Volume 29, Issue 101 (August 2016)                   IJN 2016, 29(101): 1-11 | Back to browse issues page

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Nikibakhsh A, Neisani samani L, Keshavarz M, Hoseini F. Incidence and Severity of Nausea and Vomiting during Pregnancy and its Association with Anxiety and Depression in Pregnant Women. IJN 2016; 29 (101) :1-11
URL: http://ijn.iums.ac.ir/article-1-2294-en.html
1- Master of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. (٭Corresponding author). Tell : 021-66927171 Email: arezoonikibakhsh@yhahoo.com
2- Instructor School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
3- Assistant Professor School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
4- PhD in Biostatistics, Management and Information Sciences, University of Medical Sciences, Tehran, Iran.
Abstract:   (10434 Views)


Background & Aims: Nausea and vomiting are common hard symptoms experienced by pregnant women in the first trimester. Nausea and vomiting of pregnancy (NVP) has adverse effects on the quality of a woman's life, social, relationship with family, and her general health. The aim of this study was determining the relationship between during pregnancy with anxiety and depression.

Material & Methods: It was a descriptive, correlational study. Anxiety and depression scores of 220 women were investigated by using the Spielberger's state-trait anxiety questionnaire and the Edinburgh Depression Inventory. NVP were scored by using the pregnancy unique quantification of emesis and nausea (PUQE). Data was analyzed by SPSSver.16 and Chi-square, and spearman tests.

Results: The frequency of nausea and vomiting in pregnancy was 83/6%. A significant correlation between incidence of nausea and vomiting of pregnancy and both anxiety and depression score (p<0.001) was found.

Conclusion: There is an association between anxiety and depression early in pregnancy and severity of NVP. Furthermore, a psychological evaluation of the pregnant women in addition to other medical evaluation would be useful. 

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Type of Study: Research | Subject: Midwifery
Received: 2016/04/24 | Accepted: 2016/08/6 | Published: 2016/08/6

1. Cuningham M. Williams Obstetrics & gynecology. prentice Hall International Co, East Norwalk: New York 2010.
2. Munch S, Korst L, Hernandez G, Romero R, Goodwin T. Health-related quality of life in women with nausea and vomiting of pregnancy: the importance of psychosocial context. J Perinatol. 2011;31(1):10-20. [DOI:10.1038/jp.2010.54] [PMID] [PMCID]
3. Jarvis S, Nelson-Piercy C. Management of nausea and vomiting in pregnancy. BMJ. 2011;(11):42-9. [DOI:10.1136/bmj.d3606]
4. Koren G, Maltepe C, Navioz Y, Wolpin J. Recall bias of the symptoms of nausea and vomiting of pregnancy. Am J Obstet Gynecol. 2004;190(2):485-8. [DOI:10.1016/j.ajog.2003.08.039] [PMID]
5. Martin RP, Wisenbaker J, Huttunen MO. Nausea during pregnancy: relation to early childhood temperament and behavior problems at twelve years. J Abnorm Child Psychol. 1999;27(4):323-9. [DOI:10.1023/A:1022662726587] [PMID]
6. Köken G, Yilmazer M, Cosar En, Sahi˙ n FgK, Cevri˙ oglu S, Geci˙ ci˙ Ö. Nausea and vomiting in early pregnancy: relationship with anxiety and depression. J Psychosom Obstet Gynecol. 2008;29(2):91-5. [DOI:10.1080/01674820701733697]
7. Dooley L. Psychoanalysis of Charlotte Brontë, as a Type of the Woman of Genius. Am J Psychol. 1920;31(3):221-7. [DOI:10.2307/1413538]
8. Fairweather DV. Nause and vomiting in pregnancy. Am J Obstet Gynecol. 1968;102(1):135-75. [DOI:10.1016/0002-9378(68)90445-6]
9. Broussard CN, Richter JE. Nausea and vomiting of pregnancy. Gastroenterol Clin North Am. 1998;27(1):123-51. [DOI:10.1016/S0889-8553(05)70350-2]
10. Sostre SO, Varma D, Sostre SS. 'Morning Sickness' in Pregnancy Loses Psychogenic Stigma; Evidence Refutes Past Beliefs, Supports Organic Causes and Psychological Sequelae. Current Psychiatry. 2008;7(7):31-9.
11. Tan PC, Vani S, Lim BK, Omar SZ. Anxiety and depression in hyperemesis gravidarum: prevalence, risk factors and correlation with clinical severity. Eur J Obstet Gynecol Reprod Biol. 2010;149(2):153-8. [DOI:10.1016/j.ejogrb.2009.12.031] [PMID]
12. Bozzo P, Koren G, Nava-Ocampo AA, Einarson A. The incidence of nausea and vomiting of pregnancy (NVP): a comparison between depressed women treated with antidepressants and non-depressed women. Clinical and investigative medicine. 2006;29(6):347-50.
13. Matthews A, Haas DM, O'Mathu´na DP, Dowswell T, Doyle M. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev. 2010;8(9):75. [DOI:10.1002/14651858.CD007575.pub2]
14. Baggley A, Navioz Y, Maltepe C, Koren G, Einarson A. Determinants of women's decision making on whether to treat nausea and vomiting of pregnancy pharmacologically. J Midwifery Womens Health. 2004;49(4):350-4. [DOI:10.1016/j.jmwh.2004.03.011] [PMID]
15. Koren G, Boskovic R, Hard M, Maltepe C, Navioz Y, Einarson A. Motherisk—PUQE (pregnancy-unique quantification of emesis and nausea) scoring system for nausea and vomiting of pregnancy. Am J Obstet Gynecol. 2002;186(5):S228-S31. [DOI:10.1067/mob.2002.123054] [PMID]
16. Soltani A, Kajuri MD, Safavi S, Hosseini F. [Frequency and severity of nausea and vomiting in pregnancy and the related factors among pregnant women]. Iran Journal of Nursing. 2007;19(48):95-102.
17. Ebrahimi N, Maltepe C, Bournissen FG, Koren G. Nausea and vomiting of pregnancy: using the 24-hour Pregnancy-Unique Quantification of Emesis (PUQE-24) scale. J Obstet Gynaecol Can. 2009;31(9):803-7. [DOI:10.1016/S1701-2163(16)34298-0]
18. Dizaji Alipour M, Feyz Z, Syed Fatemi N, Hosseini F. [Anxiety during pregnancy and the incidence of preeclampsia in primigravidas Aklamsy referred to health centers of Tabriz University of Medical Sciences]. MS Thesis, Iran University of Medical Sciences. 2007.
19. Shahhosseini Z, Abedian K, Azimi H. [Role of anxiety during pregnancy in preterm delivery]. Zums Journal. 2008;16(63):85-92.
20. Banazadeh Z, Baghban I, Fatehi Zadeh M. [A Study on Effectiveness of Behavioral Couple Therapy on Depression During Pregnancy]. Journal of Family Research. 2007; 3(9): 421-30.
21. Bergink V, Kooistra L, Lambregtse-van den Berg MP, Wijnen H, Bunevicius R, van Baar A, et al. Validation of the Edinburgh Depression Scale during pregnancy. J Psychosom Res. 2011;70(4):385-9. [DOI:10.1016/j.jpsychores.2010.07.008] [PMID]
22. Bazarganipour F, Mahmoodi H, Shamsaee B, Taghavi A. [The Frequency and Severity of Nausea and Vomiting during Pregnancy and its Association with Psychosocial Health]. Journal of Midwifery and Reproductive Health. 2015;3(3):401-7.
23. Andersson L, Sundström-Poromaa I, Wulff M, Åström M, Bixo M. Implications of antenatal depression and anxiety for obstetric outcome. Obstet Gynecol. 2004;104(3):467-76. [DOI:10.1097/01.AOG.0000135277.04565.e9] [PMID]
24. Kitamura T, Sugawara M, Sugawara K, Toda MA, Shima S. Psychosocial study of depression in early pregnancy. Br J Psychiatry. 1996;168(6):732-8. [DOI:10.1192/bjp.168.6.732] [PMID]
25. Zinbarg RE, Uliaszek AA, Adler JM. The role of personality in psychotherapy for anxiety and depression. J Pers. 2008;76(6):1649-88. [DOI:10.1111/j.1467-6494.2008.00534.x] [PMID]
26. Uguz F, Gezginc K, Kayhan F, Cicek E, Kantarci AH. Is hyperemesis gravidarum associated with mood, anxiety and personality disorders: a case-control study. Gen Hosp Psychiatry. 2012;34:398– 402. [DOI:10.1016/j.genhosppsych.2012.03.021] [PMID]
27. Leung BM, Kaplan BJ. Perinatal depression: prevalence, risks, and the nutrition link—a review of the literature. J Am Diet Assoc. 2009;109(9):1566-75. [DOI:10.1016/j.jada.2009.06.368] [PMID]
28. Lowdermilk P. Maternity nursing. 7th ed. Canada: Mosby; 2006.

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