Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation

Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Rosalia Pascal [verfasserIn] Irene Casas [verfasserIn] Mariona Genero [verfasserIn] Ayako Nakaki [verfasserIn] Lina Youssef [verfasserIn] Marta Larroya [verfasserIn] Leticia Benitez [verfasserIn] Yvan Gomez [verfasserIn] Anabel Martinez-Aran [verfasserIn] Ivette Morilla [verfasserIn] Teresa M. Oller-Guzmán [verfasserIn] Andrés Martín-Asuero [verfasserIn] Eduard Vieta [verfasserIn] Fàtima Crispi [verfasserIn] Eduard Gratacos [verfasserIn] María Dolores Gomez-Roig [verfasserIn] Francesca Crovetto [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	mental stress anxiety well-being sleep quality pregnancy

Übergeordnetes Werk:	In: Journal of Clinical Medicine - MDPI AG, 2013, 12(2023), 23, p 7333
Übergeordnetes Werk:	volume:12 ; year:2023 ; number:23, p 7333

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/jcm12237333

Katalog-ID:	DOAJ099965380

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520			\|a Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk.
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allfields	10.3390/jcm12237333 doi (DE-627)DOAJ099965380 (DE-599)DOAJ236cb6941bcb4cb1835733c0f48ef893 DE-627 ger DE-627 rakwb eng Rosalia Pascal verfasserin aut Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk. mental stress anxiety well-being sleep quality pregnancy Medicine R Irene Casas verfasserin aut Mariona Genero verfasserin aut Ayako Nakaki verfasserin aut Lina Youssef verfasserin aut Marta Larroya verfasserin aut Leticia Benitez verfasserin aut Yvan Gomez verfasserin aut Anabel Martinez-Aran verfasserin aut Ivette Morilla verfasserin aut Teresa M. Oller-Guzmán verfasserin aut Andrés Martín-Asuero verfasserin aut Eduard Vieta verfasserin aut Fàtima Crispi verfasserin aut Eduard Gratacos verfasserin aut María Dolores Gomez-Roig verfasserin aut Francesca Crovetto verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 23, p 7333 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:23, p 7333 https://doi.org/10.3390/jcm12237333 kostenfrei https://doaj.org/article/236cb6941bcb4cb1835733c0f48ef893 kostenfrei https://www.mdpi.com/2077-0383/12/23/7333 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 23, p 7333
spelling	10.3390/jcm12237333 doi (DE-627)DOAJ099965380 (DE-599)DOAJ236cb6941bcb4cb1835733c0f48ef893 DE-627 ger DE-627 rakwb eng Rosalia Pascal verfasserin aut Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk. mental stress anxiety well-being sleep quality pregnancy Medicine R Irene Casas verfasserin aut Mariona Genero verfasserin aut Ayako Nakaki verfasserin aut Lina Youssef verfasserin aut Marta Larroya verfasserin aut Leticia Benitez verfasserin aut Yvan Gomez verfasserin aut Anabel Martinez-Aran verfasserin aut Ivette Morilla verfasserin aut Teresa M. Oller-Guzmán verfasserin aut Andrés Martín-Asuero verfasserin aut Eduard Vieta verfasserin aut Fàtima Crispi verfasserin aut Eduard Gratacos verfasserin aut María Dolores Gomez-Roig verfasserin aut Francesca Crovetto verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 23, p 7333 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:23, p 7333 https://doi.org/10.3390/jcm12237333 kostenfrei https://doaj.org/article/236cb6941bcb4cb1835733c0f48ef893 kostenfrei https://www.mdpi.com/2077-0383/12/23/7333 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 23, p 7333
allfields_unstemmed	10.3390/jcm12237333 doi (DE-627)DOAJ099965380 (DE-599)DOAJ236cb6941bcb4cb1835733c0f48ef893 DE-627 ger DE-627 rakwb eng Rosalia Pascal verfasserin aut Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk. mental stress anxiety well-being sleep quality pregnancy Medicine R Irene Casas verfasserin aut Mariona Genero verfasserin aut Ayako Nakaki verfasserin aut Lina Youssef verfasserin aut Marta Larroya verfasserin aut Leticia Benitez verfasserin aut Yvan Gomez verfasserin aut Anabel Martinez-Aran verfasserin aut Ivette Morilla verfasserin aut Teresa M. Oller-Guzmán verfasserin aut Andrés Martín-Asuero verfasserin aut Eduard Vieta verfasserin aut Fàtima Crispi verfasserin aut Eduard Gratacos verfasserin aut María Dolores Gomez-Roig verfasserin aut Francesca Crovetto verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 23, p 7333 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:23, p 7333 https://doi.org/10.3390/jcm12237333 kostenfrei https://doaj.org/article/236cb6941bcb4cb1835733c0f48ef893 kostenfrei https://www.mdpi.com/2077-0383/12/23/7333 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 23, p 7333
allfieldsGer	10.3390/jcm12237333 doi (DE-627)DOAJ099965380 (DE-599)DOAJ236cb6941bcb4cb1835733c0f48ef893 DE-627 ger DE-627 rakwb eng Rosalia Pascal verfasserin aut Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk. mental stress anxiety well-being sleep quality pregnancy Medicine R Irene Casas verfasserin aut Mariona Genero verfasserin aut Ayako Nakaki verfasserin aut Lina Youssef verfasserin aut Marta Larroya verfasserin aut Leticia Benitez verfasserin aut Yvan Gomez verfasserin aut Anabel Martinez-Aran verfasserin aut Ivette Morilla verfasserin aut Teresa M. Oller-Guzmán verfasserin aut Andrés Martín-Asuero verfasserin aut Eduard Vieta verfasserin aut Fàtima Crispi verfasserin aut Eduard Gratacos verfasserin aut María Dolores Gomez-Roig verfasserin aut Francesca Crovetto verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 23, p 7333 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:23, p 7333 https://doi.org/10.3390/jcm12237333 kostenfrei https://doaj.org/article/236cb6941bcb4cb1835733c0f48ef893 kostenfrei https://www.mdpi.com/2077-0383/12/23/7333 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 23, p 7333
allfieldsSound	10.3390/jcm12237333 doi (DE-627)DOAJ099965380 (DE-599)DOAJ236cb6941bcb4cb1835733c0f48ef893 DE-627 ger DE-627 rakwb eng Rosalia Pascal verfasserin aut Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk. mental stress anxiety well-being sleep quality pregnancy Medicine R Irene Casas verfasserin aut Mariona Genero verfasserin aut Ayako Nakaki verfasserin aut Lina Youssef verfasserin aut Marta Larroya verfasserin aut Leticia Benitez verfasserin aut Yvan Gomez verfasserin aut Anabel Martinez-Aran verfasserin aut Ivette Morilla verfasserin aut Teresa M. Oller-Guzmán verfasserin aut Andrés Martín-Asuero verfasserin aut Eduard Vieta verfasserin aut Fàtima Crispi verfasserin aut Eduard Gratacos verfasserin aut María Dolores Gomez-Roig verfasserin aut Francesca Crovetto verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 23, p 7333 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:23, p 7333 https://doi.org/10.3390/jcm12237333 kostenfrei https://doaj.org/article/236cb6941bcb4cb1835733c0f48ef893 kostenfrei https://www.mdpi.com/2077-0383/12/23/7333 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 23, p 7333
language	English
source	In Journal of Clinical Medicine 12(2023), 23, p 7333 volume:12 year:2023 number:23, p 7333
sourceStr	In Journal of Clinical Medicine 12(2023), 23, p 7333 volume:12 year:2023 number:23, p 7333
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	mental stress anxiety well-being sleep quality pregnancy Medicine R
isfreeaccess_bool	true
container_title	Journal of Clinical Medicine
authorswithroles_txt_mv	Rosalia Pascal @@aut@@ Irene Casas @@aut@@ Mariona Genero @@aut@@ Ayako Nakaki @@aut@@ Lina Youssef @@aut@@ Marta Larroya @@aut@@ Leticia Benitez @@aut@@ Yvan Gomez @@aut@@ Anabel Martinez-Aran @@aut@@ Ivette Morilla @@aut@@ Teresa M. Oller-Guzmán @@aut@@ Andrés Martín-Asuero @@aut@@ Eduard Vieta @@aut@@ Fàtima Crispi @@aut@@ Eduard Gratacos @@aut@@ María Dolores Gomez-Roig @@aut@@ Francesca Crovetto @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	718632478
id	DOAJ099965380
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ099965380</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240414062501.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">240414s2023 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.3390/jcm12237333</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ099965380</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ236cb6941bcb4cb1835733c0f48ef893</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Rosalia Pascal</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. 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author	Rosalia Pascal
spellingShingle	Rosalia Pascal misc mental stress misc anxiety misc well-being misc sleep quality misc pregnancy misc Medicine misc R Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation
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topic_title	Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation mental stress anxiety well-being sleep quality pregnancy
topic	misc mental stress misc anxiety misc well-being misc sleep quality misc pregnancy misc Medicine misc R
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title	Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation
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author_browse	Rosalia Pascal Irene Casas Mariona Genero Ayako Nakaki Lina Youssef Marta Larroya Leticia Benitez Yvan Gomez Anabel Martinez-Aran Ivette Morilla Teresa M. Oller-Guzmán Andrés Martín-Asuero Eduard Vieta Fàtima Crispi Eduard Gratacos María Dolores Gomez-Roig Francesca Crovetto
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title_sort	maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation
title_auth	Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation
abstract	Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk.
abstractGer	Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk.
abstract_unstemmed	Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk.
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Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (<i<n</i< = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age <40 years (OR 2.02; 95% CI 1.08–3.81, <i<p</i< = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, <i<p</i< = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, <i<p</i< = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, <i<p</i< = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, <i<p</i< = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, <i<p</i< = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, <i<p</i< = 0.02). Finally, less sleep quality was observed at the end of pregnancy (<i<p</i< < 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">mental stress</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">anxiety</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">well-being</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">sleep quality</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">pregnancy</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Irene Casas</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Mariona Genero</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ayako Nakaki</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Lina Youssef</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Marta Larroya</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Leticia Benitez</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Yvan Gomez</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Anabel Martinez-Aran</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ivette Morilla</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Teresa M. 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Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation

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