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Cited by 151Maternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health InterventionsPregnancy-related medical research

The DOI matches its Crossref record; 50 of the 50 references it cites were found in a registry or an index.

Obstetric complications and anxiety during pregnancy: is there a relationship?

Johnson, R. C., Slade, P.·2003·Journal of Psychosomatic Obstetrics & Gynecology
DOI 10.3109/01674820309042796
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Abstract

This review examines the contribution of recent research into the effects of anxiety during pregnancy. The focus of interest is upon the process of labor and delivery rather than its timing or the size of the baby. Therefore studies directed at areas of prematurity or low birthweight are specifically excluded as these have already been well evaluated in the literature. It is known that one proximal cause of obstetric complications is increased hormone levels in the uterus. It seems likely therefore that anxiety, a form of arousal, known to influence hormone levels, may be implicated as a distal determinant of obstetric complications. Attempts to evaluate this hypothesis have been hampered by methodological issues such as: poor definition and measurement of obstetric outcomes, in particular utilizing composite measures of diverse components; inappropriate measurements or over broad conceptualizations of anxiety; failure to account for confounding variables and inadequate sample sizes. On balance the evidence reviewed suggests that a general association between anxiety and obstetric complications per se does not exist, but specific types of anxiety, such as psychosocial stress, family functioning, or fear of childbirth may have associations with specific complications, such as prolonged labor or Cesarean section. Recent studies considering the effect of fear of childbirth, for example, on specific obstetric outcomes, such as type of delivery, have produced more clear-cut relationships. Recommendations for future research into the relationships between specific combinations of types of anxiety and individual obstetric complications are discussed.

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Crossref · 10.3109/01674820309042796

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Citations

Cites

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Research works printed but not linked: 5

  1. Herrara J A, 1992, Fam Prac Res J, 12, 391
  2. Bhagwanani S G, 1997, J Nat Med Assoc, 89, 93
  3. Williamson H A, 1989, J Fam Prac, 29, 489
  4. Lowe N K, 1991, J Obstet Gynecol Neonat Nursing, 20, 547
  5. Sjögren B, 1998, Acta Obstet Gynecol Scand, 77, 819, 10.1080/j.1600-0412.1998.770807.x · DOI

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Metadata

Authors
Johnson, R. C., & Slade, P.
Affiliations
  • Chesterfield Royal Hospital (GB)
  • University of Sheffield (GB)
Corresponding author
Slade, P.
ORCID
Slade, P.
Venue
Journal of Psychosomatic Obstetrics & Gynecology
Publisher
Informa UK Limited
Published
2003-01
Volume
24
Issue
1
Pages
1-14
ISSN
  • 0167-482X (ISSN-L)
  • 1743-8942
DOI
10.3109/01674820309042796
OpenAlex
W2166496808
Cited by
151
References
50
Citations by year
2026: 2 · 2025: 3 · 2024: 3 · 2023: 9 · 2022: 10 · 2021: 6 · 2020: 10 · 2019: 12 · 2018: 5 · 2017: 10 · 2016: 7 · 2015: 12 · 2014: 10 · 2013: 9 · 2012: 8
FWCI
0.72
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Psychosomatic Obstetrics & Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
Keywords
prenatal anxiety, pregnancy complications, labor and delivery, prolonged labor, cesarean section, fear of childbirth, psychosocial stress, family functioning
MeSH terms
Anxiety, Female, Humans, Obstetric Labor Complications, Pregnancy, Pregnancy Complications, Psychological Tests

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