Pregnancy-related anxiety of pregnant women with central placenta previa in second and third trimesters and its influencing factors

Abstract

Objective To explore the pregnancy-related anxiety of pregnant women with central placenta previa in second and third trimester and its influencing factors and to provide an effective reference for clinical prevention and intervention. Methods Totally 206 pregnant women with central placenta previa who attended production inspection in Xinyang Central Hospital from January 2015 to January 2018 were selected. Pregnancy-specific Anxiety Questionnaire (PAQ) was used to evaluate their anxiety, and the pregnant women were divided into the anxiety group and the non-anxiety group based on their anxiety. Their satisfaction with household income, marriage, household status, image during pregnancy and their pregnancy plan, pregnancy preparation and childrearing preparation were investigated using the scale designed by our hospital; their social relations and self-efficacy were explored by Perceived Social Support Scale (PSSS) and General Self-Efficacy Scale (GSES) respectively. Results A total of 130 pregnant women showed anxiety, while 76 pregnant women showed no anxiety. There was no statistical difference in gestational week, age, educational background, pregnancy plan, pregnancy preparation, childrearing preparation and the satisfaction with image during pregnancy between the anxiety group and the non-anxiety group (P>0.05) . The anxious pregnant women showed lower satisfaction with household income, marriage, household status, physical health during pregnancy, PSSS and GSES scores than the non-anxious pregnant women (P<0.05) . The incidence rate of severe pregnancy reaction was higher in the anxious pregnant women than in the non-anxious pregnant women (P<0.01) . Multivariate Logistic regression analysis showed that the satisfaction with household income and marriage are the protective factors while severe pregnancy reaction, low score of PSSS and GSES were the risk factors for anxiety in the pregnant women (P<0.05) . Conclusions Anxiety is prevailing in pregnant women with central placenta previa. Personalized interventions should be developed based on the protective and risk factors for anxiety and their actual situations to effectively ameliorate their mental anxiety in clinical practice. Key words: Pregnant women; Placenta previa; Anxiety; Second and third trimsters; Influencing factors