2013, Number 04
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Ginecol Obstet Mex 2013; 81 (04)
Results of the application of modified Hamilton scale in the diagnosis of maternal anxiety during immediate puerperium
Romero-Gutiérrez G, Rocha-Morales D, Ruiz-Treviño AS
Language: Spanish
References: 14
Page: 180-185
PDF size: 215.16 Kb.
ABSTRACT
Background: Anxiety during pregnancy is a risk factor of maternal
and fetal morbidity with adverse results in newborn at short and
long term.
Objective: To determine, with the modified Hamilton Anxiety Scale,
the level of anxiety at the immediate postpartum and its association
with maternal and fetal morbidity.
Material and method: A cross-sectional study including 384
patients at the immediate postpartum to whom modified Hamilton
Anxiety Scale was applied to determine the level of anxiety and its
association with maternal factors and fetal and neonatal morbidity.
Data were analyzed with statistical logistic regression analysis; an
alpha value was set at 0.05.
Results: One hundred thirty-five patients had anxiety associated
at immediate postpartum, the significant factors were
scholarship (
p = 0.0034), number of pregnancies (
p = 0.0001),
occupation (
p = 0.0001). Women with anxiety had more frequency
of threatened abortion (
p = 0.0061), preterm labor (p =
0.0001), neonatal sepsis (p = 0.0123) and transient tachypnea
of the newborn (p = 0.0016).
Conclusions: A significant percentage of pregnant women had
anxiety at immediate postpartum. Women with anxiety suffer more
frequently maternal and fetal morbidity. It is recommended the opportune
identification of this disorder in order to avoid the repercussion
in the neonatal care.
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