Does relaxation education in anxious primigravid Iranian women influence adverse pregnancy outcomes? A randomized controlled trial

Journal of Perinatal and Neonatal Nursing

Volumn 20, Issue 2, 2006, Pages 138-146

  Bastani, Farideh ^a,b   Hidarnia, Alireza ^a   Montgomery, Kristen S ^c   Aguilar Vafaei, Maria E ^a   Kazemnejad, Anoshirvan ^a  

^a TARBIAT MODARES UNIVERSITY   (Iran)

^b IRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^c UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

Anxiety; Pregnancy outcomes; Relaxation

Indexed keywords

EID: 33744825996     PISSN: 08932190     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005237-200604000-00007     Document Type: Article

References (60)

1. Kaplan HI, Sadock BJ. Synopsis Psychiatry: Behavioral Sciences, Clinical Psychiatry. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 1998.
2. Rando PH, Ferreira RF, Nogueira F, Ribeiro MC, Lobar H, Artes R. Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr. 2003;57(2):266-272.
3. Matteson PS. Women's Health During the Childbearing Years: A Community-based Approach. St Louis: Mosby; 2001.
4. Greenberg PE, Sisitsky T, Kessler RC, et al. The economic burden of anxiety disorders in the 1990s. J Clin Psychiatry. 1999;60:427-435.
5. Brown CS. Depression and anxiety disorders. Obstet Gynecol Clin N Am. 2001;28:41-68.
6. Cited by: Stevens JC, Diehl SJ. Ob/Gyn residents as primary care providers: implementing a new curriculum for diagnosing and treating depression and anxiety. Primary Care Update OB/GYNS. 2003;10(6):297-299.
7. Relier IP. Influence of maternal stress on fetal behavior and brain development. Biol Neonate. 2001;79(3/4): 168-171.
8. Fortinash KM, Holoday-Worret PA. Psychiatric Mental Health Nursing. 2nd ed. St Louis: Mosby; 2001.
9. Chung TK, Lau TK, Yip AS, Chiu HF, Lee DT. Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med. 2001;63(5):830-834.
10. Sjostrom K, Valentin L, Thelin T, Marsal K. Maternal anxiety in late pregnancy: effect on fetal movements and fetal heart rate. Early Hum Dev. 2002;67(1/2):87-100.
11. Mulder EJH, Medina R, Huizink AC, Van den Berg BRH, Buitelaar K, Visser GHA. Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Hum Dev. 2002;70(1/2):3-14.
12. Sandman CA, Wadhawa PD, Dunkel-Schetter C, et al. Psychobiological influences of stress and HPA regulations on the human fetus and infant birth outcomes. Ann N Y Acad Sci. 1994;739:198-210.
13. Cited by: Hamilton Boyles S, Ness RB, Grisso JA, Markovuc N, Bromberger J, Cefelli D. Life event stress and the association with spontaneous abortion in gravid women at an urban emergency department. J Health Psychol. 2000;19(6):510-514.
14. Sutter-Dallay AL, Giaconne-Marcesche V, Glatigny-Dallay E, Verdoux H. Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey. Eur Psychiatry. 2004;19(8):459-463.
15. Anderson L, Sundström-Poromaa I, Bixo M, Wulff M, Bondestam K, Åström M. Point prevalence of psychiatric disorders during the second trimester of pregnancy: a population-based study. Am J Obstet Gynecol. 2003;189(1):148-154.
16. Bastani F, Hidarnia A, Kazemnejad A, Vafaei M, Kashanian M. A randomized controlled trial of the effects of applied relaxation training on reducing anxiety and perceived stress in pregnant women. J Midwifery Womens Health. 2005;50(4):e36-e40.
17. Uno H, Eisele S, Sakai A, et al. Neurotoxicity of glucocorticoids in the primate brain. Horm Behav. 1994;28:335.
18. Cited by: Kinney DK. Prenatal stress and risk for schizophrenia. Int J Mental Health. 2000-2001;29(4):62-72.
19. Jesse DE, Seaver W, Wallace DC. Maternal psychosocial risks predict preterm birth in a group of women from Appalachia. Midwifery. 2003;19:191-202.
20. James TD. The Effect of Chronic Stress on the Duration of Pregnancy [PhD dissertation in Health Science]. The University of Texas; 2000.
21. Maccari S, Piazza PV, Kabbaj M, Barbazanges A, Simon H, Le Moal M. Adoption reverses the long-term impairment in glucocorticoid feedback induced by prenatal stress. J Neurosci. 1995;15:110-116.
22. Weinstock M. Alterations induced by gestational stress in brain orphology and behavior of the offspring. Prog Neurobiol. 2001;65:427-451.
23. Lou HC, Hansen D, Nordentoft M, et al. Prenatal stressors of human life affect fetal brain development. Dev Med Child Neurol. 1994;36:826-832.
24. Sadeghi Aval Shahr H. Assessment of the Relationships Between Psychosocial Status and Pregnancy Outcomes in Iranian Pregnant Women [master's thesis in midwifery]. Iran University of Medical Sciences; 2000.
25. Donma MM, Donma O. Low birth weight: a possible risk factor also for liver diseases in adult life? Med Hypotheses. 2003;61(4):435-438.
26. Thompson RJ Jr, Gustafson KE, Oehler JM, Catlett AT, Brazy JE, Goldstein RF. Developmental outcome of very low birth weight infants at four years of age as a function of biological risk and psychological risk. J Dev Behav Pediatr. 1997;18:91-96.
27. National Center for Health Statistics. Report of final natality statistics, 1995. Monthly Vital Stat Rep. 1997;45(suppl 1):1-84.
28. Murray SS, McKinney ES, Gorrie TM. Foundations of Maternal-Newborn Nursing. 3rd ed. Philadelphia: WB Saunders Co; 2002.
29. Moore MI, Freda MC. Reducing preterm and low birth weight: still a nursing challenge. MCN: Am J Matern Child Nurs. 1998;23(4):200-208.
30. Vintzileos AM, Ananth CV, Smulian JC, Scorza WE, Knuppel RA. The impact of prenatal care in the United States on preterm births in the presence and absence of antenatal high-risk conditions. Am J Obstet Gynecol. 2002;187(5):1254-1257.
31. Goulet C, Gévry H, Lemay M, et al. A randomized clinical trial of care for women with preterm labour: home management versus hospital management. J Can Med Assoc. 2001;164(7):985-991.
32. Tiran D, Chummun H. Complementary therapies to reduce physiological stress in pregnancy. Complement Ther Nurs Midwifery. 2004;10(3):162-167.
33. Johnson RC, Slade P. Obstetric complications and anxiety during pregnancy: is there a relationship? J Psychosom Obstet Gynaecol. 2003;24(1):1-14.
34. Saisto T, Halmesmäki E. Fear of childbirth: a neglected dilemma. Acta Obstet Gynecol Scand. 2003;82(3):201-202.
35. Whyte H, Hannah ME, Saigal S, et al, and the Term Breech Trial Collaborative Group. Outcomes of children at 2 years after planned cesarean birth versus planned vaginal birth for breech presentation at term: the International Randomized Term Breech Trial. Am J Obstet Gynecol. 2004;191(3):864-871.
36. Damron DP, Capeless EL. Operative vaginal delivery: a comparison of forceps and vacuum for success rate and risk of rectal sphincter injury. Am J Obstet Gynecol. 2004;191(3):907-910.
37. Burkus MD, Ramamurthy RS, O'Connor PS, Brown K, Haysahi RH. A cohort study of silastic obstetric vacuum cup deliveries: 1. Safety of the instrument. Obstet Gynecol. 1985;(66):503-505.
38. Paluska S. Vacuum-assisted vaginal delivery. Am Fam Physician. 1997;(55):2197-2199.
39. Hager RM, Daltveit AK, Hofoss D, et al. Complications of cesarean deliveries: rates and risk factors. Am J Obstet Gynecol. 2004;190(2):428-434.
40. Shin KS, Brubaker KL, Ackerson LM. Risk of cesarean delivery in nulliparous women at greater than 41 weeks' gestational age with an unengaged vertex. Am J Obstet Gynecol. 2004;190(1):129-134.
41. Johnson R, Slade P. Does fear of childbirth during pregnancy predict emergency caesarean section? BJOG. 2002;109(11):1213-1221.
42. Ost LG. Applied relaxation: description of a coping technique and review of controlled studies. Behav Res Ther. 1987;25(5):397-409.
43. Ost LG, Breitholtz E. Applied relaxation vs. cognitive therapy in the treatment of generalized anxiety disorders. Behav Res Ther. 2000;38:777-790.
44. Lesan S. The effect of health education on the firemen's anxiety control [doctoral dissertation, in Persian]. Tehran, Iran: Tarbiat Modares University; 2003.
45. Fliess JL. The Design and Analysis of Clinical Experiment. New York: John Wiley & Sons; 1999.
46. Comerford Freda M. Perinatal Patient Education: A Practical Guide with Educating Handout for Patients. Philadelphia: Lippincott Williams & Wilkins; 2002.
47. Dadsetan P, Mansour M. Mental Illness [in Persian]. Tehran, Iran: Roshd Press; 1998.
48. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385-396.
49. Bastard F, Hidarnia A, Vafaei M, Kazemnejad A. Theory-based health education in prenatal care [in Persian]. Presented at: The First Iranian National Congress on Health Education; 2003; Yazd, Iran.
50. Ahmadzadeh M. Effect of Health Education on the Level of Anxiety of Patients, Before Coronary Heart Surgery [master's thesis, in Persian]. Tehran, Iran: Tarbiat Modares University; 2000.
51. Ghiasi P, Janfar S, Shahi M, Haghany H. Maternal risk factors for low birth weight. Iranian J Nurs Midwifery. 2001;3(12):57-63.
52. Valero De Bernabe J, Soriano T, Albaladejo R, et al. Risk factors for low birth weight: a review. Eur J Obstet Gynecol Reprod Biol. 2004;116(1):3-15.
53. Bakhtiary G, Ghasemi W. Analysis of pregnancy outcomes in maternity hospitals during 1997-1999. Iranian J Public Health. 2000;3(1):36-41.
54. Ancel PY. Perspectives in the prevention of premature birth. Eur J Obstet Gynecol Reprod Biol. 2004;117(1001):S2-S5.
55. Hamilton BE, Martin JE, Sutton PD. Births: preliminary data for 2002. Natl Vital Stat Rep. 2003;51 (No. 11). Available at: http://www.cdc.gov/nchs/ releases/03news/lowbirth.htm. Accessed August 28, 2003.
56. Mosadegh Raad A, Malekiha Z. An assessment of the reasons of cesarean sections from the perspective of women/physicians, and their cost benefit. Presented at: Isfahan Reproductive Health Congress; June 19-21, 2004:159; Tehran.
57. Simpson KR, Creehan PA. Perinatal Nursing. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2001.
58. Klier C, Muzik M, Rosenblum K, Lenz G. Interpersonal psychotherapy adapted for the group setting in the treatment of postpartum depression. J Psychother Pract Res. 2001;10(2):124-131.
59. Alexander J, Anderson T, Grant M, Sanghera J, Jackson D. An evaluation of a support group for breast-feeding women in Salisbury, UK. Midwifery. 2003;19:215-220.
60. Clarke PE, Gross H. Women's behaviour, beliefs and information sources about physical exercise in pregnancy. Midwifery. 2004;20(2):133-141.