Faramarzi Mahbobeh, Hassanjanzadeh Parvin, Khafri Soraya
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences Babol Iran.
Psychology Department, Ayatollah Amoli Branch, Islamic Azad University Amol Iran.
Int J Reprod Biomed. 2019 Sep 3;17(8):585-590. doi: 10.18502/ijrm.v17i8.4824. eCollection 2019 Aug.
There is lack of information about the effect of general distress and pregnancy-specific distress in mid- and late-pregnancy separately on neonatal outcome.
The aim of this study was to assess the effects of mid-maternal distress on late-maternal distress and birth outcomes with a causal model of relationships among general distress and pregnancy-specific distress.
In this longitudinal descriptive study, 100 low-risk pregnant women participated. Participants completed three questionnaires at mid-pregnancy (13-26 wk) and at late pregnancy (27-40 wk). Pregnancy-general distress was assessed by the Perceived Stress Scale and the Hospital Anxiety Depression Scale. Pregnancy-specific distress was evaluated by the Prenatal Distress Questionnaire. The pregnant women were followed to after birth and neonatal outcome were assessed.
All total effect pathways were significant as predictors of birth outcomes (height, weight, and head circumference). Mid-pregnancy-specific distress had a significant relationship with late pregnancy-specific distress. However, mid-maternal distress was not related directly to birth outcomes. The effect of mid-maternal distress on birth outcomes was related indirectly to late-maternal distress. Both late general distress and late pregnancy-specific distress had direct negative effects on three indexes of birth outcome. The negative effect of late general-pregnancy distress and mid-pregnancy-specific distress on birth outcome was mediated through late pregnancy-specific distress.
Both late pregnancy-general distress and pregnancy-specific distress have negative effects on birth outcomes. These findings support a role for negative effect as mediating the relationship between late pregnancy-specific distress and birth outcomes.
关于妊娠中期和晚期一般困扰及妊娠特异性困扰分别对新生儿结局的影响，目前缺乏相关信息。
本研究旨在通过一般困扰和妊娠特异性困扰之间关系的因果模型，评估妊娠中期母亲困扰对妊娠晚期母亲困扰及分娩结局的影响。
在这项纵向描述性研究中，100名低风险孕妇参与其中。参与者在妊娠中期（13 - 26周）和妊娠晚期（27 - 40周）完成了三份问卷。妊娠一般困扰通过感知压力量表和医院焦虑抑郁量表进行评估。妊娠特异性困扰通过产前困扰问卷进行评估。对孕妇进行产后随访并评估新生儿结局。
所有总效应路径作为分娩结局（身高、体重和头围）的预测指标均具有显著性。妊娠中期特异性困扰与妊娠晚期特异性困扰存在显著关系。然而，妊娠中期母亲困扰与分娩结局无直接关联。妊娠中期母亲困扰对分娩结局的影响通过妊娠晚期母亲困扰间接相关。妊娠晚期一般困扰和妊娠晚期特异性困扰对三项分娩结局指标均有直接负面影响。妊娠晚期一般困扰和妊娠中期特异性困扰对分娩结局的负面影响通过妊娠晚期特异性困扰介导。
妊娠晚期一般困扰和妊娠特异性困扰均对分娩结局有负面影响。这些发现支持了负面影响在介导妊娠晚期特异性困扰与分娩结局之间关系中的作用。
