Prenatal distress level and its predictors according to the gestational age in pregnant women in the semi-urban region in Northwestern Turkey: A cross-sectional study

Abstract Background: The aim of the present study was to determine the level and predictors of prenatal distress in pregnant women according to gestational age.Methods: This a cross-sectional study was conducted in eight Family Health Centers (FHCs) in Kirklareli, in Turkey. The study included 179 pregnant women who presented to the FHCs, who were at ≥12th week of gestation. Results:The frequency of prenatal distress in the participants was 21.2% (between 12th-27th weeks:16.5%, between 28th-41st weeks: 26.8%). It was found that level of education, age of the spouse, current pregnancy being unplanned, and social support levels were associated with the level of prenatal distress in ≥12th week or between 12th-27th weeks or between 28th-41st weeks (p<0.05). And also, perceived income level, abortion, and the number of pregnancies were associated with the level of prenatal distress in ≥12th weeks; the age of women, perceived income levels, previous abortion experience, and the number of pregnancies were associated with the level of prenatal distress in between 12th-27th weeks; the age of women, education level of spouse', and previous birth experience prenatal distress levels were associated in between 28th-41st weeks (p<0.05).Conclusion: The level of prenatal distress according to the gestational age, the education level of the woman, the age of her spouse’, the unplanned pregnancy, and social support levels were predictors. In both periods, the age of women were determinants in prenatal stress levels in pregnant women. Pregnant women should be screened and evaluated for prenatal distress in their application to FHCs.

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Serum Concentrations of Selected Organochlorines in Pregnant Women and Associations with Pregnancy Outcomes. A Cross-Sectional Study from Two Rural Settings in Cambodia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207652 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7652

Author(s):

Margit Steinholt ◽

Shanshan Xu ◽

Sam Ol Ha ◽

Duong Trong Phi ◽

Maria Lisa Odland ◽

...

Keyword(s):

Polychlorinated Biphenyls ◽

Pregnant Women ◽

Gestational Age ◽

Low Income ◽

Cross Sectional Study ◽

Maternal Serum ◽

Sectional Study ◽

Serum Samples ◽

Cross Sectional ◽

Rural Settings

We conducted a cross-sectional study among 194 pregnant women from two low-income settings in Cambodia. The inclusion period lasted from October 2015 through December 2017. Maternal serum samples were analyzed for persistent organic pollutants (POPs). The aim was to study potential effects on birth outcomes. We found low levels of polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCP), except for heptachlors, β-hexachlorocyclohexane (HCH), heptachlor epoxide, and p,p’-DDE. There were few differences between the two study locations. However, the women from the poorest areas had significantly higher concentrations of p,p’-DDE (p < 0.001) and hexachlorobenzene (HCB) (p = 0.002). The maternal factors associated with exposure were parity, age, residential area, and educational level. Despite low maternal levels of polychlorinated biphenyls, we found significant negative associations between the PCB congeners 99 (95% CI: −2.51 to −0.07), 138 (95% CI: −1.28 to −0.32), and 153 (95% CI: −1.06 to −0.05) and gestational age. Further, there were significant negative associations between gestational age, birth length, and maternal levels of o,p’-DDE. Moreover, o,p’-DDD had positive associations with birth weight, and both p,p’-DDD and o,p’-DDE were positively associated with the baby’s ponderal index. The poorest population had higher exposure and less favorable outcomes.

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The association between social support and psychological factors with health-promoting behaviours in pregnant women: A cross-sectional study

Journal of Education and Health Promotion ◽

10.4103/jehp.jehp_390_20 ◽

2021 ◽

Vol 10 (1) ◽

pp. 9

Author(s):

Nasibeh Sharifi ◽

Nasrin Rashan ◽

Azita Fathnezhad-Kazemi ◽

Khadijeh Golnazari ◽

Safoura Taheri

Keyword(s):

Social Support ◽

Pregnant Women ◽

Psychological Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Health Promoting

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Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0037-1608885 ◽

2017 ◽

Vol 40 (01) ◽

pp. 011-019 ◽

Cited By ~ 6

Author(s):

Sirlei Morais ◽

Simony Nascimento ◽

Ana Godoy-Miranda ◽

Karina Kasawara ◽

Fernanda Surita

Keyword(s):

Body Mass Index ◽

Cesarean Section ◽

Pregnant Women ◽

Gestational Age ◽

Perinatal Outcomes ◽

Cross Sectional Study ◽

Large For Gestational Age ◽

Sectional Study ◽

Cross Sectional ◽

Prenatal Visit

Objective To evaluate the relation between changes the body mass index (BMI) percentile, reflected in the Atalah curve, and perinatal outcomes. Methods A cross-sectional study with 1,279 women was performed. Data regarding gestational weight, sociodemographic characteristics and perinatal outcomes were collected through medical charts, prenatal card and interviews in the postpartum period. Women could be classified according to the Atalah curve in the following categories: low weight, adequate weight, overweight, and obese. The BMI was calculated at the first and at the last prenatal care visits, and these values were compared. Results An increase in the BMI category according to the Atalah classification occurred in 19.9% of pregnant women, and an increase of 3.4, 5.8 and 6.4 points of BMI were found for women respectively classified in the adequate weight, overweight and obese categories at the first prenatal visit. Women with high school education presented a lower chance of increasing their BMI (odds ratio [OR] 0:47 [0.24- 0.95]). Women who evolved with an increase in the the Atalah classification were associated with cesarean section (OR 1.97–2.28), fetal macrosomia (OR 4.13–12.54) and large for gestational age newborn (OR 2.88–9.83). Conclusion Pregnant women who gained enough weight to move up in their BMI classification according to the Atalah curve had a higher chance of cesarean section and macrosomia. Women classified as obese, according to the Atalah curve, at the first prenatal visit had a high chance of cesarean section and delivering a large for gestational age newborn.

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Association between Perceived Social Support and Health-Promoting lifestyle in Pregnant Women: A Cross-Sectional Study

Journal of Caring Sciences ◽

10.34172/jcs.2021.018 ◽

2021 ◽

Vol 10 (2) ◽

pp. 96-102

Author(s):

Azita Fathnezhad-Kazemi ◽

Armin Aslani ◽

Sepideh Hajian

Keyword(s):

Social Support ◽

Pregnant Women ◽

Perceived Social Support ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Health Promoting Behaviors ◽

Health Promoting ◽

The Mean ◽

Health Promoting Lifestyle

Abstract Introduction: Adopting health-promoting lifestyle might be affected by a variety of factors. The existing evidence suggests that social support can improve health by fulfilling physical and mental needs. This study aimed to investigate the association between social support and health-promoting lifestyle in Pregnancy. Methods: Using multistage cluster sampling method, this cross-sectional study was conducted on 360 pregnant women. Data were collected using three questionnaires, including a self-reported demographic and obstetric, health-promoting lifestyle profile and perceived social support questionnaires. Data were analyzed using a t-test, repeated measures ANOVA, and multivariate linear regression model with SPSS software ver. 21 with. Results: The mean (SD) of health-promoting behaviors was 135.21(20.03). Amongst the different dimensions of health-promoting behaviors, the highest mean was detected in spiritual growth 26.84 (4.90) and nutrition 26.17 (4.22), respectively. Meanwhile, the lowest scores were detected in sub-domains of stress management 19.80 (3.78) and physical activity 16.71(4.14), respectively. The mean (SD) of perceived social support was 60.31 (14.75), and 51.7% of the participants had intermediate social support. Results indicated a significant difference between the mean score of Health-Promoting Lifestyle at different levels of social support. There was a direct and significant association between the scores of social support and health-promoting behavior (r=0.36; P<0.001). Conclusion: Pregnant women with better perception of social support had a better performance in adopting health-promoting Lifestyle. However, the status of health behaviors and social support was not favorable. Thus, there is a need to intervene and design programs to help pregnant women and improve their health.

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Assessment of Prenatal Attachment and Perceived Social Support Among Pregnant Women Living in South-East of Turkey: Cross-sectional study

Turkiye Klinikleri Journal of Nursing Sciences ◽

10.5336/nurses.2020-80600 ◽

2021 ◽

Vol 13 (3) ◽

pp. 516-525

Author(s):

İlknur YEŞİLÇINAR ◽

Eda ŞAHİN ◽

Nergis ÖZÇAM

Keyword(s):

Social Support ◽

Pregnant Women ◽

Perceived Social Support ◽

Cross Sectional Study ◽

Prenatal Attachment ◽

Sectional Study ◽

Cross Sectional

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Psychological impact of COVID-19 amongst pregnant women in Conakry, Guinea. A cross-sectional study.

10.21203/rs.3.rs-122687/v1 ◽

2020 ◽

Author(s):

Almamy Touré ◽

Abdourahamane Diallo ◽

Aboubacar Magassouba ◽

Abdoulaye Doumbouya ◽

Ibrahima Conté ◽

...

Keyword(s):

Pregnant Women ◽

Gestational Age ◽

Univariate Analysis ◽

Psychological Impact ◽

Cross Sectional Study ◽

Capital City ◽

Sectional Study ◽

Cross Sectional ◽

Event Scale ◽

State Worry

Abstract Introduction Pregnancy, apart from any external events, is subject to psychological changes. The COVID-19 pandemic in Guinea led to the implementation of restrictive measures followed by the mitigating ones, but few of them have targeted stress and anxiety management in pregnant women. This study aimed to assess the psychological impact and its associated factors in pregnant women. Methods We conducted a cross-sectional study in three health centres in Conakry capital city. Pregnant women were interviewed during antenatal care visits. We used two tools for stress and anxiety assessment: Impact of Event Scale-Revised (IES-R) and Penn State Worry Questionnaire (PSWQ), and followed three steps to seeking for factors associated with stress and anxiety: univariate analysis, regression tree (CART), and logistic regression. Results We surveyed a total of 649 pregnant women. Most of them presented a state of stress (97.7%) and anxiety (52.7%). Gestational age was the main factor associated with stress and anxiety. Pregnant women with a gestational age ≤ 34 weeks had an odd of 0.09 times lower of being stressed compared to those with a gestational age greater than 34 weeks. Pregnant women living in Ratoma and Kaloum with a gestational age was ≤ 9 weeks had an odds of 15.1 times [95% CI: 8.76, 27.4] higher of being worried compared to those from Matoto, Matam and Dixinn with a gestational age greater than 9 weeks. Similarly, pregnant women living in Matoto, Matam and Dixinn with a gestational age ≤ 9 weeks had an odds of 4.48 times [95% CI: 2.59, 8.12] higher of being worried compared to other women from the same localities. Conclusion Most of our participants were at a higher risk of stress and anxiety caused by COVID-19; women in their earlier stage of pregnancy tended to be more vulnerable to these psychological problems. Therefore, it is vital to implement an appropriate management plan which should prioritise those vulnerable pregnant women.

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Anxiety, depression and social support in pregnant women with a history of recurrent miscarriage: a cross-sectional study

Journal of Reproductive and Infant Psychology ◽

10.1080/02646838.2019.1652730 ◽

2019 ◽

Vol 38 (5) ◽

pp. 497-508 ◽

Cited By ~ 5

Author(s):

Lingling Gao ◽

Jia Qu ◽

Alex Y Wang

Keyword(s):

Social Support ◽

Pregnant Women ◽

Recurrent Miscarriage ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

History Of ◽

Anxiety Depression

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Predictors of Premature Rupture of Membranes among Pregnant Women in Rural Uganda: A Cross-Sectional Study at a Tertiary Teaching Hospital

International Journal of Reproductive Medicine ◽

10.1155/2020/1862786 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Simon Byonanuwe ◽

Emmanuel Nzabandora ◽

Baltazar Nyongozi ◽

Theophilus Pius ◽

David Santson Ayebare ◽

...

Keyword(s):

Urinary Tract ◽

Pregnant Women ◽

Gestational Age ◽

Cross Sectional Study ◽

Sectional Study ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Cross Sectional ◽

History Of ◽

Tract Infections

Background. Premature rupture of membranes (PROM) is a common condition in developed and developing countries and poses a serious threat to the maternal and fetal well-being if not properly managed. This study delineated the prevalence and predictors of PROM in the western part of Uganda so as to guide specific preventive measures. Methods. A cross-sectional study design was conducted in the months of September 2019 to November 2019. A total of 334 pregnant women above 28 weeks of gestation admitted at the maternity ward of KIU-TH were consecutively enrolled. Interviewer-administered questionnaires were used to obtain the data. Descriptive statistics followed by binary logistic regression were conducted. All data analyses were conducted using STATA 14.2. Results. Of the 334 pregnant women enrolled, the prevalence of PROM was found to be 13.8%. The significant independent predictors associated with lower odds of PROM were no history of urinary tract infection (UTI) in the month preceding enrollment into the study (aOR=0.5, 95% CI: 0.22-0.69, p=0.038) and gestational age of 37 weeks or more (aOR=0.3, 95% CI: 0.14-0.71, p=0.01) while history of 3 or more abortions (aOR=13.1, 95% CI: 1.12-153.62, p=0.05) was associated with higher likelihood of PROM. Conclusions. Majorly urinary tract infections, low gestational age, and abortions influence premature rupture of membranes among women. There is a great need for continuous screening and prompt treatment of pregnant women for UTI especially those with history of 3 or more abortions at less than 34 weeks of gestation.

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Pregnancy-related anxiety and its associated factors during COVID-19 pandemic in Iranian pregnant women: a web-based cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03694-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Zeinab Hamzehgardeshi ◽

Shabnam Omidvar ◽

Arman Asadi Amoli ◽

Mojgan Firouzbakht

Keyword(s):

Social Support ◽

Pregnant Women ◽

Associated Factors ◽

Mental Health Problems ◽

Good Practice ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Web Based ◽

Significance Level

Abstract Background Pregnancy is a risk factor for coronavirus disease 2019 (COVID-19). Pregnant women suffer from varying levels of pregnancy-related anxiety (PRA) which can negatively affect pregnancy outcomes. The aim of this study was to assess PRA and its associated factors during the COVID-19 pandemic. Methods This web-based cross-sectional study was conducted in 2020 on 318 pregnant women purposively recruited from primary healthcare centers in Sari and Amol, Iran. Data were collected using questionnaires (PRAQ, Edinburg, KAP of COVID-19, CDA-Q and Demographic questionnaire), which were provided to participants through the social media or were completed for them over telephone. Data were analyzed with the linear regression and the logistic regression analysis, at the significance level of 0.05 using the SPSS software (v. 21). Results Around 21% of participants had PRA, 42.1% had depression, and 4.4% had COVID-19 anxiety. The significant predictors of PRA were number of pregnancies (P = 0.008), practice regarding COVID-19 (P < 0.001), COVID-19 anxiety (P < 0.001), depression (P < 0.001), and social support (P = 0.025) which explained 19% of the total variance. Depression and COVID-19 anxiety increased the odds of PRA by respectively four times and 13%, while good practice regarding COVID-19 decreased the odds by 62%. Conclusion Around 21% of pregnant women suffer from PRA during the COVID-19 pandemic and the significant predictors of PRA during the pandemic include number of pregnancies, practice regarding COVID-19, COVID-19 anxiety, depression, and social support. These findings can be used to develop appropriate strategies for the management of mental health problems during pregnancy in the COVID-19 pandemic.

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