Determinants of distress levels in high-risk pregnant women – cross-sectional study
DOI:
https://doi.org/10.15584/ejcem.2024.1.9Keywords:
distress, health professional, high-risk pregnancy, nursing careAbstract
Introduction and aim. Global and national care recommendations indicate that women with high-risk pregnancies should receive personalized and qualified care during this period. This study was conducted to determine the distress levels in high-risk pregnant women and affecting factors.
Material and methods. The cross-sectional this study was conducted with total of 416 high-risk pregnant women who met the inclusion criteria in the obstetrics clinic of a training and research hospital. The study data were collected with data collection form and “Tilburg Pregnancy Distress Scale (TPDS).”
Results. The mean TPDS total score of high-risk pregnant women was 18.25±6.85. It was found that planning pregnancy, gravida, and diagnosis of gestational hypertension, systemic diseases, and gestational diabetes in the present pregnancy was asso ciated with pregnancy-specific distress (p<0.05; β=0.291, β=0.158, β=0.272, β=0.137, β=0.116, respectively).
Conclusion. It is advised that health professionals assess the distress levels of high-risk pregnant women and give personalized care during prenatal period.
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References
Bilgin Z. Risky Situations in Pregnancy. In: Arslan Özkan, H. (Ed.), Women's Health and Diseases for Nursing and Midwifery. Academician Bookstore, Ankara; 2019.
Rodrigues PB, Zambaldi CF, Cantilino A, Sougey EB. Special Features of High-Risk Pregnancies as Factors in Development of Mental Distress: A Review. Trends Psychiatry Psychother. 2016;8(3):136-140. doi: 10.1590/2237-6089-2015-0067
Rajbanshi S, Norhayati MN, Hazlina NH. High-Risk Pregnancies and their Association with Severe Maternal Morbidity in Nepal: A Prospective Cohort Study. PLoS One. 2020;15(12): e0244072. doi: 10.1371/journal.pone.0244072
Majella MG, Sarveswaran G, Krishnamoorthy Y, et al. Study of Maternal and Fetal Outcomes in High Risk Pregnancies. Global Journal of Medical Research. 2020;20(1):1-8.
Presidency of Turkish Health Institutes. Precautions to be Taken at the Provincial Level for Risky Pregnancies 2018. General Directorate of Public Health 2021; https://www.tuseb.gov.tr/tacese/uploads/genel/files/yayinlar/raporlar/tacese_2018_riskli_gebelikler_il_duzeyinde_alinmasi_gereken_onlemler.pdf. Accessed May 22, 2021.
World Health Organization [WHO]. Maternal mortality. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accessed June 23, 2021.
Ashrita K, Sarvagnya K. High risk pregnancies-The Maternal and Fetal Outcomes in a Tertiary Care Unit. IAIM. 2020;7(6):14-20.
Rychik J, Donaghue DD, Levy S, et al. Maternal Psychological Stress After Prenatal Diagnosis of Congenital Heart Disease. J Pediatr. 2013;162(2):302-307. doi: 10.1016/j.jpeds.2012.07.023
Yuksel F, Akin S, Durna Z. Prenatal Distress in Turkish Pregnant Women and Factors Associated with Maternal Prenatal Distress. J Clin Nurs. 2013;23:54-64. doi: 10.1111/j.1365-2702.2012.04283.x
Toscano M, Royzer R, Castillo D, Li D, Poleshuck E. Prevalence of Depression or Anxiety during Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-Analysis. Obstet Gynecol. 2021;137(5):881-891. doi: 10.1097/AOG.0000000000004335
Lee KW, Ching SM, Devaraj NK, et al. Diabetes in Pregnancy and Risk of Antepartum Depression: A Systematic Review and Meta-Analysis of Cohort Studies. Int J Environ Res Public Health. 2020;17(11):3767. doi: 10.3390/ijerph17113767
American Psychological Association [APA] Dictionary of Psychology. Psychological distress. https://dictionary.apa.org/psychological-distress. Accessed May 22, 2021.
Drapeau A, Marchand A, Beaulieu-Prévost D. Mental Illnesses - Understanding, Prediction and Control. In: Drapeau A, Marchand A, Beaulieu-Prévost D, (Eds.), Epidemiology of Psychological Distress. 5th ed. Intech Open; 2012. doi: 10.5772/30872
Gözüyeşil E, Arıöz Düzgün A. Prenatal Distress and the Contributing Factors in High-Risk Pregnant Women. J Educ Res Nurs. 2021;18(2):183-189. doi: 10.5152/jern.2021.16870
Dikmen Yildiz P, Ayers S, Phillips L. The Prevalence of Posttraumatic Stress Disorder in Pregnancy and After Birth: A Systematic Review and Meta-analysis. J Affect Disord, 2017;208:634–645. doi: 10.1016/j.jad.2016.10.009
Kara P, Nazik E. Effects of Anxiety and Social Support Levels on the Prenatal Attachment of Pregnant Women with Preeclampsia. Cukurova Med J, 2021;46:889-896. doi: 10.17826/cumj.894664
Tsakiridis I, Bousi V, Dagklis T, Sardeli C, Nikolopoulou V, Papazisis G. Epidemiology of Antenatal Depression among Women with High-risk Pregnancies due to Obstetric Complications: A Scoping Review. Arch Gynecol Obstet, 2019;300(4):849-859. doi: 10.1007/s00404-019-05270-1
Faramarzi M, Kheirkhah F, Barat S, et al. Prevalence and Factors related to Psychiatric Symptoms in Low Risk Pregnancy. Caspian J Intern Med, 2020;11(2):211-218. doi: 10.22088/cjim.11.2.211
Bjelica A, Cetkovic N, Trninic-Pjevic A, Mladenovic-Segedi L. The Phenomenon of Pregnancy- A Psychological View. Ginekol Pol. 2018;89(2):102-106. doi: 10.5603/GP.a2018.0017
Hamidia A, Kheirkhah F, Faramarzi M, et al. Depressive Symptoms and Psychological Distress from Antenatal to Postnatal Period in Women with High-risk Pregnancy: A Prospective Study during the COVID-19 Pandemic. Indian J Psychiatry. 2021;63(6):536-542. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_1272_20
Mommersteeg PM, Drost JT, Ottervanger JP, Maas AH. Long-term Follow-up of Psychosocial Distress After Early Onset Preeclampsia: The Preeclampsia Risk EValuation in FEMales Cohort Study. J Psychosom Obstet Gynaecol, 2016;37(3):101-109. doi: 10.3109/0167482X.2016.1168396
Ministry of Health, Risky pregnancies management guide 2014. Public Health Institution of Türkiye 2014. https://khgmsaglikhizmetleridb.saglik.gov.tr/TR-42842/riskli-gebelik-yonetim-rehberi.html. Accessed May 22, 2021.
World Health Organization. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience 2016. https://www.who.int/publications/i/item/9789241549912. Accessed June 23, 2021.
Vehmeijer F, Guxens M, Duijts L, ElMarroun H. Maternal Psychological Distress during Pregnancy and Childhood Health Outcomes: A narrative review. J Dev Orig Health Dis. 2019;10(3):274-285. doi: 10.1017/S2040174418000557
Bacacı H, Ejder Apay S. Correlation Between Body Image Perception and Distress Among Pregnant Women. J DU Health Sci Inst. 2018;8(2):76-82.
Çapık A, Ejder Apay S, Sakar T. Gebelerde Distres Düzeyinin Belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2015;18(3):196-203.
Ministry of Health. Antenatal care management guide 2016. Public Health Institution of Türkiye 2016. https://sbu.saglik.gov.tr/Ekutuphane/YayinListesi?sayfa=1. Accessed May 22, 2021.
Pop VJ, Pommer AM, Pop-Purceleanu M, Wijnen H, Bergink V, Pouwer F. Development of the Tilburg Pregnancy Distress Scale: The TPDS. BMC Pregnancy Childbirth. 2011;11:80. doi: 10.1186/1471-2393-11-80
Çapık A, Pasinlioğlu T. Validity and Reliability Study of the Tilburg Pregnancy Distress Scale into Turkish. J Psychiatr Ment Health Nurs. 2015;22:260-269. doi: 10.1111/jpm.12211
Bahadır Yılmaz E. Socio-Demographic and Pregnancy-Related Characteristics associated with Prenatal Distress: A Turkish study. Cent Eur J Nurs Midw. 2019;10(3):1069-1075.
Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. Psychosocial Stress during Pregnancy. Am J Obstet Gynecol. 2010;202(1):61.e1-7. doi: 10.1016/j.ajog.2009.07.041
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