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Ethics code: IR.MEDILAM.REC.1397.073
Department of Midwifery, School of Nursing and Midwifery, Ilam University of Medical sciences, Ilam, Iran
Abstract: (1050 Views)
Background and Aim: Preeclampsia is the third leading cause of maternal mortality in the world and
the second most common cause of death in pregnant mothers in Iran. Psychosocial aspects have been
recently considered as a risk factor for developing preeclampsia. The purpose of this study was to
determine the association between psychological factors and the chance of developing preeclampsia.
Materials and Methods: This systematic review and meta-analysis was performed based on the
studies conducted in the world. We searched seven databases (Irandoc, SID, Magiran, Iranmedex,
PubMed, Scopus, Web of science, Cochrane, ISI, and Embace databases), by using keywords of
psychological factors, stress, anxiety, depression, and preeclampsia to find relevant articles published
between 2008- 2018. Data from relevant studies were extracted by two persons separately and
evaluated by using the Stroop checklist. After extracting the required data, they were combined using
a random model and the heterogeneity of the studies was evaluated by the I2 indices. STATA-11
software was used for data analysis.
Results: In the present study 11 articles were analyzed. The total number of samples in the study was
658678. The chances of preeclampsia in individuals with stress, anxiety, depression, and those
exposed to violence were estimated to be 1.21, 3.07, 3.04, and 2.37, respectively.
Conclusion: Considering the importance of preeclampsia in pregnancy and its impact on maternal and
fetal health, basic measures should be taken to prevent it by identifying people at risk and the
contributing factors, such as routine screening of psychological factors before and through the
pregnancy semesters
the second most common cause of death in pregnant mothers in Iran. Psychosocial aspects have been
recently considered as a risk factor for developing preeclampsia. The purpose of this study was to
determine the association between psychological factors and the chance of developing preeclampsia.
Materials and Methods: This systematic review and meta-analysis was performed based on the
studies conducted in the world. We searched seven databases (Irandoc, SID, Magiran, Iranmedex,
PubMed, Scopus, Web of science, Cochrane, ISI, and Embace databases), by using keywords of
psychological factors, stress, anxiety, depression, and preeclampsia to find relevant articles published
between 2008- 2018. Data from relevant studies were extracted by two persons separately and
evaluated by using the Stroop checklist. After extracting the required data, they were combined using
a random model and the heterogeneity of the studies was evaluated by the I2 indices. STATA-11
software was used for data analysis.
Results: In the present study 11 articles were analyzed. The total number of samples in the study was
658678. The chances of preeclampsia in individuals with stress, anxiety, depression, and those
exposed to violence were estimated to be 1.21, 3.07, 3.04, and 2.37, respectively.
Conclusion: Considering the importance of preeclampsia in pregnancy and its impact on maternal and
fetal health, basic measures should be taken to prevent it by identifying people at risk and the
contributing factors, such as routine screening of psychological factors before and through the
pregnancy semesters
Received: 2018/05/8 | Accepted: 2018/08/29 | Published: 2021/05/31
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