Abstract：
OBJECTIVE: Complications during pregnancy can negatively impact the physical and psychological wellbeing of mothers. This systematic review aimed to synthesise evidence which has examined the impact of high-risk conditions developed during pregnancy on women\'s coping, wellbeing, and symptoms of psychopathology.
METHODS: Medline (Ovid), PsycINFO (ProQuest), Scopus, Web of science, AMED (Ebsco), CINAHL (Ebsco) and ProQuest databases were searched in May 2021 with no restrictions on publication date.
METHODS: English-language literature was reviewed to identify 31 articles.
METHODS: Fifteen articles examined Gestational Diabetes Mellitus (GDM: 48%), nine examined multiple high-risk pregnancy conditions (29%), four examined Hypertensive disorders of pregnancy, Preeclampsia (PE: 13%), two did not specify the condition examined (7%), and one examined Pregnancy-Related Acute Kidney Injury (PR-AKI: 3%). The most common study design was quantitative, non-randomised, and survey-based.
RESULTS: Twenty-seven articles (87%) reported a high-risk pregnancy resulted in decreased wellbeing and ability to cope, and increased symptoms of psychopathology. The remaining four articles (13%) reported no difference in wellbeing or psychopathology outcomes for women experiencing high-risk compared to healthy pregnancies. Moreover, hypertensive disorders and GDM were associated with ineffective submissive or avoidant coping, reduced wellbeing, and quality-of-life, and exacerbated symptoms of anxiety and depression.
CONCLUSIONS: High-risk pregnancy negatively impacts coping, wellbeing, and psychopathology, and preventive and supportive interventions to mitigate this should focus on empowering women to feel optimistic and in control of their pregnancy. A holistic and culturally sensitive approach is recommended, where pregnant women (and their partners or support people) are involved in healthcare decisions, thus promoting wellbeing, coping, satisfaction, and improved treatment outcome.
METHODS: Medline (Ovid), PsycINFO (ProQuest), Scopus, Web of science, AMED (Ebsco), CINAHL (Ebsco) and ProQuest databases were searched in May 2021 with no restrictions on publication date.
METHODS: English-language literature was reviewed to identify 31 articles.
METHODS: Fifteen articles examined Gestational Diabetes Mellitus (GDM: 48%), nine examined multiple high-risk pregnancy conditions (29%), four examined Hypertensive disorders of pregnancy, Preeclampsia (PE: 13%), two did not specify the condition examined (7%), and one examined Pregnancy-Related Acute Kidney Injury (PR-AKI: 3%). The most common study design was quantitative, non-randomised, and survey-based.
RESULTS: Twenty-seven articles (87%) reported a high-risk pregnancy resulted in decreased wellbeing and ability to cope, and increased symptoms of psychopathology. The remaining four articles (13%) reported no difference in wellbeing or psychopathology outcomes for women experiencing high-risk compared to healthy pregnancies. Moreover, hypertensive disorders and GDM were associated with ineffective submissive or avoidant coping, reduced wellbeing, and quality-of-life, and exacerbated symptoms of anxiety and depression.
CONCLUSIONS: High-risk pregnancy negatively impacts coping, wellbeing, and psychopathology, and preventive and supportive interventions to mitigate this should focus on empowering women to feel optimistic and in control of their pregnancy. A holistic and culturally sensitive approach is recommended, where pregnant women (and their partners or support people) are involved in healthcare decisions, thus promoting wellbeing, coping, satisfaction, and improved treatment outcome.
摘要：
目的：怀孕期间的并发症会对母亲的身心健康产生负面影响。本系统综述旨在综合研究怀孕期间发生的高危疾病对妇女应对的影响的证据。幸福,和精神病理学的症状。
方法：Medline(Ovid)，PsycINFO(ProQuest),Scopus,WebofScience,AMED(Ebsco),CINAHL（Ebsco）和ProQuest数据库于2021年5月进行了搜索，对发布日期没有限制。
方法：回顾了英语文献，确定了31篇文章。
方法：15篇文章检查了妊娠期糖尿病（GDM：48％），9人检查了多种高危妊娠情况（29％），四个检查了妊娠高血压疾病，子痫前期（PE：13%），两个人没有指定检查的条件(7%)，和一个检查了妊娠相关的急性肾损伤（PR-AKI：3％）。最常见的研究设计是定量的，非随机化，基于调查。
结果：27篇文章（87%）报道了高危妊娠导致健康和应对能力下降，精神病理学症状增加。其余四篇文章（13％）报告说，与健康怀孕相比，高风险女性的幸福感或心理病理学结果没有差异。此外，高血压疾病和GDM与无效的顺从或回避应对有关，减少福祉，和生活质量，加剧了焦虑和抑郁的症状.
结论：高危妊娠对应对产生负面影响，幸福,和精神病理学，和预防和支持性干预措施，以减轻这种情况应侧重于使妇女感到乐观和控制自己的怀孕。建议采取全面和文化敏感的方法，孕妇（及其伴侣或支持者）参与医疗保健决策，从而促进福祉，应对,满意,改善治疗结果。
方法：Medline(Ovid)，PsycINFO(ProQuest),Scopus,WebofScience,AMED(Ebsco),CINAHL（Ebsco）和ProQuest数据库于2021年5月进行了搜索，对发布日期没有限制。
方法：回顾了英语文献，确定了31篇文章。
方法：15篇文章检查了妊娠期糖尿病（GDM：48％），9人检查了多种高危妊娠情况（29％），四个检查了妊娠高血压疾病，子痫前期（PE：13%），两个人没有指定检查的条件(7%)，和一个检查了妊娠相关的急性肾损伤（PR-AKI：3％）。最常见的研究设计是定量的，非随机化，基于调查。
结果：27篇文章（87%）报道了高危妊娠导致健康和应对能力下降，精神病理学症状增加。其余四篇文章（13％）报告说，与健康怀孕相比，高风险女性的幸福感或心理病理学结果没有差异。此外，高血压疾病和GDM与无效的顺从或回避应对有关，减少福祉，和生活质量，加剧了焦虑和抑郁的症状.
结论：高危妊娠对应对产生负面影响，幸福,和精神病理学，和预防和支持性干预措施，以减轻这种情况应侧重于使妇女感到乐观和控制自己的怀孕。建议采取全面和文化敏感的方法，孕妇（及其伴侣或支持者）参与医疗保健决策，从而促进福祉，应对,满意,改善治疗结果。
