Effect of psychosocial stress on maternal complications during pregnancy: A cohort study (original) (raw)
Related papers
Journal of Women's Health Care, 2014
Objective: One of the important factors that have always been overlooked is the stress during pregnancy. Psychosocial stress during pregnancy has been linked as a predictor of adverse pregnancy outcome in various studies. One of the important factors that have always been overlooked is the stress during pregnancy. Psychosocial stress during pregnancy has been linked as a predictor of adverse pregnancy outcome in various studies. Methodology: A cross-sectional prospective observational study was conducted among the pregnant women attending Antenatal Checkup at the general Antenatal Clinic of Department of Obstetrics and Gynaecology of Patan Hospital. Data was collected by using self-structured questionnaire using General Health Questionnaire (GHQ-12) and 21 item modified life events inventory during the late first trimester and early third trimester. Sample size calculated was based on the existing data of 25% and 10% prevalence of LBW among the stressed and non-stressed women. Data was entered using Epidata and analyzed using R 2.10.1 software. Results and discussion: Most of the respondents were among the age group of 20-29 years with mean age of 25 years. The mean score on GHQ-12 was 9.79 and 9.69 in the first and third trimester respectively. Prevalence of stress during pregnancy was 35% in the first trimester and 34.2% in the third trimester. Conclusion: There was high prevalence of stress among the women attending ANC clinic at Patan Hospital. As this is the data from one of the urban population of Nepal, the prevalence of stress in the rural areas might be even more than this number.
Development of antenatal psychosocial stress scale for pregnant women in Kerala, India
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2018
Background: Psychosocial stress in pregnancy, defined as, “the imbalance that a pregnant woman feels when she cannot cope with demands is expressed both behaviourally and physiologically”. The purpose of this study was to develop a culturally appropriate and locally relevant scale for measuring antenatal psychosocial stress.Methods: Cross sectional design was used for the study. Participants were antenatal women attending outpatient department of both government and private sector. Twenty-nine item questionnaires to identify psychosocial stress among antenatal women was developed by conducting focus group discussions and in-depth interviews among socioeconomically diverse population and different parity and among uncomplicated and complicated pregnancies. By administering the questionnaire among 190 participants, Reliability and Validity were estimated. Factor analysis was done for item reduction. Poor loading, wrong loading and cross loading items were removed from the questionnair...
Risk Factors of Psychosocial Stress in Pregnancy
2020
Intorduction: Pregnancy period begins from conception until birth. The pregnancy process involves emotional, physical, and social alterations in the family. Although previous evidence has consistently shown that maternal psychosocial stress influence the outcome of the newborn, maternal emotional condition and psychosocial stress remain less explored. We aimed to identify risk factors associated with the psychosocial stress in pregnancy. Methods: Therefore, we conducted a cross-sectional study of 158 pregnant women from the Obstetrics and Gynecology outpatient clinic, Hasanuddin University hospital. Data were obtained using an interview-based likert-scale questionnaire. Results: We described the characteristics of the study population using Chisquare and independent t test. Of 158 pregnant women, more younger women with older gestational age were likely to have a high level of stress (not statistically significant). Conclusion: Socio-economic status (i.e. educational level and occup...
Analysis Factors of Psychosocial Stress in Pregnancy
Nusantara Medical Science Journal, 2018
The Pregnancy period begins from conception until birth. It is hard to figure out if the pregnancy will get any problem. The process will involve emotional, physical and social alteration in the family. Until now,the maternal emotional condition, psychosocial stress are rarely to watch over by medical practisioners meanwhile at some study said that maternal psychosocial stress influence the outcome of baby. The aim of this study to analyze some factors that is associated to psychosocial stress in pregnancy women. This was a cross-sectional study of collected by using questionaires, were comprised of 11 questions using likert-scales, then using bivariat analysis by t-test and chi square to evaluate the sample characteristic at teaching hospital Hasanuddin University in 2015. There are 158 pregnant woman, shows who are in the age of 26,25 ± 6,319, suffer from stress, who are in their gestasional age of 30,63 ± 9,164 weeks will be going through the high level of stress. The age of pre...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Stress during pregnancy can have serious adverse outcomes on the mother, the foetus and the new-born. It can lead to low-birth-weight, preterm births and neuro-psychological effects such as anxiety and depression during pregnancy and puerperium. This cross-sectional research aims to assess the severity of stress among postnatal women in Kerala. This study analysed socio-demographic, obstetric, family dynamics, neonatal characteristics and psychiatric determinants of postpartum stress using perceived stress scale (PSS) among postnatal women in a tertiary hospital in Kerala state, India.Methods: 119 women between 2 to 6 weeks of postpartum period were subjected to a pre-tested pre-structured standard questionnaire. Terminal illness, still birth delivery and comorbid psychiatric illness was excluded. Screening and diagnosis of postpartum stress was done based on perceived stress scale (PSS) and graded as mild 0-13, moderate 14-26, severe 27-40.Results: Study findings indica...
Development of a stress scale for pregnant women in the South Asian context: the A-Z Stress Scale
Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ
Stress in pregnancy can lead to low-birth-weight and preterm babies and to psychological consequences such as anxiety and depression during pregnancy and the puerperium. Previous scales to measure stress contain items that overlap with the symptoms of pregnancy. A stress scale was developed based on in-depth interviews with pregnant women in Pakistan. Construct validity, test-retest reliability and inter-rater reliability were carried out. Cronbach alpha was 0.82 for the 30 short-listed items, with item-total correlations of 0.2-0.8. Multidimensional scaling determined 2 dimensions: socioenvironmental hassles and chronic illnesses. This was the first scale developed for pregnant women based on stressors in a developing country in South Asia.
Factors contributing to stress in pregnant women and its Outcome-A Narrative Review
Asian Journal of Nursing Education and Research, 2022
A pregnant woman who is stressed during her pregnancy, her child is likely to have emotional, cognitive, behavioural problems in the future. The aim of this review was to have an understanding of stress and its impact on pregnant women and their unborn children. Google Scholar and PubMed were utilized for selecting 20 papers written in the English language. Through this narrative review, it was found that maternal stress was related to a number of factors and it affects the emotional, psycho-behavioural aspects of the child. Hence, awareness on part of the health care providers is essential.
Psychosocial stress during pregnancy
American Journal of Obstetrics and Gynecology, 2010
We sought to identify factors associated with high antenatal psychosocial stress and describe the course of psychosocial stress during pregnancy. STUDY DESIGN: We performed a cross-sectional analysis of data from an ongoing registry. Study participants were 1522 women receiving prenatal care at a university obstetric clinic from January 2004 through March 2008. Multiple logistic regression identified factors associated with high stress as measured by the Prenatal Psychosocial Profile stress scale.
Nepal Journal of Obstetrics and Gynecology, 2020
Aim: To find out the stress and coping strategies among pregnant women attending antenatal clinic. Methods: A descriptive, cross-sectional research design was used for the study. The sample was taken from an antenatal outpatient department of Nobel Medical College Teaching Hospital. A total of 300 pregnant women was selected by using non-probability consecutive sampling technique. Data was collected by using standard tool, Pregnancy Stress Rating Scale (PSRS) and Brief Cope. Data analysis was done by descriptive and inferential statistics. Results: The study revealed that 40.7% of the respondents experienced a high level of stress and 84.0% of respondents had used adequate coping strategies where "self-distraction" was the most used coping strategy by the respondents with a mean score (2.99±.56). Stress and coping strategies had positive mild correlation (r=0.040). Conclusions: More than one-third of the respondents had experienced a high-level stress and the majority of the respondents had used adaptive coping strategies. The different methods of coping strategies during pregnancy should be expanded as per the best available evidence to lower stress and other adverse outcomes of stress.
Perceived Stress and Prenatal Distress during Pregnancy and its Related Factors
Journal of Research Development in Nursing & Midwifery, 2020
Background: pregnancy is one of the most stressful periods a woman experiences in her life. This study was done to determine the perceived stress and prenatal distress in pregnancy and its related factors. Methods: The is cohort study was carried out on 110 pregnant women whit gestational age of 24 to 28 weeks who referred to Reference laboratory in Miandoab city in 2016-2017. The sample was selected based on availability. The Cohen Perceived Stress Scale (PSS) and Prenatal Distress Questionnaire (PDQ) and demographical information were used. All obtained data were analyzed in SPSS- 23 using t test, Paired-t test and person test. Significant level was considered less than 0.05. Results: The results of study show perceived stress and prenatal distress scores in 32-36 weeks have been uptrend than 24-28 weeks. Also, there was a significant relationship between wanted pregnancy with the mean stress score in 24-28 weeks (p=0.04). Also, between perceived stress score in 32-36 weeks and maternal education level (p=0.045) and between the distress score in 24-28 weeks pregnant and the wanting the sex of the fetus by the women. (p=0.045) Conclusions: According to the results, stress and anxiety of pregnant women increase with approaching delivery time; caregivers should be taken into consideration by pregnant women. In addition, the results of the study show the importance of holding educational classes and raising women’s' awareness of pregnancy and childbirth and having a planned pregnancy to reduce stress and distress.