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Effects of interventions for women and their partners to reduce or prevent stress and anxiety: A systematic review

Matvienko-Sikar, Karen; Flannery, Caragh; Redsell, Sarah; Hayes, Catherine; Kearney, Patricia M.; Huizink, Anja

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Authors

Karen Matvienko-Sikar

Caragh Flannery

SARAH REDSELL SARAH.REDSELL@NOTTINGHAM.AC.UK
Professor of Childrens' Community and Public Health

Catherine Hayes

Patricia M. Kearney

Anja Huizink



Abstract

© 2021 The Authors Background: The period from conception to two years postpartum (the first 1000 days) represents a normative transitional period, which can be potentially stressful for some parents. Parental stress and anxiety adversely impacts psychological and physical health for parents and children. Aim: The aim of this review is to systematically examine effects of interventions for women and their partners to reduce or prevent stress and/or anxiety during the first 1000 days. Methods: MEDLINE, Embase, CINAHL, PsychINFO, and Maternity and Infant Care were searched from inception to March 2019. Randomised controlled trials examining intervention effects on parental stress and/or anxiety during first 1000 days were eligible for inclusion. Data were independently extracted by two reviewers and narratively synthesised. Findings: Fifteen interventions, reported in 16 studies, met inclusion criteria (n = 1911 participants). Overall, findings were inconsistent and the majority of trials demonstrated high risk of bias. Interventions were predominantly delivered to women during pregnancy and only two studies included fathers. There was some evidence that adapting interventions to the pre and postnatal periods provided benefits for stress and anxiety reduction, however there was limited evidence for individual intervention types or approaches. Conclusions: There is currently inconsistent evidence of what interventions are most effective for women during the first 1000 days and there is insufficient evidence for any interventions for male partners during this period. There is a clear need for rigorous development and examination of interventions developed specifically to reduce or prevent stress and/or anxiety across the first 1000 days.

Citation

Matvienko-Sikar, K., Flannery, C., Redsell, S., Hayes, C., Kearney, P. M., & Huizink, A. (2021). Effects of interventions for women and their partners to reduce or prevent stress and anxiety: A systematic review. Women and Birth, 34(2), e97-e117. https://doi.org/10.1016/j.wombi.2020.02.010

Journal Article Type Article
Acceptance Date Feb 9, 2020
Online Publication Date Feb 24, 2021
Publication Date Mar 1, 2021
Deposit Date Mar 16, 2021
Publicly Available Date Mar 29, 2024
Journal Women and Birth
Print ISSN 1871-5192
Electronic ISSN 1878-1799
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 34
Issue 2
Pages e97-e117
DOI https://doi.org/10.1016/j.wombi.2020.02.010
Keywords Maternity and Midwifery; Obstetrics and Gynecology
Public URL https://nottingham-repository.worktribe.com/output/5398046
Publisher URL https://www.sciencedirect.com/science/article/pii/S1871519219309369?via%3Dihub
Additional Information This article is maintained by: Elsevier; Article Title: Effects of interventions for women and their partners to reduce or prevent stress and anxiety: A systematic review; Journal Title: Women and Birth; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.wombi.2020.02.010; Content Type: article; Copyright: © 2021 The Authors. Published by Elsevier Ltd on behalf of Australian College of Midwives.

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