Volume 17, Issue 1 (4-2020)
J Res Dev Nurs Midw 2020, 17(1): 67-80 |
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Rabipoor S, Abedi M. Perceived Stress and Prenatal Distress during Pregnancy and its Related Factors. J Res Dev Nurs Midw 2020; 17 (1) :67-80
URL: http://nmj.goums.ac.ir/article-1-1196-en.html
URL: http://nmj.goums.ac.ir/article-1-1196-en.html
1- Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Iran.
2- Faculty of Nursing and Midwifery, Bonab Islamic Azad University, Iran. ,m.abedi931@gmail.com
2- Faculty of Nursing and Midwifery, Bonab Islamic Azad University, Iran. ,
Abstract: (4389 Views)
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.
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.
Type of study: Original Article |
Subject:
Psychology and Psychiatry
References
1. Doyle CS. When Delivery Expectations Change: The Role Nurses Play in Reducing Parental Strees. Nursing for women's health. 2011; 15(6): 465-469. [View at paplisher] [DOI] [Google Scholar]
2. Lobel M, Dunkel-Schetter C. Conceptualizing stress to study effects on health: Environmental, perceptual, and emotional components. Anxiety Research. 1990; 3(3): 213-230. [DOI] [Google Scholar]
3. Dunkel Schetter C.Psychological science on pregnancy: stress processes, biopsychosocial models, and emerging research issues. Annual review of psychology, 2011; 62: 531-558. [View at paplisher] [DOI] [Google Scholar]
4. Alderdice F, Lynn F, Lobel M. A review and psychometric evaluation of pregnancy-specific stress measures. Journal of Psychosomatic Obstetrics & Gynecology. 2012; 33(2): 62-77. [View at paplisher] [DOI] [Google Scholar]
5. Larkin KT. Stress and hypertension: Examining the relation between psychological stress and high blood pressure. Yale university press; 2008. [Google Scholar]
6. Kelly WE. Worry and sleep length revisited: Worry, sleep length, and sleep disturbance ascribed to worry. The Journal of genetic psychology.2002; 163(3): 296-304. [View at paplisher] [DOI] [Google Scholar]
7. Alderdice F, Lynn F. Factor structure of the prenatal distress questionnaire. Midwifery. 2011; 27(4): 553-9. [View at paplisher] [DOI] [Google Scholar]
8. Shibley Hyde J, Women's Psychology; Women's Contribution to the Human Experience, translated by: Khmaseh A. Tehran: Arjmand Publication, 2010: p. 364-65. [Persian]
9. Babanazari L, Kafi M. Relationship of pregnancy anxiety to its different periods, sexual satisfaction and demographic factors. Ijpcp. 2008; 14(2): 206-213.[persian] [View at paplisher] [Google Scholar]
10. Nasreen HE, Kabir ZN, Forsell Y, Edhborg M. Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: a population based study in rural Bangladesh. BMC women's health, 2011; 11(1): 22. [View at paplisher] [DOI] [Google Scholar]
11. Wadhwa PD, Entringer S, Buss C, Lu MC. The contribution of maternal stress to preterm birth: issues and considerations. Clinics in perinatology. 2011; 38(3): 351-84. [View at paplisher] [DOI] [Google Scholar]
12. Senturk V, Abas M, Berksun O, Stewart R.Social support and antenatal depression in extended and nuclear family environments in Turkey: a cross-sectional survey. BMC psychiatry. 2011;11(1): 48 [View at paplisher] [DOI] [Google Scholar]
13. Hanna‐Leena Melender RM. Experiences of fears associated with pregnancy and childbirth: a study of 329 pregnant women. Birth, 2002; 29(2): 101-111. [View at paplisher] [DOI] [Google Scholar]
14. Negahban T, Ansari A. Does fear of childbirth predict emergency cesarean section in primiparous women? Journal of hayat. 2009; 14(4): 73-81.[persian] [View at paplisher] [Google Scholar]
15. Abedi M, Sabory E, Rabiepour S, Rasoul J. The relationship between stress in pregnancy, and pregnancy outcomes: A longitudinal study. Urmia University of Medical Sciences. 2017; 14(12): 23-45.[Persian] [View at paplisher] [Google Scholar]
16. Sterlemann V, Ganea K, Liebl C, Harbich D, Alam S, Holsboer F, et al. Long-term behavioral and neuroendocrine alterations following chronic social stress in mice: implications for stress-related disorders. Hormones and behavior. 2008; 53(2): 386-394. [View at paplisher] [DOI] [Google Scholar]
17. Z Shayeghian, S.K Rasolzadeh Tabatabaey, E Seddighi looye. Effect of Maternal Anxiety during final 3 mounths period of pregnancy on labour process and neonatal health. HAYAT. 2009 ;14(4&3): 57-64.[persian] [View at paplisher]
18. Naderyanfar F, Soleimani M, Shekhi HR. Effect of the Voice of Holy Quran on the Anxiety of Labor Candidate Pregnant Women. Quran and Medicine. 2019; 4(1): 1-4. [View at paplisher] [Google Scholar]
19. Salari P, Alavian F, Habibi Rad A, Tara F. The relationship between stress, anxiety and pain with salivary cortisol levels in first stage of labor in primiparous women. The Iranian Journal of Obstetrics. Gynecology and Infertility. 2013; 16(55): 14-21. [View at paplisher] [DOI] [Google Scholar]
20. Lee EH, Review of the psychometric evidence of the perceived stress scale. Asian nursing research.2012; 6(4): 121-127. [DOI]
21. Leung DY, Lam TH, Chan SS. Three versions of Perceived Stress Scale: validation in a sample of Chinese cardiac patients who smoke. BMC public health. 2010; 10(1): 1. [View at paplisher] [DOI] [Google Scholar]
22. Ghorbani N, Bing MN, Watson PJ, Davison HK, Mack DA.Self-reported emotional intelligence: Construct similarity and functional dissimilarity of higher-order processing in Iran and the United States. International Journal of psychology. 2002; 37(5): 297-308. [DOI] [Google Scholar]
23. Bastani F, Rahmatnejad L, Jahdi F, Haghani H. Breastfeeding self-efficacy and perceived stress in primiparous mothers. IJN. 2008; 21(54): 9-24.[persian] [View at paplisher] [Google Scholar]
24. Yousefi R. Psychometric properties of Persian version of renatal distress questionnaire (PDQ). Nurs Midwifery J. 2015; 13(3): 215-225.[persian] [View at paplisher] [Google Scholar]
25. World Health O. Maternal mental health and child health and development in low and middle income countries: report of the meeting, Geneva, Switzerland, 30 January - 1 February, 2008. Geneva: World Health Organization; 2008. [Google Scholar]
26. Accortt EE, Cheadle AC, Schetter CD. Prenatal depression and adverse birth outcomes: an updated systematic review. Maternal and child health journal. 2015; 19(6): 1306-1337. [View at paplisher] [DOI] [Google Scholar]
27. Wadhwa PD, Entringer S, Buss C, Lu MC. The contribution of maternal stress to preterm birth: issues and considerations. Clinics in perinatology. 2011; 38(3): 351-384. [View at paplisher] [DOI] [Google Scholar]
28. Correia LL, Linhares MB. Maternal anxiety in the pre-and postnatal period: a literature review. Revista latino-americana de enfermagem. 2007; 15(4): 677-683 [View at paplisher] [DOI] [Google Scholar]
29. Barjasteh S, Moghaddam Tabrizi F.Antenatal anxiety and pregnancy worries in association with marital and social support. The J Urmia Nurs Midwifery Fac. 2016; 14(6): 504-515. [View at paplisher] [Google Scholar]
30. Azizi S, Molaeinezhad M. Anxiety status in pregnant mothers at third trimester of pregnancy and its related factors in referrals to Bandar Abbas Hospitals in 2012. The Iranian Journal of Obstetrics, Gynecology and Infertility.2014; 17(122): 8-15. [View at paplisher] [Google Scholar]
31. Gould D. Normal labour: a concept analysis. Journal of advanced nursing. 2000; 31(2): 418-427. [View at paplisher] [DOI] [Google Scholar]
32. Howard LM, Molyneaux E, Dennis CL, Rochat T, Stein A, Milgrom J. Non-psychotic mental disorders in the perinatal period. The Lancet. 2014; 384(9956): 1775-1788. [View at paplisher] [DOI] [Google Scholar]
33. Borghei NS, Taghipour A, Latifnejad Roudsari R. The concern of fetal health: women's experiences of worries during pregnancy. JOGI. 2016; 19(28): 10-21.[persian] [View at paplisher] [DOI] [Google Scholar]
34. Meades R, Ayers S. Anxiety measures validated in perinatal populations: a systematic review. Journal of affective disorders.2011; 133(1): 1-15. [View at paplisher] [DOI] [Google Scholar]
35. Firouzbakht M, Nikpour M, Khefri S, Jamali B, Kazeminavaee F, Didehdar M. The effectiveness of prenatal intervention on pain and anxiety during the process of childbirth‑Northern Iran: clinical trial study. Annals of medical and health sciences research. 2015; 5(5): 348-352. [View at paplisher] [DOI] [Google Scholar]
36. Tanhae Reshvanloo F, Tavasoli Z, Talepasand S. The role of mothers'awareness about infants care in stress and anxietyduring pregnancy: An invariance based on educational level. Zanko Journal of Medical Sciences. 2018; 18(59): 80-91.[persian] [View at paplisher] [Google Scholar]
37. Dunkel Schetter C, Niles AN, Guardino CM, Khaled M, Kramer MS. Demographic, medical, and psychosocial predictors of pregnancy anxiety. Paediatric and perinatal epidemiology. 2016; 30(5): 421-429. [View at paplisher] [DOI] [Google Scholar]
38. Kheshti A, Gholami A.The assessing mental Health in pregnancy and relative psychopathologic factor in Jahrom. Jahrom medical journal. 2007; 5(5): 22-29. [View at paplisher] [DOI] [Google Scholar]
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