A prospective study of antepartum anxiety screening in patients with and without a history of spontaneous preterm birthAJOG Global Reports at a Glance

Autor: Aldeboran Noel Rodriguez, MD, Anne M. Ambia, MD, Yevgenia Y. Fomina, MD, Denisse Holcomb, MD, Tina Wolfson, WHNP-BC, Meitra Doty, MD, Rebecca Corona, PhD, Jeanette Dominguez, LPC, Mark Peters, MD, Donald McIntire, PhD, David B. Nelson, MD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: AJOG Global Reports, Vol 3, Iss 4, Pp 100284- (2023)
Druh dokumentu: article
ISSN: 2666-5778
DOI: 10.1016/j.xagr.2023.100284
Popis: BACKGROUND: Maternal stress has been identified as one of the most common clinical phenotypes associated with preterm birth. The American College of Obstetricians and Gynecologists recommends anxiety screening at least once in the perinatal period. The prevalence of perinatal anxiety is challenged by the absence of formalized screening protocols and underreporting in high-risk populations, such as those with a history of adverse pregnancy outcomes. OBJECTIVE: This study administered a validated anxiety screening tool in a cohort of patients with and without a previous spontaneous preterm birth and compared differences in score and rate of a positive screen between groups. Moreover, this study evaluated perinatal outcomes associated with a positive screen and described a referral protocol involving evaluation by a perinatal mental health counselor and clinical diagnoses. A hypothesis was made that patients with a previous history of spontaneous preterm birth would have higher self-reported anxiety symptoms than controls and that those with recurrent preterm delivery at
Databáze: Directory of Open Access Journals