Background: Undergoing ultrasound scanning (USS) during the first trimester of pregnancy is highly imperative for expecting mothers, as it supports the early detection of any malformations, identifying the fetal number, fetal growth, fetal sex, and calculation of delivery. Previous studies have shown that undergoing such prenatal screening procedures could reduce the antenatal anxiety levels of expectant mothers. The present study aimed to explore the impact of first-trimester ultrasound scanning towards the antenatal anxiety and identify the predictors of antenatal anxiety among expectant mothers in the first trimester. Methods: A repeated measure design study was conducted in Maternity Clinics of University Hospital KDU, Ninewells Care Hospital and Navy General Hospital over 4 months with one hundred and fifteen (n = 115) expectant mothers. Participants completed a general information sheet first and State Trait Anxiety Inventory (STAI) (Spielberger et al., 1970) was administered before and after undergoing the USS. Results: Mean age of the participants was 28.84 ± 3.68. The Wilcoxon Signed Rank test showed that there is a significant reduction of participants’ antenatal anxiety levels following the USS z = ？5.658, p < 0.001, with an effect size of r = 0.37. The hierarchical multiple regression analysis showed that partner’s support was a significant predictor of antenatal anxiety among the expectant mothers in the first trimester. Conclusions: Findings suggest that undergoing the first trimester USS significantly reduces the antenatal state anxiety and partner’s support is an important factor in reducing the antenatal anxiety experienced by expectant mothers in the first trimester. Future studies can focus on how USS can contribute to alleviating antenatal anxiety in second and third trimesters.
References
[1]
La Marca-Ghaemmaghami, P. and Ehlert, U. (2015) Stress during Pregnancy. European Psychologist, 20, 102-119. https://doi.org/10.1027/1016-9040/a000195
[2]
Bjelica, A., Cetkovic, N., Trninic-Pjevic, A. and Mladenovic-Segedi, L. (2018) The Phenomenon of Pregnancy—A Psychological View. Ginekologia Polska, 89, 102-106. https://doi.org/10.5603/gp.a2018.0017
[3]
Wallace, K. and Araji, S. (2020) An Overview of Maternal Anxiety during Pregnancy and the Post-Partum Period. Journal of Mental Health & Clinical Psychology, 4, 47-56. https://doi.org/10.29245/2578-2959/2020/4.1221
[4]
Whitworth, M., Bricker, L. and Mullan, C. (2015) Ultrasound for Fetal Assessment in Early Pregnancy. Cochrane Database of Systematic Reviews, 2015, CD007058. https://doi.org/10.1002/14651858.cd007058.pub3
[5]
Jones, A.K. and Reed, S.A. (2017) Benefits of Ultrasound Scanning during Gestation in the Small Ruminant. Small Ruminant Research, 149, 163-171. https://doi.org/10.1016/j.smallrumres.2017.02.008
[6]
D’Alton, M.E. and Cleary-Goldman, J. (2005) Additional Benefits of First Trimester Screening. Seminars in Perinatology, 29, 405-411. https://doi.org/10.1053/j.semperi.2006.01.010
[7]
Richter, L., Slemming, W., Norris, S.A., Stein, A., Poston, L. and Pasupathy, D. (2020) Health Pregnancy, Healthy Baby: Testing the Added Benefits of Pregnancy Ultrasound Scan for Child Development in a Randomized Control Trial. Trials, 21, Article No. 25. https://doi.org/10.1186/s13063-019-3924-0
[8]
Deklava, L., Lubina, K., Circenis, K., Sudraba, V. and Millere, I. (2015) Causes of Anxiety during Pregnancy. Procedia—Social and Behavioral Sciences, 205, 623-626. https://doi.org/10.1016/j.sbspro.2015.09.097
[9]
Biaggi, A., Conroy, S., Pawlby, S. and Pariante, C.M. (2016) Identifying the Women at Risk of Antenatal Anxiety and Depression: A Systematic Review. Journal of Affective Disorders, 191, 62-77. https://doi.org/10.1016/j.jad.2015.11.014
[10]
Brunton, R., Simpson, N. and Dryer, R. (2020) Pregnancy-Related Anxiety, Perceived Parental Self-Efficacy and the Influence of Parity and Age. International Journal of Environmental Research and Public Health, 17, Article 6709. https://doi.org/10.3390/ijerph17186709
[11]
Rezaee, R. and Framarzi, M. (2014) Predictors of Mental Health during Pregnancy. Iranian Journal of Nursing and Midwifery Research, 19, S45-S50. https://journals.lww.com/jnmr/fulltext/2014/19071/predictors_of_mental_health_during_pregnancy.7.aspx
[12]
Woods-Giscombé, C.L., Lobel, M. and Crandell, J.L. (2010) The Impact of Miscarriage and Parity on Patterns of Maternal Distress in Pregnancy. Research in Nursing & Health, 33, 316-328. https://doi.org/10.1002/nur.20389
[13]
Cheng, E.R., Rifas-Shiman, S.L., Perkins, M.E., Rich-Edwards, J.W., Gillman, M.W., Wright, R., et al. (2016) The Influence of Antenatal Partner Support on Pregnancy Outcomes. Journal of Women’s Health, 25, 672-679. https://doi.org/10.1089/jwh.2015.5462
[14]
Harpel, T.S. (2008) Fear of the Unknown: Ultrasound and Anxiety about Fetal Health. Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 12, 295-312. https://doi.org/10.1177/1363459308090050
[15]
Businelli, C., Bembich, S., Vecchiet, C., Cortivo, C., Norcio, A., Risso, M.F., et al. (2021) The Psychological Burden of Routine Prenatal Ultrasound on Women’s State Anxiety across the Three Trimesters of Pregnancy. European Journal of Obstetrics & Gynecology and Reproductive Biology, 256, 281-286. https://doi.org/10.1016/j.ejogrb.2020.11.065
[16]
McCarthy, M., Houghton, C. and Matvienko-Sikar, K. (2021) Women’s Experiences and Perceptions of Anxiety and Stress during the Perinatal Period: A Systematic Review and Qualitative Evidence Synthesis. BMC Pregnancy and Childbirth, 21, Article No. 811. https://doi.org/10.1186/s12884-021-04271-w
[17]
Rishard, M., Fahmy, F.F., Senanayake, H., Ranaweera, A.K.P., Armocida, B., Mariani, I., et al. (2021) Correlation among Experience of Person-Centered Maternity Care, Provision of Care and Women’s Satisfaction: Cross Sectional Study in Colombo, Sri Lanka. PLOS ONE, 16, e0249265. https://doi.org/10.1371/journal.pone.0249265
[18]
Newman, L., Judd, F. and Komiti, A. (2017) Developmental Implications of Maternal Antenatal Anxiety Mechanisms and Approaches to Intervention. Translational Developmental Psychiatry, 5, Article 1309879. https://doi.org/10.1080/20017022.2017.1309879
[19]
Bright, K.S., Norris, J.M., Letourneau, N.L., King Rosario, M. and Premji, S.S. (2018) Prenatal Maternal Anxiety in South Asia: A Rapid Best-Fit Framework Synthesis. Frontiers in Psychiatry, 9, Article 467. https://doi.org/10.3389/fpsyt.2018.00467
[20]
Spielberger, C.D., Gorsuch, R.L. and Lushene, R.E. (1970) Manual for the State-Trait Anxiety Inventory. http://ubir.buffalo.edu/xmlui/handle/10477/2895
[21]
Bieling, P.J., Antony, M.M. and Swinson, R.P. (1998) The State-Trait Anxiety Inventory, Trait Version: Structure and Content Re-Examined. Behaviour Research and Therapy, 36, 777-788. https://doi.org/10.1016/s0005-7967(98)00023-0
[22]
Julian, L.J. (2011) Measures of Anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care & Research, 63, S467-S472. https://doi.org/10.1002/acr.20561
[23]
Vitasari, P., Wahab, M.N.A., Herawan, T., Othman, A. and Sinnadurai, S.K. (2011) Re-Test of State Trait Anxiety Inventory (STAI) among Engineering Students in Malaysia: Reliability and Validity Tests. Procedia—Social and Behavioral Sciences, 15, 3843-3848. https://doi.org/10.1016/j.sbspro.2011.04.383
[24]
WHO (2010) Process of Translation and Adaptation of Instruments. https://www.who.int/substance_abuse/research_tools/translation/en/
[25]
Pleş, L., Hamoud, B.H., Dimitriu, M.C.T., Cîrstoveanu, C., Socea, B., Ionescu, A., et al. (2021) Psycho-Emotional Impact of Anomaly Ultrasound Scan in Romanian Pregnant Women. Healthcare, 9, Article 1415. https://doi.org/10.3390/healthcare9111415
[26]
Wyatt, S., Ostbye, T., de Silva, V. and Long, Q. (2022) Antenatal Depression in Sri Lanka: A Qualitative Study of Public Health Midwives’ Views and Practices. Reproductive Health, 19, 1-10. https://doi.org/10.1186/s12978-022-01330-z
