Psychological Vulnerability During Pregnancy and Its Obstetric Consequences: A Multidimensional Approach Article Swipe
Ioana Denisa Socol
,
Ahmed Abu-Awwad
,
Flavius George Socol
,
Simona Sorina Farcaș
,
Simona-Alina Abu-Awwad
,
Bogdan-Ionel Dumitriu
,
Alina-Iasmina Dumitriu
,
Daniela Iacob
,
D. Vasile
,
Nicoleta Andreescu
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/healthcare13172211
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/healthcare13172211
Background/Objectives: Maternal depression, anxiety, perceived stress, and resilience are recognized determinants of perinatal health, yet routine psychological screening is still uncommon in Romanian obstetric practice. This study examined how these four psychological factors relate to preterm birth, gestational hypertension, intra-uterine growth restriction (IUGR), and low birth weight in primiparous women. Methods: In a cross-sectional study at a tertiary maternity center in Timișoara (February 2024–February 2025), 240 women at 20–28 weeks’ gestation completed the Edinburgh Postnatal Depression Scale (EPDS), Generalized Anxiety Disorder-7 (GAD-7), Perceived Stress Scale-10 (PSS-10), and Connor–Davidson Resilience Scale-25 (CD-RISC-25). Obstetric outcomes were abstracted from medical records. Pearson correlations described bivariate associations; multivariate logistic regression assessed independent effects after mutual adjustment. Results: Preterm birth occurred in 21% of pregnancies, gestational hypertension in 17%, IUGR in 15%, and low birth weight in 21%. Higher EPDS, GAD-7, and PSS-10 scores correlated positively with each complication (r = 0.19–0.36; p < 0.02), whereas CD-RISC-25 scores showed inverse correlations (r = −0.22 to −0.29; p ≤ 0.012). In the fully adjusted model, GAD-7 remained the only independent psychological predictor of the composite obstetric outcome (β = 0.047; 95% CI 0.010–0.083; p = 0.013). Perceived stress approached significance; depression and resilience were no longer significant after adjustment. Conclusions: Generalized anxiety was the most robust psychological determinant of adverse obstetric outcomes, with perceived stress, depression, and lower resilience showing contributory roles at the unadjusted level. Incorporating brief instruments such as the GAD-7, PSS-10, and CD-RISC-25 into routine prenatal care could facilitate early identification of at-risk pregnancies and inform targeted preventive interventions.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/healthcare13172211
- https://www.mdpi.com/2227-9032/13/17/2211/pdf?version=1756951098
- OA Status
- gold
- References
- 37
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4413993140
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4413993140Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/healthcare13172211Digital Object Identifier
- Title
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Psychological Vulnerability During Pregnancy and Its Obstetric Consequences: A Multidimensional ApproachWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-09-04Full publication date if available
- Authors
-
Ioana Denisa Socol, Ahmed Abu-Awwad, Flavius George Socol, Simona Sorina Farcaș, Simona-Alina Abu-Awwad, Bogdan-Ionel Dumitriu, Alina-Iasmina Dumitriu, Daniela Iacob, D. Vasile, Nicoleta AndreescuList of authors in order
- Landing page
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https://doi.org/10.3390/healthcare13172211Publisher landing page
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https://www.mdpi.com/2227-9032/13/17/2211/pdf?version=1756951098Direct link to full text PDF
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2227-9032/13/17/2211/pdf?version=1756951098Direct OA link when available
- Concepts
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Vulnerability (computing), Pregnancy, Psychology, Medicine, Computer science, Computer security, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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