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A Program Aimed at Reducing Anxiety in Pregnant Women Diagnosed With a Small-for-Gestational-Age Fetus: Evaluative Findings From a Spanish Study. | LitMetric

A Program Aimed at Reducing Anxiety in Pregnant Women Diagnosed With a Small-for-Gestational-Age Fetus: Evaluative Findings From a Spanish Study.

J Perinat Neonatal Nurs

BCNatal (Hospital Clínic de Barcelona and Hospital Sant Joan de Déu), Barcelona, Spain (Drs Arranz Betegón, Botet, and Gratacós and Mss García, Parés, Montenegro, Feixas, and Camacho); Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden (Dr Padilla); Department of Public Health, Mental Health and Perinatal Nursing, University of Barcelona, Barcelona, Spain (Dr Goberna); and IDIBAPS, University of Barcelona, and Centre for Biomedical Research on Rare Diseases (CIBERER), Barcelona, Spain (Drs Botet and Gratacós).

Published: May 2018

AI Article Synopsis

  • * It involved a quasi-experimental design with two groups: a control group receiving standard care, and an intervention group receiving standard care plus six anxiety-reduction sessions led by trained professionals.
  • * Results showed that the intervention group experienced a significant decrease in anxiety levels (measured by STAI-State scores) and had a better fetal weight trajectory compared to the control group, indicating the effectiveness of the anxiety-reduction program.

Article Abstract

The objective of this study was to evaluate the effect of anxiety-reducing techniques including music therapy, sophrology, and creative visualization in pregnant women with a fetus diagnosed as small for gestational age and improved fetal and neonatal weight. This was a quasi-experimental study with a nonrandomized clinical trial design. We compared 2 groups of pregnant women with a fetus diagnosed as small for gestational age with no abnormalities on Doppler studies. The control group (n = 93) received standard care, and the intervention group (n = 65), in addition to standard care, underwent a program of 6 sessions led by a midwife or nurse who taught anxiety-reduction techniques. The State-Trait Anxiety Inventory (STAI) including trait and state subscales were completed by both groups at the start of the study, and only the STAI-State subscale was completed again at the end of the study. Comparisons between the 2 groups regarding fetal weight and centile and maternal STAI scores were performed using the t test and the χ test. There were no significant differences in the STAI-Trait scores between the 2 groups. There were statistically significant differences in the intervention group's STAI-State score percentiles between the start and the end of the study, being lower at the end of the study (P < .001). There were significant differences between the 2 groups in fetal weight trajectory on the basis of fetal weight: the intervention group had a larger weight gain (P < .005). The program designed to reduce anxiety in pregnant women was effective at reducing anxiety in the women in the intervention group, leading to a favorable fetal weight trajectory in this group.

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Source
http://dx.doi.org/10.1097/JPN.0000000000000270DOI Listing

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