scholarly journals The effect of nonpharmacological interventions on the mental health of high-risk pregnant women: A systematic review

2022 ◽  
pp. 102799
Author(s):  
Xiaoyan Yu ◽  
Yu Liu ◽  
Yi Huang ◽  
Tieying Zeng
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
High Risk ◽  
Pregnant Women

scholarly journals Rapid diagnostic test for antenatal syphilis screening in low-income and middle-income countries: a systematic review and meta-analysis

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018132 ◽  
Author(s):  
Carmen Phang Romero Casas ◽  
Marrissa Martyn-St James ◽  
Jean Hamilton ◽  
Daniel S Marinho ◽  
Rodolfo Castro ◽  
...  
Keyword(s):  
Systematic Review ◽  
High Risk ◽  
Diagnostic Accuracy ◽  
Pregnant Women ◽  
Sensitivity And Specificity ◽  
Methodological Quality ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Antenatal Clinics

ObjectivesTo undertake a systematic review and meta-analysis to evaluate the test performance including sensitivity and specificity of rapid immunochromatographic syphilis (ICS) point-of-care (POC) tests at antenatal clinics compared with reference standard tests (non-treponemal (TP) and TP tests) for active syphilis in pregnant women.MethodsFive electronic databases were searched (PubMed, EMBASE, CRD, Cochrane Library and LILACS) to March 2016 for diagnostic accuracy studies of ICS test and standard reference tests for syphilis in pregnant women. Methodological quality was assessed using QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies). A bivariate meta-analysis was undertaken to generate pooled estimates of diagnostic parameters. Results were presented using a coupled forest plot of sensitivity and specificity and a scatter plot.ResultsThe methodological quality of the five included studies with regards to risk of bias and applicability concern judgements was either low or unclear. One study was judged as high risk of bias for patient selection due to exclusion of pregnant women with a previous history of syphilis, and one study was judged at high risk of bias for study flow and timing as not all patients were included in the analysis. Five studies contributed to the meta-analysis, providing a pooled sensitivity and specificity for ICS of 0.85 (95% CrI: 0.73 to 0.92) and 0.98 (95% CrI: 0.95 to 0.99), respectively.ConclusionsThis review and meta-analysis observed that rapid ICS POC tests have a high sensitivity and specificity when performed in pregnant women at antenatal clinics. However, the methodological quality of the existing evidence base should be taken into consideration when interpreting these results.PROSPERO registration numberCRD42016036335.

scholarly journals Evaluation of the Biases in the Studies that Assess the Effects of the Great Recession on Health. A Systematic Review

2019 ◽  
Vol 16 (14) ◽  
pp. 2479 ◽  
Author(s):  
Marc Saez ◽  
Maria Antònia Barceló ◽  
Carme Saurina ◽  
Andrés Cabrera ◽  
Antonio Daponte
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
High Risk ◽  
Great Recession ◽  
Risk Of Bias ◽  
Review Of The Literature ◽  
The Great Recession ◽  
Self Rated Health ◽  
Evaluation Time ◽  
Lack Of Control

Background: Our main objective was to evaluate the fundamental biases detected in studies assessing the effects the Great Recession had on health for the case of Spain. As secondary objectives we presented methods to control these biases and to discuss the results of the studies in question if they had controlled for them. Methods: We carried out a systematic review of the literature published up to June 2018. We evaluated the biases that could have happened in all the eligible studies. Results: From the review, we finally selected 53 studies. Of the studies we reviewed, 60.38% or 32 out of 53, were evaluated as having a high risk of bias. The main biases our review revealed were problems with evaluation, time bias, lack of control of unobserved confounding, and non-exogeneity when defining the onset of the Great Recession. Conclusions: The results from the studies that controlled the biases were quite consistent. Summing up, the studies reviewed found that the Great Recession increased the risk of declaring poor self-rated health and the deterioration of mental health. Both the mortality rate and the suicide rate may well have increased after the Great Recession, probably after a three- to four-year delay.

Mental Health Issues Among Pregnant Women in Correctional Facilities: A Systematic Review

2014 ◽  
Vol 54 (8) ◽  
pp. 816-842 ◽  
Author(s):  
Soumyadeep Mukherjee ◽  
Dudith Pierre-Victor ◽  
Raed Bahelah ◽  
Purnima Madhivanan
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Pregnant Women ◽  
Correctional Facilities ◽  
Health Issues ◽  
Mental Health Issues

scholarly journals Special features of high-risk pregnancies as factors in development of mental distress: a review

2016 ◽  
Vol 38 (3) ◽  
pp. 136-140 ◽  
Author(s):  
Paula Borba Rodrigues ◽  
Carla Fonseca Zambaldi ◽  
Amaury Cantilino ◽  
Everton Botelho Sougey
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Pregnant Women ◽  
Mental Distress ◽  
Negative Impact ◽  
High Risk Pregnancy ◽  
Manual Search ◽  
Risk Pregnancy ◽  
Perceived Quality Of Life

Abstract Introduction: Approximately 22% of all pregnant women are classified as having high-risk pregnancies, which may involve feelings of vulnerability because of having a high-risk pregnancy, resulting in greater exposure to stressful feelings. Objective: To review aspects of high-risk pregnancy that can have a negative impact on the these women's mental health status. Method: Original articles were identified by conducting searches of the PubMed/MEDLINE, LILACS and SciELO databases, followed by a manual search of references to select articles and additional bibliographic material. Articles from the last 22 years were included in the review (1992-2014). Results: Fifteen articles were found that specifically studied high-risk pregnancies and mental health outcomes. Women with high-risk pregnancies exhibited a significantly higher level of stress and reported negative emotions as they dealt with stress and had worse emotional status than women with normal pregnancies. Researchers found that hospitalized pregnant women had higher levels of anxiety than non-hospitalized women. Studies of women going through normal and high-risk pregnancies show that women with normal pregnancies had good self-perceived quality of life. Conclusion: Special features of high-risk pregnancies could be factors in development of mental distress, in addition to psychological and social factors. Therefore, only a biopsychosocial research study would be able to identify the factors that can affect the quality of mental health during high-risk pregnancy.

scholarly journals Nurses’ burnout and associated risk factors during the COVID-19 pandemic: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Petros Galanis ◽  
Irene Vraka ◽  
Despoina Fragkou ◽  
Angeliki Bilali ◽  
Daphne Kaitelidou
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Social Support ◽  
Systematic Review ◽  
Health Care ◽  
High Risk ◽  
Meta Analysis ◽  
Maslach Burnout Inventory ◽  
Self Confidence ◽  
Associated Risk Factors

AbstractBackgroundDuring the COVID-19 pandemic, physical and mental health of the nurses is greatly challenged since they work under unprecedented pressure and they are more vulnerable to the harmful effects of the disease.AimTo examine the impact of the COVID-19 pandemic on nurses’ burnout and to identify associated risk factors.MethodsWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for this systematic review and meta-analysis. PubMed, Scopus, ProQuest and pre-print services (medRχiv and PsyArXiv) were searched from January 1, 2020 to November 15, 2020 and we removed duplicates. We applied a random effect model to estimate pooled effects since the heterogeneity between results was very high.FindingsFourteen studies, including 17,390 nurses met the inclusion criteria. Five standardized and valid questionnaires were used to measure burnout among nurses; Maslach Burnout Inventory, Copenhagen Burnout Inventory, Professional Quality of Life Scale version 5, Mini-Z, and Spanish Burnout Inventory. The overall prevalence of emotional exhaustion was 34.1% (95% confidence interval [CI]: 22.5-46.6%), of depersonalization was 12.6% (95% CI: 6.9-19.7%), and of lack of personal accomplishment was 15.2% (95% CI: 1.4-39.8%). The following factors were associated with increased nurses’ burnout: younger age, higher educational level, higher degree, decreased social support, having a relative/friend diagnosed with COVID-19, low family and colleagues readiness to cope with COVID-19 outbreak, increased perceived threat of Covid-19, longer working time in quarantine areas, working in a high-risk environment (a COVID-19 designated hospital, a COVID-19 unit, etc.), working in hospitals with inadequate and insufficient material and human resources, decreased working safety while caring for COVID-19 patients, increased workload, decreased self-confidence in self-protection, and lower levels of specialized training regarding COVID-19, job experience, and self-confidence in caring for COVID-19.ConclusionNurses experience high levels of burnout during the COVID-19 pandemic, while several sociodemographic, social and occupational factors affect this burnout. Several interventions need to be implemented to mitigate mental health impact of the COVID-19 pandemic on nurses, e.g. screening for mental health illness and early supportive interventions for high-risk nurses, immediate access to mental health care services, social support to reduce feelings of isolation, sufficient personal protective equipment for all nurses to provide security etc. Governments, health care organizations and policy makers should act in this direction to prepare health care systems, individuals and nurses for a better response against the COVID-19 pandemic.

scholarly journals Mental Health of Pregnant Women during Covid-19: A Systematic Review Study

2021 ◽  
pp. 156-174
Author(s):  
God’s Favour Adediran ◽  
Derma Dupuis ◽  
Kasinda Fritz ◽  
Olebogeng Leso ◽  
Emeka Ike ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Pregnant Women ◽  
North American ◽  
Geographical Location ◽  
Depression And Anxiety ◽  
Health Issues ◽  
The North ◽  
Prevalence Of Depression ◽  
Novel Coronavirus

Background: The novel coronavirus (COVID-19) pandemic has created avenues for physical and mental stress on individuals worldwide.  Pregnant women especially, with the onset of COVID-19 have been challenged greatly by an array of disorders, all with varying cognitive, emotional, and behavioral responses.  The aim of our research is to conduct a review of the different mental health issues experienced by pregnant women in various geographical locations and analyze the prevalence of specific mental issues. Materials and Methods: A mixed-methods systematic review was conducted.  Databases PubMed, Google Scholar, BioMed Central, CrossRef and British Medical Journal were thoroughly examined by the authors for the purpose of locating the relevant articles as per specific geographical location.  Results: From the applicable studies identified, twenty-eight (28) were selected for review.  As per the North American studies, levels of depression and anxiety in pregnant women at and around the time of the pandemic ranged from 33.2 to 70%.  This differs in European countries where there were levels of 14.0 to 60%. Prevalence of stress among pregnant women in Asia was 32.7% while 17% of North American women reported the same. In the studies of Australia and South America, the prevalence of anxiety ranged 6% to 13.9% while studies in Africa reported severe and extremely stress, 7.2% (n=33) and 64% (n=29) respectively. Conclusion: The prevalence of depression and anxiety among pregnant women was shown to be relatively high in all regions as per the COVID-19 pandemic, owing to many factors.  Based on the studies analyzed, adequate support, resources and better healthcare systems are imperative for ensuring that depression and anxiety levels be reduced among this demographic.  

scholarly journals Early detection of postpartum depression (PPD) for women suffering high-risk pregnancy: An explorative study on self-perceived burden and other prenatal risk factors of immediate PPD among women hospitalized with threatened preterm labour1

2020 ◽  
Author(s):  
Qianqian Ni ◽  
GuiZhi Cheng ◽  
An Chen ◽  
Seppo Heinonen
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Logistic Regression ◽  
High Risk ◽  
Postpartum Depression ◽  
Pregnant Women ◽  
Multiple Logistic Regression Analysis ◽  
Delivery Mode ◽  
Multiple Logistic Regression ◽  
Perceived Burden

Abstract Background: The mental health of pregnant women, particularly those with elevated risks, has been an issue of global concern. Thus far, few studies have addressed mental health of pregnant women with threatened preterm labour (TPL). In the present study, we investigated self-perceived burden (SPB) and postpartum depression (PPD) among hospitalized pregnant women with TPL, exploring the association of SPB with PPD, and identifying other potential risk factors of early PPD. Methods: A self- reported survey conducted in the Obstetrics Department of Anhui Provincial Hospital, People’s Republic of China. Women hospitalized with TPL were approached one week after delivery. One hundred fifty women were recruited from January 2017 to December 2017. Self-Perceived Burden Scale (SPBS), Edinburgh Postnatal Depression Scale (EPDS), and Multidimensional Scale of Perceived Social Support (MSPSS) were the main measures. Descriptive statistics, Spearman's correlation, and multiple logistic regression were employed for data analysis.Results: SPB and PPD were commonly experienced by women hospitalized with TPL, and SPB was positively and significantly correlated with PPD. A multiple logistic regression analysis revealed that, for the women hospitalized with TPL during pregnancy, the emotional aspect of SPB (OR = 1.473, 95% CI = 1.141–1.903, p = 0.003), age (OR = 1.178, 95%CI = 1.056–1.314, p = 0.003), occupation (OR = 0.282, 95%CI = 0.095–0.023, p = 0.023), history of scarred uterus (OR = 0.163, 95%CI = 0.034–0.769, p = 0.022), delivery mode (OR = 5.974, 95%CI = 1.750–20.396, p = 0.004), and family support to women hospitalized with TPL during pregnancy (OR = 0.665, 95% CI = 0.498–0.887, p = 0.006) were the significant factors predicting early signs of PPD. Conclusion: This study indicated that SPB and PPD were prevalent mental issues among hospitalized women with TPL, and SPB, especially perceived emotional burden, is a strong predictor of PPD. Our study suggests the necessity of paying attention to mental health issues—especially SPB and PPD—among hospitalized women with TPL, as well as providing appropriate interventions at the prenatal stage to prevent adverse consequences. Perceiving support from family during pregnancy with high risk can help women in reducing the risk of PPD.

scholarly journals Effectiveness of Insulin Analogs Compared with Human Insulins in Pregnant Women with Diabetes Mellitus: Systematic Review and Meta-analysis

2019 ◽  
Vol 41 (02) ◽  
pp. 104-115
Author(s):  
Leyna Santos ◽  
Jamilly Santos ◽  
Luciano Barbosa ◽  
Ivan Silva ◽  
Célio de Sousa-Rodrigues ◽  
...  
Keyword(s):  
Systematic Review ◽  
High Risk ◽  
Pregnant Women ◽  
Human Insulin ◽  
Gestational Age ◽  
Meta Analysis ◽  
Well Being ◽  
Risk Of Bias ◽  
Significant Heterogeneity ◽  
Insulin Analogs

AbstractDiabetes during pregnancy has been linked to unfavorable maternal-fetal outcomes. Human insulins are the first drug of choice because of the proven safety in their use. However, there are still questions about the use of insulin analogs during pregnancy. The objective of the present study was to determine the effectiveness of insulin analogs compared with human insulin in the treatment of pregnant women with diabetes through a systematic review with meta-analysis. The search comprised the period since the inception of each database until July 2017, and the following databases were used: MEDLINE, CINAHL, EMBASE, ISI Web of Science, LILACS, Scopus, SIGLE and Google Scholar. We have selected 29 original articles: 11 were randomized clinical trials and 18 were observational studies. We have explored data from 6,382 participants. All of the articles were classified as having an intermediate to high risk of bias. The variable that showed favorable results for the use of insulin analogs was gestational age, with a mean difference of - 0.26 (95 % confidence interval [CI]: 0.03–0.49; p = 0.02), but with significant heterogeneity (Higgins test [I2] = 38%; chi-squared test [χ2] = 16.24; degree of freedom [DF] = 10; p = 0.09). This result, in the clinical practice, does not compromise the fetal well-being, since all babies were born at term. There was publication bias in the gestational age and neonatal weight variables. To date, the evidence analyzed has a moderate-to-high risk of bias and does not allow the conclusion that insulin analogs are more effective when compared with human insulin to treat diabetic pregnant women.

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