A Study Assessing Anxiety Levels Among Pregnant Women Using Pregnancy – Specific Anxiety Tool (PSAT)

Authors

  • Dr. Sunitha V
  • Dr. Minthami Sharon P
  • Dr. Jasmine Kavitha Washington
  • Dr. Sindhu R.S.S

DOI:

https://doi.org/10.69980/ajpr.v28i1.133

Keywords:

Pregnancy-specific anxiety, PSAT, primigravida, multigravida, maternal health, prenatal care

Abstract

Context/Background: Anxiety during pregnancy is a significant concern as it impacts both maternal well-being and fetal development. Pregnancy-specific anxiety (PSA) addresses unique stressors like concerns about fetal health, labor, postpartum adjustments, and financial stability, which are often not adequately measured by traditional tools.
Aims/Objectives: The study aims to evaluate PSA levels among pregnant women using the Pregnancy-Specific Anxiety Tool (PSAT) and analyze variations across different demographic and obstetric factors.
Methodology: This observational cross-sectional study, conducted over three months at Sree Balaji Medical College, Chennai, included 170 pregnant women selected through random sampling. Data on demographic, obstetric, and lifestyle variables were collected, and PSA levels were assessed using PSAT. Statistical methods were employed to identify significant patterns and correlations.
Results: The analysis revealed that primigravida women experienced significantly higher PSA levels compared to multigravida women, particularly in areas like fetal health, labor, postpartum concerns, financial stability, and support systems.
Conclusions: Primigravida women show elevated PSA levels, emphasizing the need for tailored prenatal care interventions. The PSAT is an effective tool for assessing and addressing PSA in expectant mothers.

Author Biographies

Dr. Sunitha V

(postgraduate MS OBG), OBG dept, Sree Balaji Medical College and Hospital

Dr. Minthami Sharon P

(professor), OBG dept, Sree Balaji Medical College and Hospital

Dr. Jasmine Kavitha Washington

(Assistant professor), OBG dept, Sree Balaji Medical College and Hospital

Dr. Sindhu R.S.S

(Assistant professor), OBG dept, Sree Balaji Medical College and Hospital

References

1. Van den Bergh BRH, Mulder EJH, Mennes M, et al: Antenatal maternal anxiety and stress and the neurobehavioural development of the fetus and child: links and possible mechanisms. A review. Neurosci Biobehav Rev 29(2):237, 2005

2. Ding XX, Wu YL, Xu SJ, Zhu RP, Jia XM, Zhang SF, et al. Maternal anxiety during pregnancy and adverse birth outcomes: a systematic review and meta-analysis of prospective cohort studies. Journal of affective disorders. 2014;159:103–110. doi: 10.1016/j.jad.2014.02.027.

3. Brunton PJ. Effects of maternal exposure to social stress during pregnancy: consequences for mother and offspring. Reproduction (Cambridge, England) 2013;146(5):175–189. doi: 10.1530/REP-13-0258.

4. Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current opinion in psychiatry. 2012;25(2):141–148. doi: 10.1097/YCO.0b013e3283503680.

5. Hunter SK, Mendoza J, D’Anna K: Antidepressants may mitigate the effects of prenatal maternal anxiety on infant auditory sensory gating. Am J Psychiatry 169: 616, 2012.

6. Wallace, Kedra & Araji, Sarah. (2020). An Overview of Maternal Anxiety During Pregnancy and the Post-Partum Period. Journal of Mental Health & Clinical Psychology. 4. 47-56. 10.29245/2578-2959/2020/4.1221.

7. Huizink AC, Mulder EJ, Robles de Medina PG, et al. Is pregnancy anxiety a distinctive syndrome? Early Hum Dev. 2004; 79: 81-91.

8. Yang S, Platt RW, Kramer MS. Variation in Child Cognitive Ability by Week of Gestation among Healthy Term Births. American Journal of Epidemiology. 2010 doi: 10.1093/aje/kwp413.

9. Bussieres EL, Tarabulsy GM, Pearson J, Tessier R, Forest JC, Giguére Y. Maternal prenatal stress and infant birth weight and gestational age: a meta-analysis of prospective studies. Developmental Rev. 2015;36:1179–1199.

10. Davis, M., & Smith, L. (2024).Assessing the effectiveness of pregnancy-specific anxiety interventions: A meta-analysis. Journal of Maternal-Fetal & Neonatal Medicine, 37(5), 567576. doi:10.1080/14767058.2023.2210762.

11. Miller, M., & Davis, K. (2023). Addressing pregnancy-specific anxiety with tailored interventions: Current approaches and future directions. Journal of Prenatal and Perinatal Psychology and Health, 38(2), 213-229. doi:10.1023/A:1028651223059.

12. Ahmed Kadim M, Abdulameer Abdulrasol Z, Fadhil Obaid A, Ahmed Hamid H, Hamdi NH, Mousa NA. Assessment of Anxiety Among Pregnant Mothers. Iranian Rehabilitation Journal. 2023; 21(1):73-80.http://dx.doi.org/ 10.32598/irj.21.1.1621.5 http://dx.doi.org/10.32598/irj.21.

13. Hou, Q., Li, S., Jiang, C. et al. The associations between maternal lifestyles and antenatal stress and anxiety in Chinese pregnant women: A cross-sectional study. Sci Rep 8, 10771 (2018). https://doi.org/10.1038/s41598-018-28974-x

14. Maria Gilles, Henrike Otto, Isabell A.C. Wolf, Barbara Scharnholz, VerenaPeus, Michael Schredl, Marc W. Sütterlin, Stephanie H. Witt, Marcella Rietschel, Manfred Laucht, Michael Deuschle,Maternal hypothalamus-pituitary-adrenal (HPA) system activity and stress during pregnancy: Effects on gestational age and infant’s anthropometric measures at birth, Psychoneuroendocrinology,Volume 94,2018,Pages 152-161

15. N. Dole, D. A. Savitz, I. Hertz-Picciotto, A. M. Siega-Riz, M. J. McMahon, P. Buekens, Maternal Stress and Preterm Birth, American Journal of Epidemiology, Volume 157, Issue 1, 1 January 2003, Pages 14–24, https://doi.org/10.1093 /aje/kwf176

16. Ae-Ngibise, K.A., Wylie, B.J., Boamah-Kaali, E. et al. Prenatal maternal stress and birth outcomes in rural Ghana: sex-specific associations. BMC Pregnancy Childbirth 19, 391 (2019). https://doi.org/10.1186/s12884-019-2535-9

17. Eva M. Loomans, Aimée E. van Dijk, Tanja G.M. Vrijkotte, Manon van Eijsden, KarienStronks, Reinoud J. B. J. Gemke, Bea R. H. Van den Bergh, Psychosocial stress during pregnancy is related to adverse birth outcomes: results from a large multi-ethnic community-based birth cohort, European Journal of Public Health, Volume 23, Issue 3, June 2013, Pages 485–491

18. Nath A, Venkatesh S, Balan S, Metgud CS, Krishna M, Murthy GVS. The prevalence and determinants of pregnancy-related anxiety amongst pregnant women at less than 24 weeks of pregnancy in Bangalore, Southern India. Int J Womens Health. 2019 Apr 10;11:241-248. doi: 10.2147/IJWH.S193306. PMID: 31114392; PMCID: PMC6489575.

19. Alqahtani AH, Al Khedair K, Al-Jeheiman R, Al-Turki HA, Al Qahtani NH. Anxiety and depression during pregnancy in women attending clinics in a University Hospital in Eastern province of Saudi Arabia: prevalence and associated factors. Int J Womens Health. 2018 Feb 23;10:101-108. doi: 10.2147/IJWH.S153273. PMID: 29503587; PMCID: PMC5826248.

20. Silva MMJ, Nogueira DA, Clapis MJ, Leite EPRC. Anxiety in pregnancy: prevalence and associated factors. Rev Esc Enferm USP. 2017;51:e03253. DOI: http:// dx.doi.org/10.1590/S1980-220X20 16048003253

21. Madhavanprabhakaran GK, D’Souza MS, Nairy KS. Prevalence of pregnancy anxiety and associated factors. International Journal of Africa Nursing Sciences. 2015 Jan 1;3:1-7.

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Published

2025-04-11