506247.
Coo S, Medina F, García M, Pérez C. Evaluación de las propiedadespsicométricas de la Escala de Ansiedad Perinatalen una muestra de madres en Chile. Ansiedad y Estrés.2022; 28(1): 40-46. doi: 10.5093/anyes2022a4.
Etienne C. Salud mental como componente de la saluduniversal. Rev Panam Salud Publica. 2018; 42: e140. doi:10.26633/RPSP.2018.140.
Grigoriadis S, Graves L, Peer M, Mamisashvili L, TomlimsonG, Vigod S, et al. Maternal anxiety during pregnancy andthe association with adverse perinatal outcomes. TheJournal of Clinical Pysichiatry. 2018; 79(5): e1-e22. doi:10.4088/JCP.17r12011.
Vega E, Guerrero A, Guzmán B, Huamaní E, Herrera G.Ansiedad y depresión en embarazadas adolescentes en unhospital de Lima, Perú. Rev Int Salud Materno Fetal. 2019;4(3): 03-07. file:///C:/Users/pc/Downloads/107-Texto_Trabajo_Manuscrito-227-1-10-20191010.pdf
De Jesús M, Alves D, Carvalho E. Ansiedad en el embarazo:prevalencia y factores asociados. Rev Esc Enferm. 2017;51: e03253. doi: 10.1590/S1980-220X2016048003253.
Osma S, Lozano M, Mojica M, Redondo S. Prevalencia dedepresión y ansiedad y variables asociadas en embarazadasde Bucaramanga y Floridablanca (Santander, Colombia).Revista de la Facultad de Ciencias de la Salud. 2019; 22(2):171-185. doi: 10.29375/0123-7047.3586.
Xiu D, Yi W, Shao X, Ruo Z, Xiao J, Shi Z, et al. Maternalanxiety during pregnancy and adverse birth outcomes: asystematic review and meta-analysis of prospective cohortstudies. J Affect Disord. 2014; 159: 103-110. doi: 10.1016/j.jad.2014.02.027.
Monterrosa A, Rodelo A, Monterrosa A, Morales I. Factorespsicosociales y obstétricos asociados con depresión,ansiedad o estrés psicológico en embarazadas residentesen el Caribe colombiano. Ginecol Obstet Mex. 2022; 90(2):134-147. doi: /10.24245/gom.v90i2.7248.
Mendoza J, Maldonado C, Salvatierra Y. Nivel de ansiedad ydepresión por el Coronavirus en embarazadas atendidas enestablecimientos de salud de Huancayo, 2020. Visionariosen Ciencia y Tecnología. 2021; 6: 15-22. doi: 10.47186/visct.v6i1.85.
Bayrampour H, Ali E, McNeil D, Benzies K, MacQueen G,Tough S. Pregnancy-related anxiety: A concept analysis.International Journal of Nursing Studies. 2016; 55: 115-130.doi: 10.1016/j.ijnurstu.2015.10.023.
Soto C, De la Fe M, Escudero A, Ferrer F, Nhu H. Incidence,prevalence and risk factors related to anxiety symptomsduring pregnancy. Psicothema. 2018; 30(3): 257-263. doi:10.7334/psicothema2017.379.
Zhang Y, Muyidili X, Wang S, Jiang W, Wu J, Li M, et al.Prevalence and relevant factors of anxiety and depressionamong pregnant women in a cohort study from south-eastChina. J Reprod Infant Psychol. 2018; 36(5): 519-529. doi:10.1080/02646838.2018.1492098.
Cheang G, Soldini A, Montenegro M, López R. Prevalenciade Trastorno de Ansiedad Generalizada según el Trimestrede Embarazo. Revista de la Facultad de Medicina. 2018;1(25): 42-47. doi: 10.37345/23045329.v1i25.25.
Kalayil G, D`Souza M, Subrahmanya K. Prevalence of pregnancyanxiety and associated factors. International Journalof Africa Nursing Sciences. 2015; 3: 01-07. doi: 10.1016/j.ijans.2015.06.002.
Ting Y, Yao Y, Dou J, Guo X, Yue L, Zhao C, et al. Prevalenceand Risk Factors of Maternal Anxiety in Late Pregnancy inChina. Int J Environ Res Public Health. 2016; 13(5): 468.doi: 10.3390/ijerph13050468.