QUALITY OF LIFE AND ANXIETY IN PREGNANCIES AFTER LATE PREGNANCY LOSS: A CASE–CONTROL STUDY
- 1 September 1996
- journal article
- research article
- Published by Wiley in Prenatal Diagnosis
- Vol. 16 (9), 783-790
- https://doi.org/10.1002/(sici)1097-0223(199609)16:9<783::aid-pd943>3.0.co;2-7
Abstract
Pregnant women with (n = 24) and without (n = 26) a previous pregnancy loss (> 16 weeks) due to congenital anomalies were compared on quality of life and anxiety. Pregnant women with a previous loss were divided into those with and those without a normal livebirth since the loss [cases+ (n = 6) and cases- (n = 18), respectively]. Psychological measurements were carried out before and after an ultrasound scan in the second trimester of the pregnancy. Women with a previous loss who had not delivered a healthy infant between the loss and the present pregnancy showed a lower quality of life as revealed by feelings of social isolation, negative emotional reactions, and pain than the other groups. In addition, they showed more pregnancy-related anxiety. The negative emotions were particularly present just before the anomaly scan. Feelings of social isolation, negative emotional reactions, pain, and pregnancy-related anxiety were significantly positively related to trait anxiety, irrespective of having experienced late pregnancy loss. The implications of this study are that the referring gynaecologist, physician, or midwife should be aware of the strong emotions and major concerns of women in a pregnancy subsequent to a late pregnancy loss. In addition, they should offer these women the opportunity to express their emotional distress.Keywords
This publication has 11 references indexed in Scilit:
- Psychosocial factors and pregnancy outcome: A review with emphasis on methodological issuesJournal of Psychosomatic Research, 1995
- Previous stress and acute psychological defence as predictors of perinatal grief—An exploratory studySocial Science & Medicine, 1995
- The Spanish version of the Nottingham Health Profile: a review of adaptation and instrument characteristicsQuality of Life Research, 1994
- Maternal adjustment during pregnancy and the infant's first yearScandinavian Journal of Psychology, 1992
- The Long-Term Psychiatric Consequences of Accidental InjuryThe British Journal of Psychiatry, 1988
- Pregnancy Subsequent to Perinatal Loss: Parental Anxiety and DepressionJournal of the American Academy of Child & Adolescent Psychiatry, 1988
- The Perinatal Grief Scale: Development and initial validation.American Journal of Orthopsychiatry, 1988
- The Subsequent Pregnancy after Stillbirth: Anticipatory Parenthood in the Face of UncertaintyThe International Journal of Psychiatry in Medicine, 1986
- Transition to Parenthood ResearchJournal of Psychosomatic Obstetrics & Gynecology, 1984
- Initial Psychological Response to Parental DeathArchives of General Psychiatry, 1981