scholarly journals Ansiedade traço-estado, risco de depressão e ideação suicida em gestantes de alto risco

2021 ◽  
Vol 1 (54) ◽  
pp. 206
Author(s):  
Alice Correia Barros ◽  
Verônica De Medeiros Alves ◽  
Mara Cristina Ribeiro ◽  
Amuzza Aylla Pereira Dos Santos ◽  
Leilane Camila Ferreira de Lima Francisco ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
High Risk ◽  
Pregnant Women ◽  
State Anxiety ◽  
Family Income ◽  
Depression Scale ◽  
Anxiety State ◽  
Risk Pregnancy ◽  
Anxiety Trait ◽  
Risk For Depression

<p><span class="fontstyle0">Pregnancy is a period in the life of a woman that requires special attention due to the various physical, hormonal, psychological and social insertion changes. In this context, we thought about the following guiding question: Do high-risk pregnant women in Alagoas have high levels of anxiety trait and/or state, risk of depression and suicidal ideation? This study aims to evaluate the levels of anxiety trait and state, risk of depression and suicidal ideation in high-risk pregnant women, assisted by the health service of Alagoas, Brazil. It is a cross-sectional, descriptive study with quantitative approach. The research was conducted with a sample of 247 high-risk pregnant women in the four and only reference ambulatory clinics for high-risk pregnancy in the State of Alagoas. Four data collection instruments were used: Identification form, Anxiety Inventory, Depression Scale and Suicidal Ideation Scale. Descriptive Analysis through relative frequency, bivariate analysis through chi-square, Kolmogorov-Smirnov, Mann-Whitney and Pearson’s correlation. Regarding the level of anxiety, state anxiety was classified as high (9.7%), moderate (53.4%) and low (36.8%) and trait anxiety was classified as high 7.7%, moderate 59.5% and low 32.8%. A total of 62.8% pregnant women at risk for depression and 2.4% with suicidal ideation were identified. The higher the risk for depression, the greater the risk of having anxiety trait/state moderate and high (p &lt; 0.00). The main risk factors found in this study are low schooling, low family income and non-pregnancy planning.<br />There was no relationship between depression and suicide attempt in high-risk pregnant women. The study shows that<br />high-risk pregnant women have moderate/high trait/state anxiety and risk for depression</span> <br /><br /></p>

scholarly journals Risk for Depressive Symptoms among Hospitalized Women in High-Risk Pregnancy Units during the COVID-19 Pandemic

2020 ◽  
Vol 9 (8) ◽  
pp. 2449 ◽  
Author(s):  
Shanny Sade ◽  
Eyal Sheiner ◽  
Tamar Wainstock ◽  
Narkis Hermon ◽  
Shimrit Yaniv Salem ◽  
...  
Keyword(s):  
Logistic Regression ◽  
High Risk ◽  
Medical Center ◽  
Depression Scale ◽  
High Risk Pregnancy ◽  
Multivariable Logistic Regression ◽  
Risk Pregnancy ◽  
Increased Risk ◽  
Isolation Period ◽  
Risk For Depression

Objective: Higher rates of mental disorders, specifically depression, were found among affected people in previous epidemiological studies taken after disasters. The aim of the current study was to assess risk for depression among pregnant women hospitalized during the “coronavirus disease 2019” (COVID-19) pandemic, as compared to women hospitalized before the COVID-19 pandemic. Study design: A cross-sectional study was performed among women hospitalized in the high-risk pregnancy units of the Soroka University Medical Center (SUMC). All participating women completed the Edinburgh Postnatal Depression Scale (EPDS), and the results were compared between women hospitalized during the COVID-19 strict isolation period (19 March 2020 and 26 May 2020) and women hospitalized before the COVID-19 pandemic. Multivariable logistic regression models were constructed to control for potential confounders. Results: Women hospitalized during the COVID-19 strict isolation period (n = 84) had a comparable risk of having a high (>10) EPDS score as compared to women hospitalized before the COVID-19 pandemic (n = 279; 25.0% vs. 29.0%, p = 0.498). These results remained similar in the multivariable logistic regression model, while controlling for maternal age, ethnicity and known mood disorder (adjusted odds ratio (OR) 1.0, 95% CI 0.52–1.93, p = 0.985). Conclusion: Women hospitalized at the high-risk pregnancy unit during the COVID-19 strict isolation period were not at increased risk for depression, as compared to women hospitalized before the COVID-19 pandemic.

scholarly journals Mental disorders and obstetric diseases in high risk gestations

2019 ◽  
Vol 59 (3) ◽  
pp. 11-19
Author(s):  
Denyse Sales Veloso Albuquerque ◽  
Eugenio de Moura Campos ◽  
Joao Paulo Lima Santos ◽  
Joao Paulo de Oliveira Rodrigues ◽  
Isadora Wanderley Araujo ◽  
...  
Keyword(s):  
High Risk ◽  
Mental Disorders ◽  
Pregnant Women ◽  
Unwanted Pregnancy ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Screening Tools ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Risk Pregnancy

Objectives: To analyze the prevalence of major depression disorder, anxiety disorders and substance abuse in women with high-risk pregnancy and identify maternal-fetal pathologies and other variables associated with higher prevalence of mental disorders. Methodology: This cross-sectional study included 46 women in the high-risk gestation outpatient clinic of the Maternidade Escola Assis Chateaubriand in Fortaleza - Ceará. A sociodemographic and a clinical data questionnaire were applied, as well as Abuse Assesment Screen, Edinburgh Postpartum Depression Scale, State-Trait Anxiety Inventory and Alcohol Smoking and Substance Screening Test. Mini International Neuropsychiatry Interview (MINI) was applied to women with positive screening in the mentioned scales. Results: Using the screening tools, the prevalence was 30.4% for depression and 52.2% for anxiety; with the MINI the prevalence was 30,4% and 34,8%, respectively. Pregnant women with cardiac diseases had a 66,7% depression prevalence and a 77.8% anxiety prevalence, both higher than those with other pathologies. Depression and anxiety were also associated with unwanted pregnancy and domestic violence during life. Conclusion: The prevalence of depression and anxiety was high in this sample of pregnant women and the associated risk factors need to be understood, so that better interventions in the treatment of pregnant women can be implemented.

scholarly journals ANALYSIS OF DETERMINANT FACTORS OF AFFECTING FAMILY ABILITY IN HIGH-RISK PREGNANCY

2021 ◽  
Vol 10 (1) ◽  
pp. 141-148
Author(s):  
Ika Mardiyanti ◽  
Yasi Anggasari
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Simple Random Sampling ◽  
Early Response ◽  
Significance Test ◽  
Questionnaire Data ◽  
Personal Factors ◽  
Cross Sectional ◽  
Determinant Factors ◽  
Risk Pregnancy

Background: The ability of pregnant women to deal with early response to high risks is still below the average, which is one of the causes of complications that can indicate the welfare of the mother and her fetus. Objectives: The aim of this study was to look at the determinants that influence early detection of high-risk pregnancies. Methods: This study used an analytic design with a cross sectional design. The sample size of 112 from a population of 155 was obtained by simple random sampling. The independent variables are individual factors, interpersonal influence, filial value and commitment, while the dependent variable is the family's ability to detect high risk of pregnancy for 3 months, namely August-October 2020 at PMB Ika Mardiyanti. This study uses a questionnaire. Data collection in the form of a questionnaire. Data analysis using SEM-PLS. Results: The results of the significance test concluded that all the path coefficients and the T statistical value of personal factors on interpersonal (0.453; 6.612), interpersonal on filial values ​​(0.753; 7.267), filial value for commitment (0.851; 17.048), filial value for ability (0.667 ; 4,679), commitment to ability (0.358; 2.356) is significant. Because all have a T-statistic value that is more than the T-table 1.96. Conclusion: The determinant factors that contribute to the ability of families to detect high risk of pregnancy need to be considered so that families are independent and have efforts to maintain the health of pregnant women in their families. In further research, it is necessary to involve other factors to improve family capacity, especially in the ability of families to detect high-risk pregnancies early.   Keywords: Ability, family, high-risk.

scholarly journals Vulnerability of high-risk pregnancy in the perception of pregnant women and their families

Rev Rene ◽  
2019 ◽  
Vol 20 ◽  
pp. e40207
Author(s):  
Viviane Cazetta de Lima Vieira ◽  
Mayckel da Silva Barreto ◽  
Verônica Francisqueti Marquete ◽  
Rebeca Rosa de Souza ◽  
Mayara Maria Johann Batista Fischer ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
High Risk Pregnancy ◽  
Risk Pregnancy

Gravidanza e diabete: una rassegna della letteratura

2009 ◽  
pp. 73-86
Author(s):  
Renata Tambelli ◽  
Manuela Errante
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Clinical Studies ◽  
Child Relationship ◽  
Risk Pregnancy ◽  
Mother Child Relationship

- In this review are discussed the main researches about high-risk pregnancy and, particularly, gestational diabetes mellitus (GDM). The results of these researches highlight that pregnant women with GDM are extremely vulnerable, anxious and worried. However there are not many clinical studies about the effect of GDM on the quality of mother-child relationship.

The experiences of maternity in front of hospitalization in high risk pregnances

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Ciciliotti da Silva ◽  
B Heintze Ferreira ◽  
D Fraga Santos ◽  
F Fernandes ◽  
Bersot Magalhães ◽  
...  
Keyword(s):  
Public Health ◽  
High Risk ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
High Risk Pregnancy ◽  
Structured Interviews ◽  
The Public ◽  
Prenatal Consultation ◽  
Risk Pregnancy ◽  
Specialized Care

Abstract Introduction The pregnancy-puerperal cycle is defined as a moment that involves physical, psychological and social changes. There are pregnancies that require specialized care and attention due to the presence of risk factors that may be prior to pregnancy and / or that may be associated with the pregnancy condition itself, which characterize them as high-risk pregnancies. Currently, prenatal care with risk stratification is the main care strategy for pregnant women, once the risk classification is identified, it is possible to promote interventions according to the health needs of each pregnant woman. For this, the risk assessment is carried out at each prenatal consultation, so that, depending on the course of pregnancy, hospitalization becomes necessary. The diagnosis of high-risk pregnancies accompanied by hospitalization has impacts on the woman's life, such as loss of autonomy, a sense of failure and the incidence of greater care and interventions by the health team and the family that can configure practices to control their bodies. Objective This work aims to identify the hospitalization process during high-risk pregnancy as a space for the production of projects, resistance and protagonism through the protocols and regulations that configure the hospital context. Methodology This is an exploratory analysis of a qualitative approach in public health. A reference maternity hospital in high-risk pregnancy located in a teaching hospital in Greater Vitória was chosen. It will be used to define sampling for convenience. The data will be collected through semi-structured interviews and on-site observations by the researcher. The data analysis methodology used will be content analysis. Expected Results It is expected to understand the various practices of protagonism and resistance that permeate the care of hospitalized pregnant women. Key messages This work has an impact on the improvement of the maternal and child care network of the public health system in Brazil. This work allows to evaluate the quality of the assistance provided in the public maternity.

scholarly journals Anxiety and depression in women hospitalized due to high-risk pregnancy: An integrative quantitative and qualitative study

2021 ◽  
Author(s):  
Martina Smorti ◽  
Francesca Ginobbi ◽  
Tommaso Simoncini ◽  
Federica Pancetti ◽  
Alessia Carducci ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
High Risk ◽  
Risk Group ◽  
Depression Scale ◽  
High Risk Group ◽  
Low Risk ◽  
High Risk Pregnancy ◽  
Anxiety And Depression ◽  
Risk Pregnancy ◽  
Low Risk Pregnancy

AbstractLiterature has shown that hospitalized women with high-risk pregnancy tend to develop anxious and depressive symptoms. Research has used quantitative or qualitative methods. By integrating both quantitative and qualitative methods, this study aims to analyze: a) the level of depression, anxiety, and pregnancy-related anxiety in a group of women hospitalized with high-risk pregnancy (hospitalized high-risk) compared with a group of non-hospitalized women with low-risk pregnancy; b) the content of hospitalization-related emotions in a high-risk group. A cross-sectional study was conducted on 30 hospitalized high-risk pregnant women and 32 women with low-risk pregnancy. Participants completed the Edinburgh Postnatal Depression Scale, Hospital Anxiety and Depression Scale (Anxiety), and Pregnancy Related Anxiety Questionnaire. The hospitalized high-risk group also completed open-ended questions about emotions experienced during hospitalization. Univariate Analysis of Covariance showed that the hospitalized high-risk group reported higher general anxiety and depression than the low-risk pregnancy group. Low-risk group reported higher level of concerns about own appearance than high-risk group. Narratives showed that the anxious and depressive symptoms of hospitalized women are related to the loneliness of being away from family. Despite attempts to understand hospitalization, they express concerns about pregnancy. Psychological support for hospitalized pregnant women should be provided to facilitate the communication of emotions that leads women to elaborate the experience of hospitalization to better adapt and cope with the critical condition.

scholarly journals Perfil sociodemográfico das gestantes no município de Dourados - Mato Grosso do Sul / Sociodemographic profile of pregnants in Dourados – Mato Grosso do Sul

2020 ◽  
Vol 65 (1) ◽  
pp. 1
Author(s):  
Ceny Longhi Rezende ◽  
Ceny Longhi Rezende ◽  
Heloísa Bruna Grubits ◽  
Ceny Longhi Rezende ◽  
Mateus Da Silveira Cespedes ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Social Risk ◽  
Microsoft Excel ◽  
Mato Grosso ◽  
Risk Pregnancy ◽  
Informed Consent Form ◽  
Increased Risk ◽  
Sociodemographic Profile ◽  
Mato Grosso Do Sul

Introdução: A gestação representa um processo fisiológico, no qual pode haver alto risco de complicações materno- -fetais em aproximadamente 15% das gestantes. Objetivo: determinar o perfil sociodemográfico das gestantes de risco habitual e de alto risco no município de Dourados - Mato Grosso do Sul (Brasil), a fim de correlacionar estatisticamente a relevância dos fatores sociais na determinação do risco da gestação. Método: Trata-se de um estudo epidemiológico de coorte, com 79 gestantes, sendo 32 gestantes de alto risco e 47 gestantes de risco habitual, as quais foram submetidas a duas avaliações durante a assistência pré-natal (segundo e terceiro trimestres) com aplicação de Termo de Consentimento Livre e Esclarecido e questionário sociodemográfico. Os dados foram compilados em planilhas via Microsoft-Excel e analisados pelos métodos T-Student e de Correlação Linear de Pearson. Resultados: A maioria das gestantes referiu ser branca, casada, de baixa escolaridade, morar com familiares em habitação não própria, ter idade média de 25,7 anos, religiosa e não praticar atividade física. Nenhuma variável sociodemográfica isolada correlacionou- -se significativamente com aumento de risco na gestação. Conclusão: A população de gestantes estudadas possui uma condição social de risco e não há diferença estatística entre variáveis sociodemográficas isoladas. Palavras chave: Gravidez, Gestação, Gravidez de alto risco, Fatores de risco, Perfil epidemiológicoABSTRACTIntroduction: Pregnancy represents a physiological process, there can be no high risk of maternal-fetal complications in approximately 15% of pregnant women. Objective: to determine the sociodemographic profile of pregnant women at habitual and high risk in the municipality of Dourados - Mato Grosso do Sul (Brazil), in order to statistically correlate a factor of social factors in determining the risk of pregnancy. Method: This is an epidemiological cohort study with 79 pregnant women, 32 of whom are at high risk and 47 of whom are at normal risk, such as which were subjected to two evaluations during prenatal care (second and third trimesters) with application Informed Consent Form and sociodemographic questionnaire. The data were compiled in spreadsheets via Microsoft-Excel and course by T-Student and Pearson’s Linear Correlation methods. Results: Most pregnant women reported being white, married, with low education, living with family members in non-own housing, having an average age of 25.7 years, religious and not practicing physical activity. No isolated sociodemographic variable was also correlated with increased risk during pregnancy. Conclusion: The population of pregnant women studied has a social risk condition and there is no statistical difference between sociodemographic variables. Keywords: Pregnancy, Gestation, High risk pregnancy, Risk factors, Health profile

scholarly journals Risk status of pregnant women in rural areas of Belagavi: a cross sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2350
Author(s):  
Katherine J. Bernard ◽  
Sulakshana Baliga
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Risk Status ◽  
Factors Associated ◽  
Risk Pregnancy ◽  
Status Assessment

Background: ‘High-risk’ pregnancies account for a significant proportion of perinatal morbidity and mortality worldwide. Simple prenatal scoring systems can be used to assess risk status of pregnancy and inform subsequent management. Their use in rural areas and low-resource settings could be of particular benefit. This study employed pregnancy risk status assessment in one such area of rural India. The objectives of the study were to estimate the prevalence of low, moderate and high-risk pregnancy among women in a rural area of Belagavi and to identify factors associated with high-risk pregnancy status.Methods: This community-based cross-sectional study was undertaken among 105 pregnant women of all trimesters presenting to antenatal clinics in the Kinaye area of Belagavi, Karnataka, during July 2018. Information on risk factors and socio-demographic details were collected using a questionnaire, and individual risk scores calculated through a scoring system. This was used to estimate prevalence of low, moderate and high-risk status among participants, and subsequently compared against selected variables to identify factors associated with high risk pregnancy status.Results: Prevalence of high-risk pregnancy among participants was 31.4%, moderate-risk 30.5%, low-risk 29.5% and ‘no risk’ 8.6%. Maternal undernutrition was an important factor associated with high-risk pregnancy.Conclusions: This study highlights the need for early identification and appropriate management of such cases, in order to prevent adverse perinatal outcomes. The prenatal scoring system used in this study offers a simple method for risk status assessment in pregnant women of all trimesters, suited for use in antenatal clinics in rural areas of India.

scholarly journals IBM PENDAMPINGAN IBU HAMIL RESIKO TINGGI OLEH KADER POSYANDU DI WILAYAH PUSKESMAS PURWOYOSO

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Chusnul Zulaika ◽  
Dewi Sari R ◽  
Mirtaria K
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Good Health ◽  
High Risk Pregnancy ◽  
Maternal Deaths ◽  
Central Java ◽  
Risk Pregnancy ◽  
Husband Support ◽  
Alternative Solutions ◽  
Central Java Province

Kehamilan normal bisa memiliki risiko, semua ibu hamil  perlu perawatan agar ibu dan janin tetap dalam keadaan sehat. Sedangkan kehamilan yang resiko tinggi akan menghadapi berbagai permasalahan yang dapat mengganggu proses persalinan. Kehamilan dengan masalah dikelompokkan kehamilan risiko tinggi yaitu keadaan yang dapat mempengaruhi optimalisasi ibu maupun janin (Manuaba,2003). Kehamilan risiko tinggi adalah kehamilan dengan satu lebih  faktor risiko baik ibu maupun janinnya yang memberi dampak kurang menguntungkan baik ibu maupun janinnya (Rochjati, 2003). Apabila setiap abnormalitas dicurigai berdasarkan atas riwayat atau pemeriksaan fisik, maka pasien dirujuk ke pemeriksa dengan keahlian dalam ultrasonografi (Tucker, 2004).Di Provinsi Jawa Tengah pada tahun 2015 terdapat 619 kasus kematian ibu. Kota Semarang menduduki peringkat ke 2 setelah kabupaten Brebes dengan jumlah kematian ibu di Kota Semarang  terdapat 35 kasus. Di Puskesmas Purwoyoso pada tahun 2015 terdapat 1 kasus kematian ibu. Sedangkan jumlah ibu hamil resiko tinggi di Puskesmas Purwoyoso pada tahun 2015 terdapat 595 ibu hamil.Untuk mencari alternatif solusi pemecahan masalah di atas, maka diadakan peningkatan pengetahuan tentang pendampingan ibu hamil resiko tinggi di Puskesmas Purwoyoso dengan tujuan untuk meningkatkan pengetahuan para kader tentang kehamilan resiko tinggi. Setelah dilakukan penyuluhan didapatkan hasil pengetahuan dan kesadaran para kader untuk melaksanakan pendampingan meningkat.Diharapkan setelah dilakukan pengabdian penulis menyarankan para kader, keluarga dan suami mendukung ibu hamil untuk melakukan pemeriksaan kehamilan di bidan ataupun di puskesmas.Kata kunci        : IBM ; Kader ; Pendampingan ibu hamil resiko tinggi IBM HIGH RISK PREGNANCY ASSISTANCE BY POSYANDU CARDER IN PURWOYOSO PUSKESMAS REGIONNormal pregnancy can have a risk, all pregnant women need care so that mother and fetus remain in good health. While high-risk pregnancies will face a variety of problems that can interfere with labor. Pregnancy with the problem grouped high-risk pregnancies is a condition that can affect the optimization of mother and fetus (Manuaba, 2003). A high-risk pregnancy is a pregnancy with one more risk factor for both mother and fetus that has an adverse impact on both the mother and the fetus (Rochjati, 2003). If any abnormality is suspected based on a history or physical examination, the patient is referred to an examiner with expertise in ultrasonography (Tucker, 2004).In Central Java Province in 2015 there were 619 cases of maternal deaths. Semarang City is ranked second after Brebes district with the number of maternal deaths in Semarang city there are 35 cases. At Puskesmas Purwoyoso in 2015 there is 1 case of maternal mortality. While the number of high risk pregnant women at Purwoyoso Puskesmas in 2015 there are 595 pregnant women.To find alternative solutions to the above solutions, there is an increased knowledge about high risk pregnant women in Purwoyoso Puskesmas in order to increase the knowledge of cadres about high risk pregnancy. After the counseling obtained the knowledge and awareness of the cadres to carry out mentoring increased.It is hoped that after the dedication of the writer suggest that cadres, family and husband support pregnant mother to conduct pregnancy examination in midwife or at puskesmasKey words             : IBM; Cadres; High risk pregnancy assistance

Sign in / Sign up

Export Citation Format

Share Document