Volume 9, Issue 1 (6-2019)                   PCNM 2019, 9(1): 29-35 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Niroomand S, Razavinia F, Bayat Z, Jafari M, Rostami F, Youseflu S. Predictive factors of anxiety level in postpartum period. PCNM 2019; 9 (1) :29-35
URL: http://nmcjournal.zums.ac.ir/article-1-613-en.html
MSc, Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , s.yoseflu@yahoo.com
Abstract:   (10866 Views)
Background: Pregnancy and delivery are considered as pleasant physiological phenomena. This period, however, sometimes leads to variable mood states in women and makes them more sensitive to psychological stimuli and problems.
Objectives: The present study aimed to investigate the role of breastfeeding, type of delivery, contraceptive method, planned pregnancy, and history of infertility on the anxiety level of Iranian women who referred to health centers in Zanjan in the postpartum period.
Methods: This cross-sectional study was conducted on 420 women who attended the health care centers in Zanjan city, Iran, during 2018-2019. A checklist including questions about demographic and reproductive information and Beck anxiety inventory were used as the data collection instruments. The data were analyzed using SPSS 21 software through regression analysis.
Results: This study found that the history of infertility (β=0.26, t=9.38, p<0.001), unplanned pregnancies (β=0.23, t=-7.00, p<0.001), exclusive breastfeeding (β=-0.47, t=-17.40, p<0.001), mothers’ education (β=-0.08, t=-2.89, p<0.001), DMPA (β=0.23, t=6.62, p<0.001), and withdrawal (β=0.17, t=4.59, p<0.001) contraception method were associated with anxiety level.
Conclusion: The results of the present study indicate that factors such as breastfeeding, contraceptive methods, infertility history, unplanned pregnancy, and educational level influence women's anxiety level in postpartum period. Identifying and screening women with high levels of anxiety and providing proper counseling to these mothers can help improve their health, infants, families, and community
Full-Text [PDF 514 kb]   (2231 Downloads)    
Type of Study: Orginal research | Subject: Midwifery
Received: 2020/01/8 | Accepted: 2019/06/16 | Published: 2019/06/16

References
1. Ross LE, McLean LM. Anxiety disorders during pregnancy and the postpartum period: A systematic review. J Clin Invest. 2006; 6: 1285-1298. [crossref]
2. Azizi M, Lamyian M, Faghihzadeh S, Nematollahzadeh M. Effectiveness of counseling on anxiety after traumatic childbirth in nulliparous women: A randomized Single blind randomized clinical. J Med Sci Kermanshah. 2010; 13: 219-27. [In Persian]
3. Field T. Postpartum anxiety prevalence, predictors and effects on child development: a review. J Psychiatr Psychiatr Disord. 2017: 86-102. [crossref]
4. Reck C, Struben K, Backenstrass M, et al. Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders. Acta Psychiatr Scand. 2008; 118(6): 459-68. [crossref]
5. Vismara L, Rollè L, Agostini F, et al. Perinatal parenting stress, anxiety, and depression outcomes in first-time mothers and fathers: a 3-to 6-months postpartum follow-up study. Front psychol. 2016; 7: 938. [crossref]
6. Marques R, Monteiro F, Canavarro MC, Fonseca A. The role of emotion regulation difficulties in the relationship between attachment representations and depressive and anxiety symptoms in the postpartum period. J Affect Disord. 2018; 238: 39-46. [crossref]
7. Murray L, Cooper P, Creswell C, Schofield E, Sack C. The effects of maternal social phobia on mother–infant interactions and infant social responsiveness. J Child Psychol Psychiatry. 2007; 48(1):45-52. [crossref]
8. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: a systematic review. J Affect Disord. 2016; 191: 62-77. [crossref]
9. Goodman JH, Watson GR, Stubbs B. Anxiety disorders in postpartum women: A systematic review and meta-analysis. J Affect Disord. 2016; 203: 292-331. [crossref]
10. Diez-Sampedro A, Flowers M, Olenick M, Maltseva T, Valdes G. Women’s Choice Regarding Breastfeeding and Its Effect on Well-Being. Nursing for women's health. 2019. [crossref]
11. Fallon V, Groves R, Halford JCG, Bennett KM, Harrold JA. Postpartum anxiety and infant-feeding outcomes: a systematic review. J Hum Lact. 2016; 32(4): 740-58. [crossref]
12. Akbarzadeh M, Yazdanpanahi Z, Zarshenas L, Sharif F. The women’s perceptions about unwanted pregnancy: A qualitative study in Iran. Glob J Health Sci. 2015; 8(5): 189-96.
13. Iranfar S, Shakeri J, Ranjbar M, Nazhad Jafar P, Razaie M. Is unintended pregnancy a risk factor for depression in Iranian women? East Mediterr Health J. 2005; 11(4): 618-24.
14. Kaviani H, Mousavi A S. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran Univ Med J. 2008; 66(2): 136-40. [In Persian]
15. Kehler HL, Chaput KH, Tough SC. Risk factors for cessation of breastfeeding prior to six months postpartum among a community sample of women in Calgary, Alberta. Can J Public Health. 2009; 100(5): 376-80. [crossref]
16. Adedinsewo DA, Fleming AS, Steiner M, Meaney MJ, Girard AW. Maternal anxiety and breastfeeding: findings from the MAVAN (Maternal Adversity, Vulnerability and Neurodevelopment) Study. J Hum Lact. 2014; 30(1): 102-9. [crooref]
17. Cooke M, Schmied V, Sheehan A. An exploration of the relationship between postnatal distress and maternal role attainment, breast feeding problems and breast feeding cessation in Australia. Midwifery. 2007; 23(1): 66-76. [crossref]
18. Lara-Cinisomo S, McKenney K, Di Florio A, Meltzer-Brody S. Associations between postpartum depression, breastfeeding, and oxytocin levels in Latina mothers. Breastfeed Med. 2017; 12(7): 436-42. [crossref]
19. Hoff CE, Movva N, Rosen Vollmar AK, Pérez-Escamilla R. Impact of Maternal Anxiety on Breastfeeding Outcomes: A Systematic Review. Adv Nutr. 2019; 10(5): 816-26. [crossref]
20. Chen DC, Nommsen-Rivers L, Dewey KG, Lönnerdal B. Stress during labor and delivery and early lactation performance. Am J Clin Nutr. 1998; 68(2): 335-44. [crossref]
21. Hammarberg K, Fisher J, Wynter K, Rowe H. Breastfeeding after assisted conception: a prospective cohort study. Acta Paediat. 2011; 100(4): 529-33. [crossref]
22. Hall KS, Moreau C, Trussell J, Barber J. Role of young women's depression and stress symptoms in their weekly use and nonuse of contraceptive methods. J Adolesc Health. 2013; 53(2):241-48. [crossref]
23. Asadi Sarvestani K, Khoo S. Determinants of Withdrawal Use as a Contraception Method and its Impact on Sexual Satisfaction: Case Study of Shiraz County-Iran. J Midwifery Reprod Health. 2019; 7(2): 1621-29.
24. Rahnama P, Hidarnia A, Shokravi FA, Kazemnejad A, Oakley D, Montazeri A. Why Iranian married women use withdrawal instead of oral contraceptives? A qualitative study from Iran. BMC Public Health. 2010; 10(1): 289. [crossref]
25. Dianat S, Fox E, Ahrens KA, et al. Side effects and health benefits of depot medroxyprogesterone acetate: a systematic review. Obstet Gynecol. 2019; 133(2): 332-41. [crossref]
26. Mansour D, Gemzell-Danielsson K, Inki P, Jensen JT. Fertility after discontinuation of contraception: a comprehensive review of the literature. Contraception. 2011; 84(5): 465-77. [crosref]
27. Casado-Espada NM, de Alarcón R, de la Iglesia-Larrad JI, Bote-Bonaechea B, Montejo ÁL. Hormonal Contraceptives, Female Sexual Dysfunction, and Managing Strategies: A Review. J Clin Med. 2019; 8(6): 908. [crossref]
28. Bell A, Carter C, Davis J, et al. Childbirth and symptoms of postpartum depression and anxiety: a prospective birth cohort study. Arch Women's Ment Health. 2016; 19(2): 219-27. [crossref]
29. Bell AF, Carter CS, Davis JM, et al. Childbirth and symptoms of postpartum depression and anxiety: a prospective birth cohort study. Arch Women's Ment Health. 2016; 19(2): 219-27. [crossref]
30. Lobel M, DeLuca RS. Psychosocial sequelae of cesarean delivery: review and analysis of their causes and implications. Soc sci Med. 2007; 64(11): 2272-84. [crossref]
31. Abajobir AA, Maravilla JC, Alati R, Najman JM. A systematic review and meta-analysis of the association between unintended pregnancy and perinatal depression. J Affect Disord. 2016; 192: 56-63. [crossref]
32. Minglu L, Fang F, Guanxi L, Yuxiang Z, Chaoqiong D, Xueqin Z. Influencing factors and correlation of anxiety, psychological stress sources, and psychological capital among women pregnant with a second child in Guangdong and Shandong Province. J Affect Disord. 2020; 264: 115-122. [crossref]
33. Ladores S, Aroian K. The Early Postpartum Experience of Previously Infertile Mothers. J Obstet Gynecol Neonatal Nurs. 2015; 44(3): 370-79. [crossref]
34. Amirchaghmaghi E, Malekzadeh F, Chehrazi M, Ezabadi Z, Sabeti S. A Comparison of Postpartum Depression in Mothers Conceived by Assisted Reproductive Technology and Those Naturally Conceived. Int J Fertil Steril 2020. 13(4): 277-281

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Preventive Care in Nursing & Midwifery Journal

Designed & Developed by : Yektaweb