THE RELATIONSHIP BETWEEN STRESS IN PREGNANCY, AND PREGNANCY OUTCOMES: A LONGITUDINAL STUDY

Abedi, M and Rasoli, J and Rabiepour, S and Saboory, E (2017) THE RELATIONSHIP BETWEEN STRESS IN PREGNANCY, AND PREGNANCY OUTCOMES: A LONGITUDINAL STUDY. The J Urmia Nurs Midwifery Fac, 14 (12). pp. 969-981.

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Abstract

Pregnancy of a woman is one of the most stressful periods during her life. Stress in pregnancy, childbirth and breastfeeding time can cause adverse results of pregnancy. Considering the importance of the mental health of pregnancy period, that can have significant impact on mother health and also on mental and physical health of baby, we decided to do a study to determine the relationship between stress in pregnancy and its outcomes on pregnant mothers in Miandoab. Materials & Methods: This longitudinal study was done on110 pregnant women in Fatimazahra hospital, and health care centers in miandoab from November 2015 to late March 2016. All available mothers, who were on 24-28weeks of their pregnancy were selected for the study. Cohen perceived stress questionnaires and demographical information were completed by mothers in their 28-32 and 32- 36 weeks of their pregnancy. In their delivertime, Cohen Perceived Stress questionnaires and questions about pregnancy outcomes in each follow-up were completed by mothers again. All obtained data were analyzed statistically (by spss version 23 and P< 0.05, Mann-Whitney U test was used as well). Results: There was a significant relationship between the average of perceived stress score by mothers and preeclampsia (P=0.008) and also spotting and bleeding during pregnancy (P=0.03). There was a negative significant relationship between perceived stress score by mothers score and newborns weight (P=0.039), and newborns height (P=0.014). A significant relationship between the stress score in 32-36 weeks and soaking up the baby with meconium was also found (P=0.018). Conclusion: According to undesirable results that stress can have in pregnancy and delivery and also on the newborn, it is recommended to apply mental health screening in pregnancy and stress reduction techniques at this period

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