Volume 12, Issue 4 (2024)
Health Educ Health Promot 2024, 12(4): 637-647 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Aryani Y, Lilis D, Hairunisyah R. Educational Interventions Targeting Anxiety Reduction in the Prenatal Period. Health Educ Health Promot 2024; 12 (4) :637-647
URL: http://hehp.modares.ac.ir/article-5-78086-en.html
URL: http://hehp.modares.ac.ir/article-5-78086-en.html
1- Department of Midwifery, Riau Ministry of Health Polytechnic of Health, Riau, Indonesia
2- Department of Midwifery, Jambi Ministry of Health Polytechnic of Health, Jambi, Indonesia
3- Department of Midwifery, Ministry of Health Polytechnic of Health, Palembang, Indonesia
2- Department of Midwifery, Jambi Ministry of Health Polytechnic of Health, Jambi, Indonesia
3- Department of Midwifery, Ministry of Health Polytechnic of Health, Palembang, Indonesia
Abstract: (568 Views)
Aims: Educational interventions have emerged as a promising avenue for reducing prenatal anxiety, offering a structured approach to inform and empower expectant mothers. However, previous reviews have been limited by a narrow focus and inconsistent methodologies, necessitating a comprehensive evaluation of various educational approaches. This systematic review aimed to evaluate the effectiveness of different educational interventions in reducing prenatal anxiety.
Information & Methods: A literature search was conducted involving five databases, including PubMed, Scopus, CINAHL, PsycINFO, and the Cochrane Library. Study quality and risk of bias were assessed independently by the authors using the CASP and RoB2 tools. The initial database query yielded 2,565 articles, of which only 16 studies met the inclusion criteria for data extraction and analysis.
Findings: Educational interventions, such as mindfulness-based approaches, antenatal education programs, and lifestyle-based strategies were effective in reducing prenatal anxiety. Mindfulness techniques and psychoeducation significantly improved maternal self-efficacy and emotional regulation. Antenatal education programs and lifestyle interventions reduced anxiety related to childbirth and enhanced coping strategies. Additionally, culturally tailored and digital interventions showed promise, although challenges in user engagement and interactivity were identified.
Conclusion: Diverse educational interventions effectively reduce prenatal anxiety.
Information & Methods: A literature search was conducted involving five databases, including PubMed, Scopus, CINAHL, PsycINFO, and the Cochrane Library. Study quality and risk of bias were assessed independently by the authors using the CASP and RoB2 tools. The initial database query yielded 2,565 articles, of which only 16 studies met the inclusion criteria for data extraction and analysis.
Findings: Educational interventions, such as mindfulness-based approaches, antenatal education programs, and lifestyle-based strategies were effective in reducing prenatal anxiety. Mindfulness techniques and psychoeducation significantly improved maternal self-efficacy and emotional regulation. Antenatal education programs and lifestyle interventions reduced anxiety related to childbirth and enhanced coping strategies. Additionally, culturally tailored and digital interventions showed promise, although challenges in user engagement and interactivity were identified.
Conclusion: Diverse educational interventions effectively reduce prenatal anxiety.
Article Type: Systematic Review |
Subject:
Family Health Education/Promotion
Received: 2024/10/20 | Accepted: 2024/12/6 | Published: 2024/12/11
Received: 2024/10/20 | Accepted: 2024/12/6 | Published: 2024/12/11
References
1. Fawcett EJ, Fairbrother N, Cox ML, White IR, Fawcett JM. The prevalence of anxiety disorders during pregnancy and the postpartum period: A multivariate Bayesian meta-analysis. J Clin Psychiatry. 2019;80(4):18r12527. [Link] [DOI:10.4088/JCP.18r12527]
2. Goodman JH, Chenausky KL, Freeman MP. Anxiety disorders during pregnancy: A systematic review. J Clin Psychiatry. 2014;75(10):e1153-84. [Link] [DOI:10.4088/JCP.14r09035]
3. Grigoriadis S, Graves L, Peer M, Mamisashvili L, Tomlinson G, Vigod SN, et al. Maternal anxiety during pregnancy and the association with adverse perinatal outcomes: Systematic review and meta-analysis. J Clin Psychiatry. 2018;79(5):17r12011. [Link] [DOI:10.4088/JCP.17r12011]
4. Araji S, Griffin A, Dixon L, Spencer SK, Peavie C, Wallace K. An overview of maternal anxiety during pregnancy and the post-partum period. J Ment Health Clin Psychol. 2020;4(4):47-56. [Link] [DOI:10.29245/2578-2959/2020/4.1221]
5. O'Sullivan A, Monk C. Maternal and environmental influences on perinatal and infant development. Future Child. 2020;30(2):11-34. [Link] [DOI:10.1353/foc.2020.a807759]
6. Racine N, Devereaux C, Cooke JE, Eirich R, Zhu J, Madigan S. Adverse childhood experiences and maternal anxiety and depression: A meta-analysis. BMC Psychiatry. 2021;21(1):28. [Link] [DOI:10.1186/s12888-020-03017-w]
7. Tacy TA, Kasparian NA, Karnik R, Geiger M, Sood E. Opportunities to enhance parental well-being during prenatal counseling for congenital heart disease. Semin Perinatol. 2022;46(4):151587. [Link] [DOI:10.1016/j.semperi.2022.151587]
8. Obeagu EI, Chukwu PH. Maternal well-being in the face of hypoxia during pregnancy: A review. Int J Curr Res Chem Pharm Sci. 2024;11(7):25-38. [Link]
9. Modak A, Ronghe V, Gomase KP. The psychological benefits of breastfeeding: Fostering maternal well-being and child development. Cureus. 2023;15(10):e46730. [Link] [DOI:10.7759/cureus.46730]
10. Tkáčová H, Makáň F, Králik R. Enhancing educational approaches to mental health for mothers on maternity leave: Insights from Slovakia. Proceedings of the 16th International Conference on Education and New Learning Technologies. Palma: IATED; 2024. p. 1475-81. [Link] [DOI:10.21125/edulearn.2024.0469]
11. Graseck A, Leitner K. Prenatal education in the digital age. Clin Obstet Gynecol. 2021;64(2):345-51. [Link] [DOI:10.1097/GRF.0000000000000608]
12. Li X, Laplante DP, Paquin V, Lafortune S, Elgbeili G, King S. Effectiveness of cognitive behavioral therapy for perinatal maternal depression, anxiety and stress: A systematic review and meta-analysis of randomized controlled trials. Clin Psychol Rev. 2022;92:102129. [Link] [DOI:10.1016/j.cpr.2022.102129]
13. Chehrazi M, Faramarzi M, Abdollahi S, Esfandiari M, Shafie Rizi S. Health promotion behaviours of pregnant women and spiritual well‐being: Mediatory role of pregnancy stress, anxiety and coping ways. Nurs Open. 2021;8(6):3558-65. [Link] [DOI:10.1002/nop2.905]
14. Abera M, Hanlon C, Daniel B, Tesfaye M, Workicho A, Girma T, et al. Effects of relaxation interventions during pregnancy on maternal mental health, and pregnancy and newborn outcomes: A systematic review and meta-analysis. PLoS One. 2024;19(1):e0278432. [Link] [DOI:10.1371/journal.pone.0278432]
15. Tola YO, Akingbade O, Akinwaare MO, Adesuyi EO, Arowosegbe TM, Ndikom CM, et al. Psychoeducation for psychological issues and birth preparedness in low-and middle-income countries: A systematic review. AJOG Glob Rep. 2022;2(3):100072. [Link] [DOI:10.1016/j.xagr.2022.100072]
16. Frankham LJ, Thorsteinsson EB, Bartik W. Childbirth self-efficacy and birth related PTSD symptoms: An online childbirth education randomised controlled trial for mothers. BMC Pregnancy Childbirth. 2024;24(1):668. [Link] [DOI:10.1186/s12884-024-06873-6]
17. Chen Z, Jiang J, Hu T, Luo L, Chen C, Xiang W. The effect of mindfulness-based stress reduction therapy on maternal anxiety, depression, and sleep quality: A protocol for systematic review and meta-analysis. Medicine. 2022;101(8):e28849. [Link] [DOI:10.1097/MD.0000000000028849]
18. Gargari MA, Esmailpour K, Mirghafourvand M, Nourizadeh R, Mehrabi E. Effects of psycho-education interventions on perceived childbirth fear and anxiety by pregnant women: A systematic review and meta-analysis. Int J Womens Health Reprod Sci. 2021;9(4):230-7. [Link] [DOI:10.15296/ijwhr.2021.44]
19. Hall HG, Cant R, Munk N, Carr B, Tremayne A, Weller C, et al. The effectiveness of massage for reducing pregnant women's anxiety and depression; Systematic review and meta-analysis. Midwifery. 2020;90:102818. [Link] [DOI:10.1016/j.midw.2020.102818]
20. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. [Link] [DOI:10.1136/bmj.n71]
21. Boran P, Dönmez M, Barış E, Us MC, Altaş ZM, Nisar A, et al. Delivering the thinking healthy programme as a universal group intervention integrated into routine antenatal care: A randomized-controlled pilot study. BMC Psychiatry. 2023;23(1):14. [Link] [DOI:10.1186/s12888-022-04499-6]
22. Bowen A, Baetz M, Schwartz L, Balbuena L, Muhajarine N. Antenatal group therapy improves worry and depression symptoms. Isr J Psychiatry Relat Sci. 2014;51(3):226-31. [Link]
23. Byrne J, Hauck Y, Fisher C, Bayes S, Schutze R. Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. J Midwifery Womens Health. 2014;59(2):192-7. [Link] [DOI:10.1111/jmwh.12075]
24. Cankaya S, Simsek B. Effects of antenatal education on fear of birth, depression, anxiety, childbirth self-efficacy, and mode of delivery in primiparous pregnant women: A prospective randomized controlled study. Clin Nurs Res. 2021;30(6):818-29. [Link] [DOI:10.1177/1054773820916984]
25. Diotaiuti P, Valente G, Mancone S, Falese L, Corrado S, Siqueira TC, et al. A psychoeducational intervention in prenatal classes: Positive effects on anxiety, self-efficacy, and temporal focus in birth attendants. Int J Environ Res Public Health. 2022;19(13):7904. [Link] [DOI:10.3390/ijerph19137904]
26. Gandomi N, Sharifzadeh G, Torshizi M, Norozi E. The effect of educational intervention based on self-efficacy theory on pregnancy anxiety and childbirth outcomes among Iranian primiparous women. J Educ Health Promot. 2022;11(1):14. [Link] [DOI:10.4103/jehp.jehp_1548_20]
27. Ghashghaee N, Rezasoltani P, Nazari M, Kazemnezhad Leyli E. Comparison of pregnancy-related concerns, perceived social support, and anxiety between pregnant mothers with and without participation in antenatal education classes. J Holist Nurs Midwifery. 2024;34(4):365-75. [Link] [DOI:10.32598/jhnm.34.4.2849]
28. Innab A, Al-Khunaizi A, Al-Otaibi A, Moafa H. Effects of mindfulness-based childbirth education on prenatal anxiety: A quasi-experimental study. Acta Psychol. 2023;238:103978. [Link] [DOI:10.1016/j.actpsy.2023.103978]
29. Madhavan prabhakaran KG, Sheila D'Souza M, Nairy K. Effectiveness of childbirth education on nulliparous women's knowledge of childbirth preparation, pregnancy anxiety and pregnancy outcomes. Nurs Midwifery Stud. 2017;6(1). [Link] [DOI:10.5812/nmsjournal.32526]
30. Nikoozad S, Safdari-Dehcheshmeh F, Sharifi F, Ganji F. The effect of prenatal education on health anxiety of primigravid women. BMC Pregnancy Childbirth. 2024;24(1):541. [Link] [DOI:10.1186/s12884-024-06718-2]
31. Sanaati F, Mohammad-Alizadeh Charandabi S, Farrokh Eslamlo H, Mirghafourvand M, Alizadeh Sharajabad F. The effect of lifestyle-based education to women and their husbands on the anxiety and depression during pregnancy: A randomized controlled trial. J Matern Fetal Neonatal Med. 2017;30(7):870-6. [Link] [DOI:10.1080/14767058.2016.1190821]
32. Sercekus P, Baskale H. Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery. 2016;34:166-72. [Link] [DOI:10.1016/j.midw.2015.11.016]
33. Shen Q, Huang CR, Rong L, Ju S, Redding SR, Ouyang YQ, et al. Effects of needs-based education for prenatal anxiety in advanced multiparas: A randomized controlled trial. BMC Pregnancy Childbirth. 2022;22(1):301. [Link] [DOI:10.1186/s12884-022-04620-3]
34. Mokhtaryan T, Yazdanpanahi Z, Akbarzadeh M, Amooee S, Zare N. The impact of Islamic religious education on anxiety level in primipara mothers. J Family Med Prim Care. 2016;5(2):331-7. [Link] [DOI:10.4103/2249-4863.192314]
35. Thomas N, Komiti A, Judd F. Pilot early intervention antenatal group program for pregnant women with anxiety and depression. Arch Womens Ment Health. 2014;17(6):503-9. [Link] [DOI:10.1007/s00737-014-0447-2]
36. Xuto P, Toyohiko K, Prasitwattanaseree P, Sriarporn P. Effect of receiving text messages on health care behavior and state anxiety of Thai pregnant women: A randomized controlled trial. Int J Community Based Nurs Midwifery. 2022;10(1):18-29. [Link]
37. Shi Z, MacBeth A. The effectiveness of mindfulness-based interventions on maternal perinatal mental health outcomes: A systematic review. Mindfulness. 2017;8(4):823-47. [Link] [DOI:10.1007/s12671-016-0673-y]
38. Matvienko-Sikar K, Lee L, Murphy G, Murphy L. The effects of mindfulness interventions on prenatal well-being: A systematic review. Psychol Health. 2016;31(12):1415-34. [Link] [DOI:10.1080/08870446.2016.1220557]
39. Spiby H, Stewart J, Watts K, Hughes AJ, Slade P. The importance of face to face, group antenatal education classes for first time mothers: A qualitative study. Midwifery. 2022;109:103295. [Link] [DOI:10.1016/j.midw.2022.103295]
40. Swift EM, Zoega H, Stoll K, Avery M, Gottfreðsdóttir H. Enhanced antenatal care: Combining one-to-one and group antenatal care models to increase childbirth education and address childbirth fear. Women Birth. 2021;34(4):381-8. [Link] [DOI:10.1016/j.wombi.2020.06.008]
41. Gluck O, Pinchas‐Cohen T, Hiaev Z, Rubinstein H, Bar J, Kovo M. The impact of childbirth education classes on delivery outcome. Int J Gynecol Obstet. 2020;148(3):300-4. [Link] [DOI:10.1002/ijgo.13016]
42. Dubreucq M, Dupont C, Lambregtse-Van Den Berg MP, Bramer WM, Massoubre C, Dubreucq J. A systematic review of midwives' training needs in perinatal mental health and related interventions. Front Psychiatry. 2024;15:1345738. [Link] [DOI:10.3389/fpsyt.2024.1345738]
43. Van Der Windt M, Van Zundert SKM, Schoenmakers S, Jansen PW, Van Rossem L, Steegers-Theunissen RPM. Effective psychological therapies to improve lifestyle behaviors in (pre) pregnant women: A systematic review. Prev Med Rep. 2021;24:101631. [Link] [DOI:10.1016/j.pmedr.2021.101631]
44. Rahimnejad A, Davati A, Garshasbi A. Relation between spiritual health and anxiety in pregnant women referred to Shaheed Mostafa Khomeini hospital in 2018. DANESHVAR Med. 2019;27(1):11-8. [Persian] [Link]
45. Shorey S, Ang L, Chee CYI. A systematic mixed-studies review on mindfulness-based childbirth education programs and maternal outcomes. Nurs Outlook. 2019;67(6):696-706. [Link] [DOI:10.1016/j.outlook.2019.05.004]
46. Ahmed MAA, Gagnon MP, Hamelin-Brabant L, Mbemba GIC, Alami H. A mixed methods systematic review of success factors of mhealth and telehealth for maternal health in Sub-Saharan Africa. Mhealth. 2017;3:22. [Link] [DOI:10.21037/mhealth.2017.05.04]
47. Thonon F, Perrot S, Yergolkar AV, Rousset-Torrente O, Griffith JW, Chassany O, et al. Electronic tools to bridge the language gap in health care for people who have migrated: Systematic review. J Med Internet Res. 2021;23(5):e25131. [Link] [DOI:10.2196/25131]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |