Reeta Vijayaselvi1, Manisha Madhai Beck2, Anuja Abraham1, Suja Kurian3, Annie Regi4, Grace Rebekah5. 1. Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India . 2. Associate Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India . 3. Professor, Department of Psychiatry, Christian Medical College Hospital , Vellore, Tamilnadu, India . 4. Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India . 5. Assistant Professor, Department of Biostatistics, Christian Medical College Hospital , Vellore, Tamilnadu, India .
Abstract
BACKGROUND: The well-being of an infant may be affected when the mother is subjected to psychosocial stress during her pregnancy. Mothers exposed to stressful conditions were more prone for preterm birth than those without any stress. In this study perceived stress has been used as an indicator of levels of stress. There are very few studies published from developing countries on the levels of perceived stress and its causes in pregnant women. MATERIALS AND METHODS: This study employed a cross-sectional assessment of pregnant women attending the outpatient services of a tertiary care hospital for regular antenatal check-up. Women not known to have any risk factors at 28 weeks to 34 weeks of pregnancy who agreed to participate in the study were interviewed to assess the perceived stress score. RESULTS: Among the total patients 57.7% were primigravida and the mean score on perceived stress scale was 13.5±5.02. The majority of the group (102; 65.4%) scored higher than the mean value of total score on the perceived stress scale. Unplanned pregnancy and husband's employment status were associated with high levels of perceived stress in multivariate analysis in this set of women. CONCLUSION: Individual as well as pregnancy related factors can contribute to perceived stress in pregnant women. With the established relationship between maternal mental health, pregnancy outcome and infant growth, the assessment and management of stress early in the pregnancy is crucial.
BACKGROUND: The well-being of an infant may be affected when the mother is subjected to psychosocial stress during her pregnancy. Mothers exposed to stressful conditions were more prone for preterm birth than those without any stress. In this study perceived stress has been used as an indicator of levels of stress. There are very few studies published from developing countries on the levels of perceived stress and its causes in pregnant women. MATERIALS AND METHODS: This study employed a cross-sectional assessment of pregnant women attending the outpatient services of a tertiary care hospital for regular antenatal check-up. Women not known to have any risk factors at 28 weeks to 34 weeks of pregnancy who agreed to participate in the study were interviewed to assess the perceived stress score. RESULTS: Among the total patients 57.7% were primigravida and the mean score on perceived stress scale was 13.5±5.02. The majority of the group (102; 65.4%) scored higher than the mean value of total score on the perceived stress scale. Unplanned pregnancy and husband's employment status were associated with high levels of perceived stress in multivariate analysis in this set of women. CONCLUSION: Individual as well as pregnancy related factors can contribute to perceived stress in pregnant women. With the established relationship between maternal mental health, pregnancy outcome and infant growth, the assessment and management of stress early in the pregnancy is crucial.
Entities:
Keywords:
Perceived stress; Prematurity; Social factors; Stress in pregnancy
Authors: Stephanie A M Giannandrea; Catherine Cerulli; Elizabeth Anson; Linda H Chaudron Journal: J Womens Health (Larchmt) Date: 2013-09 Impact factor: 2.681
Authors: R L Copper; R L Goldenberg; A Das; N Elder; M Swain; G Norman; R Ramsey; P Cotroneo; B A Collins; F Johnson; P Jones; A M Meier Journal: Am J Obstet Gynecol Date: 1996-11 Impact factor: 8.661