Pregnancy-related Anxiety, Risk Knowledge, and Pregnancy Risk Perception Among Advanced Age Pregnant Women
Keywords:
Pregnancy-related anxiety, risk knowledge, pregnancy risk perception, advanced age pregnant womenAbstract
Pregnancy risk perception is important in reducing health risks for both advanced age pregnant women and their fetuses. The purpose of this descriptive correlational research study was to explore the relationship of pregnancy-related anxiety, risk knowledge, and pregnancy risk perception among advanced age pregnant women. The participants were 85 pregnant women aged 35 years and over who received antenatal care at Buddhachinaraj Phitsanulok Hospital between March and April 2019. The research tools were a pregnancy-related anxiety questionnaire developed based on pregnancy-related anxiety concepts by Rini et al. (1999); a questionnaire regarding risk knowledge of advanced age pregnant women developed based on the knowledge of maternal age-related risks concept by Tough et al. (2006); and the Pregnancy Perception of Risk Questionnaire, originally by Heaman & Guptun (2009), the Thai version by Chitraphirom et al. (2014). Data were analyzed using descriptive statistics and Pearson’s product-moment correlation coefficient.
The results of the study were as follows:
- Participants had pregnancy-related anxiety at a moderate level (mean= 18.98,
S.D.= 4.72). - Participants had risk knowledge at a moderate level (mean= 5.18, S.D.= 2.13).
- Participants had pregnancy risk perception at a low level (mean= 201.13, S.D.= 160.02).
- Pregnancy-related anxiety had a significant positive correlation with pregnancy risk perception among advanced age pregnant women (r = .394, p< .01).
- Risk knowledge did not have a correlation with pregnancy risk perception among advanced age pregnant women
The findings from this study can be used as baseline data for promoting pregnancy risk perception of advanced age pregnant women by consideration of pregnancy-related anxiety factor.
References
Bayrampour, H., Heaman, M., Duncan, K. A., & Tough, S. (2012a). Advanced maternal age and risk perception: A qualitative study. BMC Pregnancy and Childbirth, 100 (12), 1471-2393.
Bayrampour, H., Heaman, M., Duncan, K. A., & Tough, S. (2012b). Comparison of perception of pregnancy risk of nulliparous women of advanced maternal age and younger Age. Journal of Midwifery & Woman’s Health, 57 (5), 445-453.
Bayrampour, H., Heaman, M., Duncan, K. A., & Tough, S. (2013). Predictors of perception of pregnancy risk among nulliparous women. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 42, 416-427.
Bayrampour, H., Ali, E., McNeil, D. A., Benzies, K., MacQueen, G., & Tough, S. (2016). Pregnancy-related anxiety: A concept analysis. International Journal of Nursing Studies, 55, 115-130.
Blackmore, E. R., Gustafsson, H., Gilchrist, M., Wyman, C., & O’Connor, T. G. (2015). Pregnancy-related anxiety: Evidence of distinct clinical significance from a prospective longitudinal study. Journal of Affective Disorders, 197, 251-258.
Carolan, M., & Nelson, S. (2007). First mothering over 35 years : Questioning the association of maternal age and pregnancy risk. Health Care for Women International, 28, 534–555.
Chuang, C. H., Velott, D. L., & Weisman, C. S. (2010). Exploring knowledge and attitudes related to pregnancy and preconception health in women with chronic medical conditions. Maternal and Child Health Journal, 14 (5), 713-719.
Gupton, A., Heaman, M., & Cheung, L. W. (2001). Complicated and uncomplicated pregnancies: Women’s perception of risk. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 30, 192-201.
Headley, A. J., & Harrigan, J. (2009). Using the pregnancy perception of risk questionnaire to assess health care literacy gaps in maternal perception of prenatal risk. Journal of the National Medical Association, 101(10), 1041-1045.
Heaman, M., Gupton, A., & Gregory, D. (2004). Factors influencing pregnant women’s perceptions of risk. The American Journal of Maternal/Child Nursing, 29 (2), 111-116.
Heaman, M. I., & Gupton, A. L. (2009). Psychometric testing of the perception of pregnancy risk questionnaire. Research in Nursing & Health, 32, 493-503.
Huizink, A. C., Mulder, E. J., Robles de Medina, P. G., Visser, G. H., & Buitelaar, J. K. (2004). Is pregnancyanxiety a distinctive syndrome?. Early Human Development, 79(2), 81-91. doi:10.1016/j.earlhumdev.2004.04.014.
Jittrapirom, A., Chareonsanti, J., & Sriarporn, P. (2014). Pregnancy risk perception, uncertainty and stress amoung gestational diabetic women. Nursing Journal, 41 (1), 50-61. (In Thai)
Laopaiboon, M., Lumbiganon, P., Intarut, N., Mori, R., Ganchimeg, T., Vogel, J. P., … Gulmezoglu, A.M. (2014). Advanced maternal age and pregnancy outcomes: A multicountry assessment. An International Journal of Obstetrics & Gynecology, 121 (1), 49-56. (In Thai)
Lean, S. C., Derricott, H., Jones, R. L., & Heazell, A. E. P. (2017). Advanced maternal age and adverse pregnancy outcomes: A systematic review and meta-analysis. Public Library of Science ONE, 12(10).
Lennon, S. L. (2016). Risk perception in pregnancy: A concept analysis. Journal of Advanced Nursing 72 (9), 2016–2029. doi:10.1111/jan.13007
Martin, J. A., Hamilton, B. E., Michelle J. K. Osterman, M. J. K., Curtin, S. C., & Mathews, T. J. (2015). Births final data for 2013. National Vital Statistics Reports, 64 (1).
Mercer, R. T. (1986). First-time motherhood: Experiences from teens to forties. New York: Springer Publishing.
Pothiban, L., & Pungchompoo, W. (2013). Knowledge, belief, self-efficacy pertaining osteoporosis preventive behaviors and osteoporosis preventive behaviors among the middle adult popu-lation. Nursing Journal, 40 (Supplement), 67-78. (In Thai)
Rini, C. K., Dunkel-Schetter, C., Wadhwa, P. D., & Sandman, C. A. (1999). Psychological adaptation and birth outcomes: The role of personal resources, stress, and sociocultural context in pregnancy. Health Psychology, 18 (4), 333-345.
Suplee, P. D., Dawley, K., & Bloch, J. R. (2007). Tailoring peripartum nursing care for women of advanced maternal age. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 36, 616-623.
Taghizadeh, Z., Cheraghi, M. A., Kazemnejad, A., Pooralajal, J., & Aghababaei, S. (2017). Difference in perception of pregnancy risk in two maternal age groups. Journal of Clinical and Diagnostic Research, 11(5), 9-12.
Tough, S., Benzies, K., Newburn-Cook, C., Tofflemire, K., Fraser-Lee, N., Faber, A., & Sauve, R. (2006). What do women Know about the risks of delayed childbearing?. Canadian Journal of Public Health/Revue Canadienne de Sant’e Publique, 97(4), 330-334.
Tough, S., Benzies, K., Fraser-Lee, N., & Newburn-Cook, C. (2007). Factors influencing childbearing decisions and knowledge of perinatal risks among Canadian men and women. Maternal and Child Health Journal, 11(2), 189-198.
Williams, D. J., & Noyes, J. M. (2007). How does our perception of risk influence decision-making?implications for the design of risk information. Theoretical Issues in Ergonomics Science, 8 (1), 1-35, doi:10.1080/1463922050048441
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