Department of Anaesthesiology, Hanoi Medical University, Hanoi, Vietnam.
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
BMC Pregnancy Childbirth. 2022 Aug 9;22(1):631. doi: 10.1186/s12884-022-04961-z.
Self-care behaviors during pregnancy significantly impacts mother and children's health. This study aimed to explore the self-care behaviors and the associations of these behaviors with the psychological well-being of women during pregnancy, as well as the mediating effects of different social support with these associations.
A cross-sectional data of 562 pregnant women at Hanoi Obstetrics & Gynecology Hospital and Ca Mau Obstetrics & Pediatrics in Vietnam were analyzed. Questions about self-care behaviors, pregnancy characteristics, social support, and psychological well-being were asked. Multivariate regression models were performed. Structural Equation Modeling (SEM) was employed to test the mediating effects of different social support with the association between self-care behaviors and psychological well-being.
Only 13% of pregnant women often or always did physical exercise at least three times a week, and 40% consumed enough fiber and five servings of vegetables a day. Only 78.7% always avoided alcohol drinking, and 53.9% of pregnant women avoided being exposed to second-hand smoking and 71,7% avoided using traditional medicine without physicians' prescriptions. Around 66% of pregnant women always or often had prenatal care checkups as scheduled. Information sources, social support and childbirth expectation were major drivers for self-care practices. SEM model showed that social support mediated the relationship between maternal health behaviors and mental well-being.
This study highlighted the remarkable gaps in self-care practices among our pregnant women, which were significantly associated with their mental well-being. Social support-oriented consultancy and interventions should be warranted for improving behaviors and the mental well-being of pregnant women in Vietnam.
孕期自我保健行为对母婴健康有重要影响。本研究旨在探讨孕妇的自我保健行为及其与孕期心理健康的关系，以及不同社会支持对这些关系的中介作用。
对越南河内妇产科医院和芹苴妇产科医院的 562 名孕妇进行了横断面数据分析。调查了自我保健行为、妊娠特征、社会支持和心理健康状况等问题。采用多元回归模型进行分析。结构方程模型（SEM）用于检验自我保健行为与心理健康之间的关联中不同社会支持的中介作用。
仅有 13%的孕妇每周至少进行三次以上的体育锻炼，40%的孕妇每天摄入足够的纤维和五份蔬菜。仅有 78.7%的孕妇从不饮酒，53.9%的孕妇避免接触二手烟，71.7%的孕妇避免在没有医生处方的情况下使用传统药物。约 66%的孕妇总是或经常按计划进行产前检查。信息来源、社会支持和生育期望是自我保健行为的主要驱动因素。SEM 模型显示，社会支持中介了母婴健康行为与心理健康之间的关系。
本研究突出了越南孕妇自我保健行为存在显著差距，这些差距与她们的心理健康显著相关。需要针对社会支持为导向的咨询和干预措施，以改善越南孕妇的行为和心理健康。
