{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:09:32Z","timestamp":1787022572813,"version":"build-2736575974"},"reference-count":30,"publisher":"Walter de Gruyter GmbH","issue":"5","license":[{"start":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T00:00:00Z","timestamp":1649376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jbcpp-2021-0384_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate anxiety and psychological impact of abnormally invasive placenta (AIP) diagnosis during pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jbcpp-2021-0384_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey study was performed to assess the psychological response of pregnant women with an antenatally AIP diagnosis. The psychological impact was measured through a visual analogue scale (VAS) for anxiety, which ranged from 0 (not at all anxious) to 100 (extremely anxious) and was referred to three questions: (1) How anxious were you the first time they counselled you about AIP?; (2) How anxious were you the day of the planned cesarean delivery in terms of morbidity\/mortality?; (3) How anxious were you in terms of future sexual activities?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jbcpp-2021-0384_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>48 singleton pregnancies that underwent planned cesarean hysterectomy for AIP, met the inclusion criteria and were surveyed for the study. Mean VAS was 41.6\u00a0\u00b1\u00a025.6, with 47.9% of women with VAS &gt;50 for question 1 (p=0.015). Mean VAS was 52.9\u00a0\u00b1\u00a019.1, with 75.0% of women with VAS &gt;50 for question 2 (p=0.02). Mean VAS was 49.6\u00a0\u00b1\u00a020.4, with 83.3% of women with VAS &gt;50 for question 3 (p=0.006).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jbcpp-2021-0384_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>More than half of pregnant women with an antenatally AIP diagnosis reported a high VAS score regarding anxiety, in particular when morbidity\/mortality and long-term consequences on sexual activities were analyzed. Our findings could be used to formulate timely psychological interventions to improve mental health and psychological resilience in women with AIP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jbcpp-2021-0384","type":"journal-article","created":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T23:04:55Z","timestamp":1649286295000},"page":"649-653","source":"Crossref","is-referenced-by-count":4,"title":["Psychological impact of abnormally invasive placenta: an underestimated and hidden morbidity"],"prefix":"10.1515","volume":"33","author":[{"given":"Felice","family":"Crocetto","sequence":"first","affiliation":[{"name":"Department of Neurosciences , Reproductive Sciences and Odontostomatology, University of Naples \u201cFederico II\u201d , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4884-132X","authenticated-orcid":false,"given":"Biagio","family":"Barone","sequence":"additional","affiliation":[{"name":"Department of Neurosciences , Reproductive Sciences and Odontostomatology, University of Naples \u201cFederico II\u201d , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elvira","family":"Bonito","sequence":"additional","affiliation":[{"name":"Department of Neurosciences , Reproductive Sciences and Odontostomatology, University of Naples \u201cFederico II\u201d , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Maggi","sequence":"additional","affiliation":[{"name":"Department of Urology , Sapienza Rome University, Policlinico Umberto I , Rome , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo F.","family":"Caputo","sequence":"additional","affiliation":[{"name":"Department of Neurosciences , Reproductive Sciences and Odontostomatology, University of Naples \u201cFederico II\u201d , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"di Girolamo","sequence":"additional","affiliation":[{"name":"Urology Unit , AORN Moscati , Avellino , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Trama","sequence":"additional","affiliation":[{"name":"Department of Andrology and Urogynecological clinic , University of Perugia, Santa Maria Terni Hospital , Terni , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attilio","family":"di Spiezio Sardo","sequence":"additional","affiliation":[{"name":"Department of Public Health , School of Medicine, University of Naples Federico II , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brunella","family":"Zizolfi","sequence":"additional","affiliation":[{"name":"Department of Public Health , School of Medicine, University of Naples Federico II , Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2022,4,8]]},"reference":[{"key":"2025121209103713063_j_jbcpp-2021-0384_ref_001","doi-asserted-by":"crossref","unstructured":"Buca, D, Liberati, M, Cal\u00ec, G, Forlani, F, Caisutti, C, Flacco, ME, et al.. 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