scholarly journals A study on adverse obstetric outcome and it’s relation with antenatal psychosocial stress

Author(s):  
Sija Chandran Lisa Jayachandran ◽  
Mayadevi Brahmanandan ◽  
Bindu Nambisan ◽  
Shaila Salmabeevi

Background: Antenatal psychosocial stress is a common condition, perhaps more prevalent than gesational diabetes. High ante-partum stress levels are associated with adverse pregnancy outcomes. Data related to psychosocial stress and pregnancy outcomes are very much limited in our country. The objective of the study was to study the obstetric and perinatal outcome in patients with psychosocial stress and to determine the association between socio demographic factors and psychosocial stress in antenatal period.Methods: Using a 10 item stress scale (which was validated and developed at SAT hospital, Government Medical College, Thiruvananthapuram) 153 antenatal women who satisfied the inclusion criteria and attending the outpatient department (OPD) were evaluated and followed up until delivery and their findings noted.Results: The average stress scores among mild stress group, moderate and severe stress group were 6.31, 9.18, 14.82 respectively. 23.5% of mild stress group, 23.5% of moderate stress group and 51% of severe stress group had preterm delivery. There was significant association between incidence of preterm labour and stress levels. Incidence of preterm delivery was high in severe stress group (p<0.05). Caesarean section rate was found to be high in patients with increased stress levels. 29.4% of mild stress group, 47.1% of moderate stress group and 60.8% of severe stress group were caesarean sections. Babies of high stress score mothers did not cry soon after birth and the association was significant. There was no statistical significance between socio-demographic factors and stress. Furthermore, no significant association was noted between stress levels and duration of hospital stay, history of complications in previous pregnancy, obstetric complications in present pregnancy, birth weight, neonatal deaths, maternal age, place of residence, education, income and family type.Conclusions: As psychiatric problems during antenatal period and postnatal period are increasing the world over, identification of women at risk and specific interventions targeted to reduce psychosocial stress will improve feto-maternal outcomes. Hence stress assessment and appropriate interventions like physical relaxation, meditation, counseling and providing social support services should be integrated to routine antenatal care.

2016 ◽  
Vol 2 (2) ◽  
pp. 175
Author(s):  
Susi Susanti ◽  
Gilny Aileen Joan ◽  
Denny Ricky

ABSTRAK Pendahuluan: Stres kerja pada perawat dapat terjadi jika perawat yang bertugas mendapatkan beban kerja yang melebihi kemampuannya sehingga perawat tidak mampu memenuhi atau menyelesaikan tugasnya. Metode: Metode yang digunakan kuesioner dengan Total-Sampling, insfrumen yang digunakan kuesioner Depresion Anxiety Stress Scale (DASS) yang terdiri dari 42 petanyaan. Hasil: Perolehan data tingkat stress perawat berdasarkan unit, poisisi, dan jenjang karir dihitung menggunakan rumus mean, hasil uji statistik pearson rho tingkat stres perawat berdasarkan unit, posisi, dan jenjang karir yang signifikan dengan tingkat stress, tingkat stress tertinggi di unit IGD dengan tingkat sfres berat (30,62) dan tingkat stress terendah adalah tingkat stress di Unit NICU ringan (14,07). Hasil penelitian ini menunjukkan tingkat stress tertinggi di posisi supervisior dengan tingkat stress sedang (24,67) dan tingkat stress terendah adalah head nurse dengan tingkat stress sedang (19,94) sedangkan tingkat stress tertinggi berdasarkan jenjang karir lama kerja 1-5 tahun mengalami tingkat stress yang berat (25,59) dan tingkat stress terendah yaitu jenjang karir 1115 tahun mengalami tingkat stress ringan. Diskusi: Membuat sfrategi untuk mengurangi dapak stress yang timbul pada perawat yang bekerj di tuang perawatan kritis.   Kata Kunci: Jenjang karir, Tingkat stres, Unit, Posisi   ABSTRACT Introduction: Job stress on caregivers can occur if the nurse on duty get a workload that exceeds his ability so that nurses are not able to fulfill or complete the task Methods: The method used by Total-sampling questionnaire, the instrument used questionnaire Depression Anxiety Stress Scale (DASS), which consists of 42 petanyaan. Results: Acquisition of data stress levels ofnurses based unit, poisisi, and a career path is calculated using the mean, the statistical test ofPearson's rho stress levels of nurses based units, positions and careers with significant levels of stress, the stress levels of the highest in unit IGD level severe stress (30.62) and the lowest stress level is the level ofstress in the NICU Unit lightweight (14.07). The results showed the highest stress level in position supervisior with moderate stress levels (24.67) and the lowest stress level is a head nurse with moderate stress levels (19.94), while the highest stress level is based on a long career 1-5 years work experience level severe stress (25.59) and the lowest stress levels are 11-15 years career experience mild stress level. Discussion: Make dapak strategies to reduce the stress that arises in the bekerj nurses in critical care room. Keywords: Career, Position, Stress Level, Unit


2021 ◽  
Vol 9 (3) ◽  
pp. 81-91
Author(s):  
Daniel Sinkala

Preeclampsia and eclampsia cases continue to rise in northern Zambia as people search for babies and continuity of clans’ survival. Due to the competitive nature of cultural demands/ myths on pregnancy and maternal socio-demographic factors (low-age, low socio-economic status, and poor health-seeking behaviour), women in rural prefer unprofessional primary health care services that are presumably affordable to them thereby, delaying in seeking for professional healthcare services. High levels of poverty in resource-limited areas have put many female adolescents at risk of falling pregnant. Thus, this study probed on the interaction between these maternal socio-demographic factors and disease distribution in both rural and urban areas with respect to various pregnancy outcomes. The study used retrospective quantitative methods in eliciting information from data sources (women, registers) in Mbala, Mpulungu, Senga, and Mungwi districts covering 3-year period (2017-2019). In all, 202 female respondents from Northern Zambia were interviewed through self-administered questionnaires. Thereafter, data were analysed using a statistical package for the social sciences (SPSS v16). Findings indicate severe; socio-economic status and low maternal age affect pre-eclampsia disease distribution coupled with adverse pregnancy outcomes more in rural than urban areas. The better the socio-demographic conditions, the lower the disease distribution with good pregnancy outcomes. However, worsening maternal socio-demographic conditions may increase the incidence of pre-eclampsia among pregnant women of northern Zambia. The study recommended interventions tarred towards public health programmes such as social behaviour change and communication (SBCC) towards adolescent women and socio-economic empowerment of pregnant women in resource-limited areas. Keywords: Average ANC timing, Preeclampsia, Residency, Socio-economic, Teenage pregnancy.


e-GIGI ◽  
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Melky G. Junhar ◽  
Pieter L. Suling ◽  
Aurelia S. R. Supit

Abstract: Prisoners are individuals who have been convicted of crimes and were sentenced to prison so they lost their freedom. Lost of freedom can cause stress. Stress is the ability of a person to survive under pressure without causing disturbance. Recurrent aphthous stomatitis (RAS) is a manifestation in the oral cavity which is usually triggered by some predisposing factors such as stress. This study aimed to describe recurrent aphthous stomatitis and stress among prisoners in prison class IIB Bitung. This study was cross-sectional with total sampling method. All prisoners who had experienced recurrent aphtous stomatitis (RAS) while in prison class IIB Bitung. The results showed that among the 56 respondents there were 53 male respondents (94.64%) and 3 female respondents (5.36%); 19 (33.93%) got mild stress, 18 (32.14%) moderate stress, 16 (28.58%) severe stress, and 3 (5.35%) very severe stress.Keywords: prisoner, stress, recurrent aphthous stomatitis (RAS)Abstrak: Narapidana adalah individu yang telah terbukti melakukan tindak pidana dan kemudian oleh pengadilan dijatuhi hukuman atau pidana serta kehilangan kebebasan. Kehilangan kebebasan menimbulkan terjadinya stres pada narapidana. Stres merupakan kemampuan individu untuk bertahan dalam menghadapi berbagai tekanan tanpa mengakibatkan gangguan. Stomatitis aftosa rekuren (SAR) merupakan manifestasi yang timbul dalam rongga mulut yang biasanya dipicu oleh beberapa faktor predisposisi, salah satunya stres. Tujuan penelitian yaitu mengetahui gambaran stomatitis aftosa rekuren dan stres pada narapidana di Lembaga Pemasyarakatan (LP) Kelas IIB Bitung. Jenis penelitian ini menggunakan desain potong lintang. Semua narapidana yang pernah mengalami Stomatitis Aftosa Rekuren (SAR) saat berada di Lembaga Pemasyarakatan kelas II B Bitung. Hasil penelitian menunjukkan bahwa dari 56 responden terdapat 53 responden berjenis kelamin laki-laki (94,64%) dan terdapat 3 responden berjenis kelamin perempuan (5,36%). Hasil pengukuran stres menunjukkan bahwa dari 56 responden 19 responden (33,93%) mengalami tingkat stres ringan, 18 responden (32,14%) mengalami tingkat stres sedang, 16 responden (28,58%) mengalami tingkat stres berat dan 3 responden (5,35%) mengalami tingkat stres sangat berat.Kata kunci: narapidana, stres, stomatitis aftosa rekuren.


2019 ◽  
Vol 4 (1) ◽  
pp. 38-41
Author(s):  
Anni Annisa ◽  
Emdat Suprayitno

Pregnancy is a life process that women will experience after marriage. But not all women have the chance to get pregnant, it is very natural for many women who consider pregnancy to be an extraordinary period so that women focus on filling their pregnancy with activities that make the fetus grow healthy. Spikologis reactions such as stress in pregnant women caused a non-smooth process and the risks experienced by pregnant women, so not all women have a smooth pregnancy. This type of research uses quasy-experiment using one group pre-post test design test. Therapy is measured by the stress level of pregnant women for 15 minutes after Qs therapy. The beneficent. Murattal Audio Qs. Ar-Rahman and the DASS (Depression Anxiety Stress Scales) questionnaire. In this study, researchers used the sample technique in an incidental manner. The sample used as many as 56 pregnant women, consisting of 28 pregnant women who work as career women and 28 people who work as housewives After the Murattal therapy of Qs Ar-Rahman in 56 respondents there was a decrease in the stress level of pregnant women. 35 respondents of pregnant women experienced mild stress with a percentage of 62.5%, with moderate stress as many as 15 pregnant women with a percentage of 26.8%. While for severe stress 6 pregnant women with a percentage of 10.7%.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 554-554
Author(s):  
Priyanka Pareek ◽  
Mehta Neha

Abstract Objectives The study was designed to examine the relationship between stress and dietary behavior of female students (15–18 years). Methods A total of 300 adolescent girls (15–18 yrs.) were selected from Junior college, Hyderabad. A structured questionnaire had been used to collect the general profile of the adolescent girls. Height and weight of the subjects were measured by standardized methods. The food frequency questionnaire and 24 hour recall (3 days) has also been taken. Cohen's perceived stress scale was used to assess the stress levels among the adolescent girls. Results Over half of the students were found some level of stress, 13% were suffering from severe stress levels, 30.0% had moderate stress and another 15.6% had mild stress. Students who have experienced severe to moderate levels of stress were more likely to eat cereal products (P &lt; 0.05), fried items and the highly processed food items (P &lt; 0.05). The mean intake of fruits and vegetables was significantly low (P &lt; 0.05) among the students having severe and moderate stress. The carbohydrate and fat intake was found significantly (P &lt; 0.05) higher among the severe and moderately stressed students. Conclusions These results show a clear difference in food selection patterns between stressed and non-stressed female students with stress being a more significant predictor of unhealthy food selection. Further research is needed using a qualitative approach to understand how stress and eating behaviour are related among adolescent students. Funding Sources It's a cross sectional study, no funds received from any organizations or institute.


2020 ◽  
pp. 17-23
Author(s):  
L. H. Walpola ◽  
P. J. Wijekumar ◽  
S. S. Wadduwage ◽  
N. D. K. Ranadeva ◽  
S. Chakrewarthy

Nearly 80% of students in higher education worldwide experience psychological stress during their university life due to various stressors. Stress among students can be viewed as the body’s reaction, both neurologically and physiologically, to adapt to new conditions. Stress can lead to poor academic performance and underachievement among students. The present study assessed the levels of perceived stress, general self-efficacy, and their association with socio-demographic factors among a selected group of undergraduates at a higher educational institute. A descriptive cross-sectional study was performed using stratified random sampling among 393 undergraduates. The data were collected through the Perceived Stress Scale (PSS-10), General Self-Efficacy Scale (GSES) and a questionnaire to determine the socio-demographic factors. The data were analyzed using IBM SPSS version 23. The mean age of the sample (n=393) was 22.36±2.33 years. The results showed a mean perceived stress score of 20.72±4.96, indicating moderate perceived stress. The majority of the participants (79.4%) had moderate perceived stress, followed by high stress (12.7%) and low stress (7.4%). There was no significant difference between the stress levels of male and female students. No significant association was observed between perceived stress and socio-demographic factors assessed (age, gender, civil status, residence status, financial status, the program of study, employment prospects) using the chi-squared test. Spearman correlation showed a statistically significant negative correlation between perceived stress levels and general self-efficacy (p<0.001, r = -0.293). Intervention strategies to reduce perceived stress and to improve general self-efficacy should be implemented among the undergraduates. Further studies are needed to understand the factors contributing to stress and their interrelations among undergraduate students. Keywords: Perceived stress, General self-efficacy, Higher education


Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 374
Author(s):  
Maulidiyah Junnatul Azizah Heru ◽  
Atika Jatimi ◽  
Fakhrun Nisa Fiddaroini ◽  
Achmad Syamsudin

Introduction: This research presents the relationship between the schools which implemented full day school and which did not apply the full day school to the level of stress students in junior high schools. This was influenced by the existence of regional autonomy as part of government policy and orientation toward quality education institutions.Methods: This research used a quantitative correlational approach to obtain the significance of the relationship between the variables examined.  The sampling technique used  purposive sampling, with samples of 37 students for a group of cases and 37 students to control groups. Data analysis was conducted using the Kolmogorov Smirnov test.Results: The results showed that in the case group there were 83.78 experiencing mild stress and 16.22 experiencing moderate stress, while in the control group there were 89.19 experiencing mild stress, and 10.81 experiencing moderate stress with P- value 0.000 (<0.05).Conclusion: The conclusion of this study is that more moderate stress levels are found in students who apply the Full Day School System in Junior High School.


2021 ◽  
Vol 1 (2) ◽  
pp. 123-132
Author(s):  
Zulis Noor Rafik Rustam ◽  
Suhermi Suhermi ◽  
Rizqy Iftitah Alam ◽  
Rizqy Iftitah Alam

Covid 19 has brought many changes in human life. Currently, the campus is implementing an online learning system, aka online (in the network). This has an impact on final year students who are writing a thesis which will usually cause stress when compiling a thesis. Therefore, progressive muscle relaxation can reduce stress and learn how to relax tense muscles. The purpose of this study was to determine whether progressive muscle relaxation therapy can relieve or reduce stress levels in final year students. The research design used was quasi experimental. The research design used "pre test post test with control group design." The sample size obtained in this study was 30 respondents with a sampling technique carried out in the form of probability sampling with non-equivalent control group techniques. The data analysis used was the Wilcoxon test data analysis with a significance level of α = 0.05. If the value of ρ <0.05 then Ha is accepted. The research results from statistical analysis using the Wilcoxon test obtained the value of ρ = 0.001, where the value of ρ is smaller than the value of α = 0.05, so Ha is accepted. The results of the study proved that there was an effect of progressive muscle relaxation therapy on stress levels in final year students in the Indonesian Muslim University nursing study program. The conclusion of this study is that before being given progressive muscle relaxation therapy, the stress levels for final year students were moderate stress, severe stress and very heavy stress. Meanwhile, after being given progressive muscle relaxation therapy intervention, there was a decrease in stress levels, namely normal, mild stress and moderate stress.  


1970 ◽  
Vol 2 (3) ◽  
pp. 132-138
Author(s):  
Haerani ◽  
Nurlina ◽  
Sri Wahyuningsih

Parents who have mentally retarded children will surely experience different challenges compared to those who have normal children. Parents whose children experience mental retardation usually get psychological pressure, resulting in stress and depression because parents feel lost hope for their children. The parents' emotional reactions immediately explode. The explosion of anger mixed with feelings of sadness, disappointment, frustration, pessimism, impatience, and shame. The purpose of this study was to determine the psychological description of parents of children with mental retardation in SLB Negeri 1 Bulukumba in 2018. The research method uses a descriptive design with a simple approach. The population in this study was 42 people. The research sample of 30 respondents. Data obtained through questionnaire sheets made by researchers to respondents. The results of this study showed that parents who experienced mild stress were 1 respondent (3.3%), moderate stress were 23 respondents (76.7%), while the level of severe stress was 6 respondents (20.0%). Then those with high coping are 27 respondents, and low coping is 3 respondents (10%). The conclusion from this study found that more parents experience moderate stress than mild and severe stress. Then, more parents have high coping than low coping.


2020 ◽  
Vol 32 (1) ◽  
pp. 35-41
Author(s):  
Raghad I Kadhum ◽  
Alhan A Qasim

Background: Several pathologies of the oral cavity have been associated with stress. Dental students need to gain assorted proficiencies as theoretical knowledge, clinical proficiencies, and interpersonal dexterity which is accompanied with high level of stress. Uric acid is the major antioxidant in saliva. The aim of this study is to assess the dental caries experience among dental students with different levels of dental environment stress in relation to physicochemical characteristics of whole unstimulated saliva. Materials and Methods: the total sample is composed of 300 dental students (73 males, 227 female) aged 22-23 years old, from collage of dentistry / university of Baghdad, from the 4th and 5th grade. The total sample was classified into three categories (mild stress, moderate stress and severe stress) according to Dental environment stress questionnaire (DESQ); Diagnosis and recording of dental caries were assessed according to Decay, Missed, Filled surface and teeth index (DMFS, DMFT) of WHO criteria in 1987. Unstimulated salivary samples were collected from the 95 dental students from the mild stress group (27 male, 28 female) and from the severe stress group (11 male, 29 female). Then, salivary flow rate was measured and chemically analyzed to determine salivary uric acid concentration. All data were analyzed using statistical package for social science (SPSS) version 21. Results: The mean value of the DMFT and DS fraction was higher among severe stress group of dental environment stress scale with no significant differences (P≥ 0.05), while DMFS, FS and MS fractions were higher among moderate stress group of dental environment stress scale with no significant differences (P≥ 0.05). The data from salivary analysis showed that the mean value of salivary flow rate was lower among severe dental environment stress category than mild dental environment stress category but the difference was statistically not significant, while the mean value of uric acid was higher among students with severe dental environment stress than students with mild dental environment stress with statistically significant difference. The flow rate was negatively correlated with caries experience among both mild and severe stress groups except for the DS was positively correlated with flow rate among students with mild stress. The correlation of uric acid with DMFT was negative among students with mild stress while among severe stress group was positive; however all these correlations were not statistically significant. Conclusion: Dental environment stress appears to affect oral health, shown by higher caries prevalence among dental students with moderate and severe dental environment stress level by affecting the normal level of salivary flow rate and uric acid. Keywords: Dental environment stress, stress, dental caries, flow rate, uric acid.


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