dc.contributor.author |
Dawes, Lisa |
|
dc.contributor.author |
Waugh, Jason JS |
|
dc.contributor.author |
Lee, Arier |
|
dc.contributor.author |
Groom, Katie M |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2023-06-16T04:19:39Z |
|
dc.date.available |
2023-06-16T04:19:39Z |
|
dc.date.issued |
2022-03 |
|
dc.identifier.citation |
(2022). BMJ Open, 12(3), e056999-. |
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dc.identifier.issn |
2044-6055 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/64286 |
|
dc.description.abstract |
<h4>Objectives</h4>To assess the psychological well-being of pregnant women at increased risk of spontaneous preterm birth, and the impact of care from a preterm birth clinic.<h4>Design</h4>Single-centre longitudinal cohort study over 1 year, 2018-2019.<h4>Setting</h4>Tertiary maternity hospital in Auckland, New Zealand.<h4>Participants</h4>Pregnant women at increased risk of spontaneous preterm birth receiving care in a preterm birth clinic.<h4>Intervention</h4>Participants completed three sets of questionnaires (State-Trait Anxiety Inventory, Edinburgh Postnatal Depression Scale, and 36-Item Short Form Survey)-prior to their first, after their second, and after their last clinic appointments. Study-specific questionnaires explored pregnancy-related anxiety and perceptions of care.<h4>Primary and secondary outcome measures</h4>The primary outcome was the mean State-Anxiety score. Secondary outcomes included depression and quality of life measures.<h4>Results</h4>73/97 (75.3%) eligible women participated; 41.1% had a previous preterm birth, 31.5% a second trimester loss and 28.8% cervical surgery; 20.6% had a prior mental health condition. 63/73 (86.3%) women completed all questionnaires. The adjusted mean state-anxiety score was 39.0 at baseline, which decreased to 36.5 after the second visit (difference -2.5, 95% CI -5.5 to 0.5, p=0.1) and to 32.6 after the last visit (difference -3.9 from second visit, 95% CI -6.4 to -1.5, p=0.002). Rates of anxiety (state-anxiety score >40) and depression (Edinburgh Postnatal Depression Scale score >12) were 38.4%, 34.8%, 19.0% and 13.7%, 8.7%, 9.5% respectively, at the same time periods. Perceptions of care were favourable; 88.9% stated the preterm birth clinic made them significantly or somewhat less anxious and 87.3% wanted to be seen again in a future pregnancy.<h4>Conclusions</h4>Women at increased risk of spontaneous preterm birth have high levels of anxiety. Psychological well-being improved during the second trimester; women perceived that preterm birth clinic care reduced pregnancy-related anxiety. These findings support the ongoing use and development of preterm birth clinics. |
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dc.format.medium |
Electronic |
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dc.language |
eng |
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dc.publisher |
BMJ |
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dc.relation.ispartofseries |
BMJ open |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc/4.0/ |
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dc.subject |
Humans |
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dc.subject |
Premature Birth |
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dc.subject |
Cohort Studies |
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dc.subject |
Longitudinal Studies |
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dc.subject |
Prospective Studies |
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dc.subject |
Pregnancy |
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dc.subject |
Quality of Life |
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dc.subject |
Infant, Newborn |
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dc.subject |
Female |
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dc.subject |
Male |
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dc.subject |
depression & mood disorders |
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dc.subject |
fetal medicine |
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dc.subject |
maternal medicine |
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dc.subject |
Preterm, Low Birth Weight and Health of the Newborn |
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dc.subject |
Contraception/Reproduction |
|
dc.subject |
Pediatric |
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dc.subject |
Mental Health |
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dc.subject |
Perinatal Period - Conditions Originating in Perinatal Period |
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dc.subject |
Infant Mortality |
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dc.subject |
Depression |
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dc.subject |
Clinical Research |
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dc.subject |
Behavioral and Social Science |
|
dc.subject |
Reproductive health and childbirth |
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dc.subject |
3 Good Health and Well Being |
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dc.subject |
Science & Technology |
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dc.subject |
Life Sciences & Biomedicine |
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dc.subject |
Medicine, General & Internal |
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dc.subject |
General & Internal Medicine |
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dc.subject |
POSTNATAL DEPRESSION SCALE |
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dc.subject |
ANTENATAL DEPRESSION |
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dc.subject |
MATERNAL ANXIETY |
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dc.subject |
PREVALENCE |
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dc.subject |
VALIDATION |
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dc.subject |
OUTCOMES |
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dc.subject |
1103 Clinical Sciences |
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dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
1199 Other Medical and Health Sciences |
|
dc.title |
Psychological well-being of women at high risk of spontaneous preterm birth cared for in a specialised preterm birth clinic: a prospective longitudinal cohort study. |
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dc.type |
Journal Article |
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dc.identifier.doi |
10.1136/bmjopen-2021-056999 |
|
pubs.issue |
3 |
|
pubs.begin-page |
e056999 |
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pubs.volume |
12 |
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dc.date.updated |
2023-05-25T00:27:33Z |
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dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
35232790 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/35232790 |
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pubs.publication-status |
Published |
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dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
884930 |
|
pubs.org-id |
Liggins Institute |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Population Health |
|
pubs.org-id |
Epidemiology & Biostatistics |
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dc.identifier.eissn |
2044-6055 |
|
dc.identifier.pii |
bmjopen-2021-056999 |
|
pubs.number |
ARTN e056999 |
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pubs.record-created-at-source-date |
2023-05-25 |
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pubs.online-publication-date |
2022-03 |
|