School of Public Health, University College Cork, Cork, Ireland.
School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
BMC Pregnancy Childbirth. 2021 Dec 6;21(1):811. doi: 10.1186/s12884-021-04271-w.
The perinatal period, from pregnancy to the first year postpartum, is a transitional period that can result in anxiety and stress for some women. Perinatal anxiety and stress can adversely impact the physical and psychological health of women and children. Understanding women's lived experiences of perinatal anxiety and stress is essential to better support women. The aim of this qualitative evidence synthesis was to examine women's experiences and perceptions of, and barriers and facilitators to coping with, perinatal anxiety and stress.
Databases CINAHL, EMBASE, MEDLINE, PsycINFO and Maternity and Infant Care were searched from inception to June 2020. Eligible studies included women who were pregnant or up to one year postpartum and examined women's experiences of anxiety and/or stress during the perinatal period. Data were synthesised using thematic synthesis.
Of 20,318 identified articles, 13 studies met inclusion criteria and were included in this review. Five key themes emerged: Social support, women's experiences of healthcare, social norms and expectations, factors that impact on coping and mother and baby's health.
This review provided a comprehensive synthesis of perinatal anxiety and stress. Findings indicate that increased support for perinatal mental health in antenatal and postpartum care is needed. Addressing unrealistic expectations and conceptualisations of motherhood is also important to better support women. Enhancing women's social support networks and provision of clear and consistent information are also essential to support women and minimise stress and anxiety in the perinatal period.
围产期（从怀孕到产后第一年）是一个过渡期，一些女性可能会因此感到焦虑和压力。围产期焦虑和压力会对母婴的身心健康产生不利影响。了解女性在围产期经历焦虑和压力的情况，对于更好地支持女性至关重要。本定性证据综合研究旨在探讨女性在围产期经历焦虑和/或压力时的体验、看法、应对障碍和促进因素。
从建库起至 2020 年 6 月，对 CINAHL、EMBASE、MEDLINE、PsycINFO 和母婴护理数据库进行了检索。纳入的研究包括孕妇或产后一年以内的女性，并检查了女性在围产期经历焦虑和/或压力的情况。使用主题综合法对数据进行综合分析。
在 20,318 篇已确定的文章中，有 13 项研究符合纳入标准并被纳入本综述。五个关键主题出现：社会支持、女性对医疗保健的体验、社会规范和期望、影响应对的因素以及母婴健康。
本综述提供了围产期焦虑和压力的综合分析。研究结果表明，需要在产前和产后护理中增加对围产期心理健康的支持。解决不切实际的期望和对母性的概念化也很重要，以更好地支持女性。增强女性的社会支持网络，并提供清晰一致的信息，也是支持女性并减轻围产期压力和焦虑的必要条件。
