Depression, anxiety and stress in women with breech pregnancy compared to women with cephalic presentation—a cross-sectional study
Purpose This study aims to evaluate the level of psychological distress for women with breech compared to cephalic presentation. We hypothesized, that women with breech presentation have higher levels of depression, stress and anxiety. Secondary objectives were to analyze potential demographic risk...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2023-02, Vol.307 (2), p.409-419 |
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| creator | Schauer, Madeleine Latartara, Elisabetta Alonso-Espias, Maria Rossetti, Emma Gebert, Pimrapat Henrich, Wolfgang Hinkson, Larry |
| description | Purpose
This study aims to evaluate the level of psychological distress for women with breech compared to cephalic presentation. We hypothesized, that women with breech presentation have higher levels of depression, stress and anxiety. Secondary objectives were to analyze potential demographic risk factors and comorbidity of psychological distress in breech pregnancy.
Methods
The breech study group was formed by 379 women with breech presentation. A sample of 128 women with cephalic presentation was recruited during routine clinical care. Depression, anxiety and stress symptoms were ascertained by means of the Depression–Anxiety–Stress-Score (DASS)-21 questionnaire. Categorial data was analyzed with Chi-square or exact test, continuous data with unpaired
t
test or Mann–Whitney
U
test. Demographic risk factors were identified using a binary logistic regression model.
Results
Prevalence of psychological distress among women with breech was not higher compared to those of other pregnant women. Symptomatic depression, anxiety and stress affected 5.8%, 14.5% and 11.9% of women with breech, respectively. Decreasing age was identified as a risk factor for anxiety (
p
= 0.006). Multiparity increased risk for depression (
p
= 0.001), for anxiety (
p
= 0.026) and for perinatal stress (
p
= 0.010). More than 80% of women with depressive symptoms had comorbidities of psychological distress.
Conclusions
Breech presentation compared to cephalic presentation was not associated with higher levels of psychological distress. However, breech pregnancies are affected by symptoms of potential mental disorder. Multiparous women and younger women may need additional support and would benefit from a standardized screening tool for the assessment of perinatal psychological distress.
Clinical trial registration
Ethical approval (EA2/241/18) was granted by the Ethics Commission of the Charité University Hospital on the 23.01.2019 (ClinicalTrials.gov Identifier: NCT03827226). |
| doi_str_mv | 10.1007/s00404-022-06509-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9918572</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2775131809</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-46e7d84bb53372183e071b7e3aee779475f79dd28348d30ea578ea469cbd74563</originalsourceid><addsrcrecordid>eNp9kc1u1DAQxyMEoqXwAhyQJS4cCPgrsXNBQi1fUiUucLYce3bXVWIHOynsrQcegSfkSZjtlrJw4OLxx2_-M-N_VT1m9AWjVL0slEoqa8p5TduGdjW9Ux0zKfCoGLt7sD-qHpRyQSnjWrf3qyPRCCmp5sfV9zOYMpQSUnxObPwWYN5i9KTMu2sSIvmaRsA1zBvSZwC3IZixjja6LXFpnGwGT-Z0yDmYNnYIbkcWiLOdUf_n1Q9LXE6l1AXc7sYOWGbx24fVvZUdCjy6iSfV57dvPp2-r88_vvtw-vq8dlLJuZYtKK9l3zdCKM60AJytVyAsgFKdVM1Kdd5zLaT2goJtlAYr2871XsmmFSfVq73utPQjeIedZTuYKYfR5q1JNpi_X2LYmHW6NF3HdKM4Cjy7EcjpywJlNmMoDobBRkhLMbyVUrQSfUH06T_oRVoyjoyUUg0TTNMOKb6nrv8lw-q2GUbNzmSzN9mgyebaZEMx6cnhGLcpv11FQOyBgk9xDflP7f_I_gIfArYh</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2775131809</pqid></control><display><type>article</type><title>Depression, anxiety and stress in women with breech pregnancy compared to women with cephalic presentation—a cross-sectional study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Schauer, Madeleine ; Latartara, Elisabetta ; Alonso-Espias, Maria ; Rossetti, Emma ; Gebert, Pimrapat ; Henrich, Wolfgang ; Hinkson, Larry</creator><creatorcontrib>Schauer, Madeleine ; Latartara, Elisabetta ; Alonso-Espias, Maria ; Rossetti, Emma ; Gebert, Pimrapat ; Henrich, Wolfgang ; Hinkson, Larry</creatorcontrib><description>Purpose
This study aims to evaluate the level of psychological distress for women with breech compared to cephalic presentation. We hypothesized, that women with breech presentation have higher levels of depression, stress and anxiety. Secondary objectives were to analyze potential demographic risk factors and comorbidity of psychological distress in breech pregnancy.
Methods
The breech study group was formed by 379 women with breech presentation. A sample of 128 women with cephalic presentation was recruited during routine clinical care. Depression, anxiety and stress symptoms were ascertained by means of the Depression–Anxiety–Stress-Score (DASS)-21 questionnaire. Categorial data was analyzed with Chi-square or exact test, continuous data with unpaired
t
test or Mann–Whitney
U
test. Demographic risk factors were identified using a binary logistic regression model.
Results
Prevalence of psychological distress among women with breech was not higher compared to those of other pregnant women. Symptomatic depression, anxiety and stress affected 5.8%, 14.5% and 11.9% of women with breech, respectively. Decreasing age was identified as a risk factor for anxiety (
p
= 0.006). Multiparity increased risk for depression (
p
= 0.001), for anxiety (
p
= 0.026) and for perinatal stress (
p
= 0.010). More than 80% of women with depressive symptoms had comorbidities of psychological distress.
Conclusions
Breech presentation compared to cephalic presentation was not associated with higher levels of psychological distress. However, breech pregnancies are affected by symptoms of potential mental disorder. Multiparous women and younger women may need additional support and would benefit from a standardized screening tool for the assessment of perinatal psychological distress.
Clinical trial registration
Ethical approval (EA2/241/18) was granted by the Ethics Commission of the Charité University Hospital on the 23.01.2019 (ClinicalTrials.gov Identifier: NCT03827226).</description><identifier>ISSN: 1432-0711</identifier><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-022-06509-0</identifier><identifier>PMID: 35344082</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anxiety ; Anxiety - epidemiology ; Breech presentation ; Breech Presentation - epidemiology ; Cross-Sectional Studies ; Depression - epidemiology ; Endocrinology ; Female ; Gynecology ; Human Genetics ; Humans ; Maternal-Fetal Medicine ; Medicine ; Medicine & Public Health ; Mental depression ; Obstetrics/Perinatology/Midwifery ; Pregnancy ; Version, Fetal</subject><ispartof>Archives of gynecology and obstetrics, 2023-02, Vol.307 (2), p.409-419</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-46e7d84bb53372183e071b7e3aee779475f79dd28348d30ea578ea469cbd74563</citedby><cites>FETCH-LOGICAL-c474t-46e7d84bb53372183e071b7e3aee779475f79dd28348d30ea578ea469cbd74563</cites><orcidid>0000-0002-9170-6345</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-022-06509-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-022-06509-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35344082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schauer, Madeleine</creatorcontrib><creatorcontrib>Latartara, Elisabetta</creatorcontrib><creatorcontrib>Alonso-Espias, Maria</creatorcontrib><creatorcontrib>Rossetti, Emma</creatorcontrib><creatorcontrib>Gebert, Pimrapat</creatorcontrib><creatorcontrib>Henrich, Wolfgang</creatorcontrib><creatorcontrib>Hinkson, Larry</creatorcontrib><title>Depression, anxiety and stress in women with breech pregnancy compared to women with cephalic presentation—a cross-sectional study</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose
This study aims to evaluate the level of psychological distress for women with breech compared to cephalic presentation. We hypothesized, that women with breech presentation have higher levels of depression, stress and anxiety. Secondary objectives were to analyze potential demographic risk factors and comorbidity of psychological distress in breech pregnancy.
Methods
The breech study group was formed by 379 women with breech presentation. A sample of 128 women with cephalic presentation was recruited during routine clinical care. Depression, anxiety and stress symptoms were ascertained by means of the Depression–Anxiety–Stress-Score (DASS)-21 questionnaire. Categorial data was analyzed with Chi-square or exact test, continuous data with unpaired
t
test or Mann–Whitney
U
test. Demographic risk factors were identified using a binary logistic regression model.
Results
Prevalence of psychological distress among women with breech was not higher compared to those of other pregnant women. Symptomatic depression, anxiety and stress affected 5.8%, 14.5% and 11.9% of women with breech, respectively. Decreasing age was identified as a risk factor for anxiety (
p
= 0.006). Multiparity increased risk for depression (
p
= 0.001), for anxiety (
p
= 0.026) and for perinatal stress (
p
= 0.010). More than 80% of women with depressive symptoms had comorbidities of psychological distress.
Conclusions
Breech presentation compared to cephalic presentation was not associated with higher levels of psychological distress. However, breech pregnancies are affected by symptoms of potential mental disorder. Multiparous women and younger women may need additional support and would benefit from a standardized screening tool for the assessment of perinatal psychological distress.
Clinical trial registration
Ethical approval (EA2/241/18) was granted by the Ethics Commission of the Charité University Hospital on the 23.01.2019 (ClinicalTrials.gov Identifier: NCT03827226).</description><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Breech presentation</subject><subject>Breech Presentation - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Maternal-Fetal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Pregnancy</subject><subject>Version, Fetal</subject><issn>1432-0711</issn><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1u1DAQxyMEoqXwAhyQJS4cCPgrsXNBQi1fUiUucLYce3bXVWIHOynsrQcegSfkSZjtlrJw4OLxx2_-M-N_VT1m9AWjVL0slEoqa8p5TduGdjW9Ux0zKfCoGLt7sD-qHpRyQSnjWrf3qyPRCCmp5sfV9zOYMpQSUnxObPwWYN5i9KTMu2sSIvmaRsA1zBvSZwC3IZixjja6LXFpnGwGT-Z0yDmYNnYIbkcWiLOdUf_n1Q9LXE6l1AXc7sYOWGbx24fVvZUdCjy6iSfV57dvPp2-r88_vvtw-vq8dlLJuZYtKK9l3zdCKM60AJytVyAsgFKdVM1Kdd5zLaT2goJtlAYr2871XsmmFSfVq73utPQjeIedZTuYKYfR5q1JNpi_X2LYmHW6NF3HdKM4Cjy7EcjpywJlNmMoDobBRkhLMbyVUrQSfUH06T_oRVoyjoyUUg0TTNMOKb6nrv8lw-q2GUbNzmSzN9mgyebaZEMx6cnhGLcpv11FQOyBgk9xDflP7f_I_gIfArYh</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Schauer, Madeleine</creator><creator>Latartara, Elisabetta</creator><creator>Alonso-Espias, Maria</creator><creator>Rossetti, Emma</creator><creator>Gebert, Pimrapat</creator><creator>Henrich, Wolfgang</creator><creator>Hinkson, Larry</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9170-6345</orcidid></search><sort><creationdate>20230201</creationdate><title>Depression, anxiety and stress in women with breech pregnancy compared to women with cephalic presentation—a cross-sectional study</title><author>Schauer, Madeleine ; Latartara, Elisabetta ; Alonso-Espias, Maria ; Rossetti, Emma ; Gebert, Pimrapat ; Henrich, Wolfgang ; Hinkson, Larry</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-46e7d84bb53372183e071b7e3aee779475f79dd28348d30ea578ea469cbd74563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Breech presentation</topic><topic>Breech Presentation - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Maternal-Fetal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Pregnancy</topic><topic>Version, Fetal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schauer, Madeleine</creatorcontrib><creatorcontrib>Latartara, Elisabetta</creatorcontrib><creatorcontrib>Alonso-Espias, Maria</creatorcontrib><creatorcontrib>Rossetti, Emma</creatorcontrib><creatorcontrib>Gebert, Pimrapat</creatorcontrib><creatorcontrib>Henrich, Wolfgang</creatorcontrib><creatorcontrib>Hinkson, Larry</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schauer, Madeleine</au><au>Latartara, Elisabetta</au><au>Alonso-Espias, Maria</au><au>Rossetti, Emma</au><au>Gebert, Pimrapat</au><au>Henrich, Wolfgang</au><au>Hinkson, Larry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depression, anxiety and stress in women with breech pregnancy compared to women with cephalic presentation—a cross-sectional study</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>307</volume><issue>2</issue><spage>409</spage><epage>419</epage><pages>409-419</pages><issn>1432-0711</issn><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Purpose
This study aims to evaluate the level of psychological distress for women with breech compared to cephalic presentation. We hypothesized, that women with breech presentation have higher levels of depression, stress and anxiety. Secondary objectives were to analyze potential demographic risk factors and comorbidity of psychological distress in breech pregnancy.
Methods
The breech study group was formed by 379 women with breech presentation. A sample of 128 women with cephalic presentation was recruited during routine clinical care. Depression, anxiety and stress symptoms were ascertained by means of the Depression–Anxiety–Stress-Score (DASS)-21 questionnaire. Categorial data was analyzed with Chi-square or exact test, continuous data with unpaired
t
test or Mann–Whitney
U
test. Demographic risk factors were identified using a binary logistic regression model.
Results
Prevalence of psychological distress among women with breech was not higher compared to those of other pregnant women. Symptomatic depression, anxiety and stress affected 5.8%, 14.5% and 11.9% of women with breech, respectively. Decreasing age was identified as a risk factor for anxiety (
p
= 0.006). Multiparity increased risk for depression (
p
= 0.001), for anxiety (
p
= 0.026) and for perinatal stress (
p
= 0.010). More than 80% of women with depressive symptoms had comorbidities of psychological distress.
Conclusions
Breech presentation compared to cephalic presentation was not associated with higher levels of psychological distress. However, breech pregnancies are affected by symptoms of potential mental disorder. Multiparous women and younger women may need additional support and would benefit from a standardized screening tool for the assessment of perinatal psychological distress.
Clinical trial registration
Ethical approval (EA2/241/18) was granted by the Ethics Commission of the Charité University Hospital on the 23.01.2019 (ClinicalTrials.gov Identifier: NCT03827226).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35344082</pmid><doi>10.1007/s00404-022-06509-0</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-9170-6345</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-0711 |
| ispartof | Archives of gynecology and obstetrics, 2023-02, Vol.307 (2), p.409-419 |
| issn | 1432-0711 0932-0067 1432-0711 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Anxiety Anxiety - epidemiology Breech presentation Breech Presentation - epidemiology Cross-Sectional Studies Depression - epidemiology Endocrinology Female Gynecology Human Genetics Humans Maternal-Fetal Medicine Medicine Medicine & Public Health Mental depression Obstetrics/Perinatology/Midwifery Pregnancy Version, Fetal |
| title | Depression, anxiety and stress in women with breech pregnancy compared to women with cephalic presentation—a cross-sectional study |
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