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http://dx.doi.org/10.4069/kjwhn.2022.02.03

Factors influencing pregnancy stress in pregnant women in Korea: a cross-sectional study  

Kang, Sook Jung (College of Nursing, Ewha Womans University)
Yang, Min Ji (Division of Nursing Science, Graduate School, Ewha Womans University)
Publication Information
Women's Health Nursing / v.28, no.1, 2022 , pp. 27-37 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the association between maternal knowledge and social support on pregnancy stress among pregnant women in Korea. Methods: The participants in this study were 148 pregnant women in Korea, recruited from online communities on pregnancy and/or childbirth, from June 2019 to April 2020. The collected data were analyzed using the independent t-test, one-way analysis of variance, Pearson correlation coefficient, and multiple regression. Results: Participants were at average 18.25±8.28 weeks gestation, 56% were in the second trimester, 31% had one or more health issues in the current pregnancy (e.g., hyperemesis gravidarum), and 76% were first-time mothers. Participants had moderate levels of pregnancy stress (mean, 23.09±7.11 points out of 48) and maternal knowledge (mean, 14.42±4.67 points out of 21), whereas social support was somewhat high (mean 45.88±7.81 points out of 60). Pregnancy stress was weakly negatively correlated with social support (r=-.37, p<.001). Main source of pregnancy information (β=-.21, p=.011), marital satisfaction (β=-.18, p=.036), and social support (β=-.19, p=.038) were identified as significant factors affecting pregnancy stress, and these variables had an explanatory power of 22.7% for pregnancy stress. Conclusion: Based on these findings, nurses should assess pregnancy-related stress during pregnancy and consider main source of pregnancy information and marital satisfaction when providing education or counseling. Moreover, strategies to reduce pregnancy stress through social support are needed to improve the quality of life for pregnant women.
Keywords
Knowledge; Pregnant women; Psychological distress; Social support;
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1 Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
2 Hwang RH. Effects of state-anxiety and dyadic adjustment on pregnant women's pregnancy stress. J Digit Converg. 2019;17(5):225-233. https://doi.org/10.14400/JDC.2019.17.5.225   DOI
3 Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-3191. https://doi.org/10.1097/00007632-200012150-00014   DOI
4 Kim HW. Model construction of maternal identity in primigravida. J Korean Acad Nurs. 1998;28(2):510-518. https://doi.org/10.4040/jkan.1998.28.2.510   DOI
5 Capik A, Pasinlioglu T. Validity and reliability study of the Tilburg Pregnancy Distress Scale into Turkish. J Psychiatr Ment Health Nurs. 2015;22(4):260-269. https://doi.org/10.1111/jpm.12211   DOI
6 Hicyilmaz BD. Characteristics associated with prenatal distress in Turkish women: a cross-sectional study. J Midwifery Reprod Health. 2021;9(1):2555-2564. https://doi.org/10.22038/JMRH.2020.50064.1622   DOI
7 Boekhorst MG, Beerthuizen A, Van Son M, Bergink V, Pop VJ. Psychometric aspects of the Tilburg Pregnancy Distress Scale: data from the HAPPY study. Arch Womens Ment Health. 2020;23(2):215-219. https://doi.org/10.1007/s00737-019-00974-4   DOI
8 Cho HW, Woo JY. The relational structure modeling between variables related with postpartum depression. Korean J Couns Psychother. 2013;25(3):549-573.
9 Staneva AA, Bogossian F, Wittkowski A. The experience of psychological distress, depression, and anxiety during pregnancy: a meta-synthesis of qualitative research. Midwifery. 2015;31(6):563-573. https://doi.org/10.1016/j.midw.2015.03.015   DOI
10 Cutler A, McNamara B, Qasba N, Kennedy HP, Lundsberg L, Gariepy A. "I just don't know": an exploration of women's ambivalence about a new pregnancy. Women's Health Issues. 2018;28(1):75-81. https://doi.org/10.1016/j.whi.2017.09.009   DOI
11 Statistics Korea. Population trend survey for Korea [Internet]. Seoul: Author; 2020 [cited 2021 Dec 9]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B8000H&checkFlag=N
12 Fatima M, Srivastav S, Mondal AC. Prenatal stress and depression associated neuronal development in neonates. Int J Dev Neurosci. 2017;60:1-7. https://doi.org/10.1016/j.ijdevneu.2017.04.001   DOI
13 Zamani P, Ziaie T, Lakeh NM, Leili EK. The correlation between perceived social support and childbirth experience in pregnant women. Midwifery. 2019;75:146-151. https://doi.org/10.1016/j.midw.2019.05.002   DOI
14 Alderdice F, Lynn F. Factor structure of the prenatal distress questionnaire. Midwifery. 2011;27(4):553-559. https://doi.org/10.1016/j.midw.2010.05.003   DOI
15 Obrochta CA, Chambers C, Bandoli G. Psychological distress in pregnancy and postpartum. Women Birth. 2020;33(6):583-591. https://doi.org/10.1016/j.wombi.2020.01.009   DOI
16 Christian LM. Physiological reactivity to psychological stress in human pregnancy: current knowledge and future directions. Prog Neurobiol. 2012;99(2):106-116. https://doi.org/10.1016/j.pneurobio.2012.07.003   DOI
17 Kwon MK, Bang KS. Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth. J Korean Acad Nurs. 2011;41(2):276-283. https://doi.org/10.4040/jkan.2011.41.2.276   DOI
18 Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. Psychosocial stress during pregnancy. Am J Obstet Gynecol. 2010;202(1):61.e1-61.e617. https://doi.org/10.1016/j.ajog.2009.07.041   DOI
19 Hong K, Hwang H, Han H, et al. Perspectives on antenatal education associated with pregnancy outcomes: systematic review and meta-analysis. Women Birth. 2021;34(3):219-230. https://doi.org/10.1016/j.wombi.2020.04.002   DOI
20 Chung MR, Kim HM, Kang SK. Assessment on the needs of pregnant women regarding pregnancy, childbirth, and parenting-related support policies. Korean J Early Childhood Educ. 2017;37(2):127-148. https://doi.org/10.18023/kjece.2017.37.2.006   DOI
21 Oh JS, Wright G, Coulam CB. Gestational sac diameter in very early pregnancy as a predictor of fetal outcome. Ultrasound Obstet Gynecol. 2002;20(3):267-269. https://doi.org/10.1046/j.1469-0705.2002.00774.x   DOI
22 Sayakhot P, Carolan-Olah M. Internet use by pregnant women seeking pregnancy-related information: a systematic review. BMC Pregnancy Childbirth. 2016;16:65. https://doi.org/10.1186/s12884-016-0856-5   DOI
23 Jonsdottir SS, Thome M, Steingrimsdottir T, et al. Partner relationship, social support and perinatal distress among pregnant Icelandic women. Women Birth. 2017;30(1):e46-e55. https://doi.org/10.1016/j.wombi.2016.08.005   DOI
24 Lima SAM, El Dib RP, Rodrigues MR, et al. Is the risk of low birth weight or preterm labor greater when maternal stress is experienced during pregnancy? A systematic review and meta-analysis of cohort studies. PLoS One. 2018;13(7):e0200594. https://doi.org/10.1371/journal.pone.0200594   DOI
25 Racine N, Plamondon A, Hentges R, Tough S, Madigan S. Dynamic and bidirectional associations between maternal stress, anxiety, and social support: the critical role of partner and family support. J Affect Disord. 2019;252:19-24. https://doi.org/10.1016/j.jad.2019.03.083   DOI
26 Barber CC, Steadman J. Distress levels in pregnant and matched non-pregnant women. Aust N Z J Obstet Gynaecol. 2018;58(1):128-131. https://doi.org/10.1111/ajo.12712   DOI
27 Hong HJ, Mun HJ. The influences of stress and social support during pregnancy on maternal attachment in infancy: An examination of postpartum depression and its mediating effects. Korean J Human Develop. 2011;18(4):125-145.
28 Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30-41. https://doi.org/10.1207/s15327752jpa5201_2   DOI
29 Kim YK, Lim KH. Risk factors for premature birth among premature obstetric labor women: a prospective cohort study. Korean J Women Health Nurs. 2018;24(3):233-242. https://doi.org/10.4069/kjwhn.2018.24.3.233   DOI
30 Engidaw NA, Mekonnen AG, Amogne FK. Perceived stress and its associated factors among pregnant women in Bale zone Hospitals, Southeast Ethiopia: a cross-sectional study. BMC Res Notes. 2019;12(1):356. https://doi.org/10.1186/s13104-019-4383-0   DOI
31 Kuipers J, Henrichs J, Evans K. A comparison of the Fear of Childbirth Scale with the Tilburg Pregnancy Distress Scale to identify childbirth-related fear in a sample of Dutch pregnant women: a diagnostic accuracy comparative cross-sectional study. Int J Nurs Stud. 2020;109:103615. https://doi.org/10.1016/j.ijnurstu.2020.103615   DOI
32 Fontein-Kuipers Y, Ausems M, Bude L, Van Limbeek E, De Vries R, Nieuwenhuijze M. Factors influencing maternal distress among Dutch women with a healthy pregnancy. Women Birth. 2015;28(3):e36-e43. https://doi.org/10.1016/j.wombi.2015.02.002   DOI
33 Vieten C, Laraia BA, Kristeller J, et al. The mindful moms training: development of a mindfulness-based intervention to reduce stress and overeating during pregnancy. BMC Pregnancy Childbirth. 2018;18(1):201. https://doi.org/10.1186/s12884-018-1757-6   DOI
34 Yuksel F, Akin S, Durna Z. Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress. J Clin Nurs. 2014;23(1-2):54-64. https://doi.org/10.1111/j.1365-2702.2012.04283.x   DOI
35 Solivan AE, Xiong X, Harville EW, Buekens P. Measurement of perceived stress among pregnant women: a comparison of two different instruments. Matern Child Health J. 2015;19(9):1910-1915. https://doi.org/10.1007/s10995-015-1710-5   DOI
36 Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: a systematic review. Women Birth. 2015;28(3):179-193. https://doi.org/10.1016/j.wombi.2015.02.003   DOI
37 Pop VJ, Pommer AM, Pop-Purceleanu M, Wijnen HA, Bergink V, Pouwer F. Development of the Tilburg Pregnancy Distress Scale: the TPDS. BMC Pregnancy Childbirth. 2011;11:80. https://doi.org/10.1186/1471-2393-11-80   DOI