ArticleBMJ open2022
Psychological well-being of women at high risk of spontaneous preterm birth cared for in a specialised preterm birth clinic: a prospective longitudinal cohort study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Understanding Mothers' Experiences of Very Low Birth Weight Infants Across the Childbirth Trajectory in Japan: A Retrospective Analysis Using Natural Language Processing.Japan journal of nursing science : JJNS · 2026Article
- Narrative Nursing and Perioperative Psychological Outcomes in Women Undergoing Cervical Cerclage: The Potential Indirect Role of Fear of Childbirth.The journal of obstetrics and gynaecology research · 2026Article
- Research on Preterm Birth Prevention: The Participant Experience.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- AI-driven high-risk pregnancy prediction: balancing early detection, anxiety, and discrimination in digital public health.Frontiers in public health · 2026Article
- Women's Pregnancy Experiences With a Transvaginal Cervical Cerclage: A Qualitative Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Impact of suspected preterm labour in foetal cardiovascular and metabolic programming: a prospective cohort study protocol.BMJ open · 2024Article
- Anxiety, depression, and perceived wellbeing in antenatal women at risk of preterm birth: a retrospective cohort study.Frontiers in global women's health · 2024Article
- Prevention of Pregnancy Loss: Combining Progestogen Treatment and Psychological Support.Journal of clinical medicine · 2023Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the psychological well-being of pregnant women at increased risk of spontaneous preterm birth, and the impact of care from a preterm birth clinic.
designSingle-centre longitudinal cohort study over 1 year, 2018-2019.
settingTertiary maternity hospital in Auckland, New Zealand.
participantsPregnant women at increased risk of spontaneous preterm birth receiving care in a preterm birth clinic.
interventionParticipants completed three sets of questionnaires (State-Trait Anxiety Inventory, Edinburgh Postnatal Depression Scale, and 36-Item Short Form Survey)-prior to their first, after their second, and after their last clinic appointments. Study-specific questionnaires explored pregnancy-related anxiety and perceptions of care. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the mean State-Anxiety score. Secondary outcomes included depression and quality of life measures.
results73/97 (75.3%) eligible women participated; 41.1% had a previous preterm birth, 31.5% a second trimester loss and 28.8% cervical surgery; 20.6% had a prior mental health condition. 63/73 (86.3%) women completed all questionnaires. The adjusted mean state-anxiety score was 39.0 at baseline, which decreased to 36.5 after the second visit (difference -2.5, 95% CI -5.5 to 0.5, p=0.1) and to 32.6 after the last visit (difference -3.9 from second visit, 95% CI -6.4 to -1.5, p=0.002). Rates of anxiety (state-anxiety score >40) and depression (Edinburgh Postnatal Depression Scale score >12) were 38.4%, 34.8%, 19.0% and 13.7%, 8.7%, 9.5% respectively, at the same time periods. Perceptions of care were favourable; 88.9% stated the preterm birth clinic made them significantly or somewhat less anxious and 87.3% wanted to be seen again in a future pregnancy.
conclusionsWomen at increased risk of spontaneous preterm birth have high levels of anxiety. Psychological well-being improved during the second trimester; women perceived that preterm birth clinic care reduced pregnancy-related anxiety. These findings support the ongoing use and development of preterm birth clinics.
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