Amiri Marjan, Kohan Shahnaz, Heidari Zeinab
Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Isfahan Fertility and Infertility Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2024 Jul 5;13:181. doi: 10.4103/jehp.jehp_352_23. eCollection 2024.
Life-threatening complications during pregnancy and childbirth could have an impact on the physical and mental health of mothers. The present research aimed to investigate the factors related to depression, anxiety, and stress among mothers who have survived maternal near-miss situations.
This is a descriptive-analytical study, and the data have been collected cross-sectionally. Near-miss mothers who had given birth within the past year were selected through the census method (having at least one criterion of the clinical, laboratory, and management standard of the World Health Organization). The Depression, Anxiety, and Stress Scale (DASS-21) and a demographic questionnaire on personal, family, fertility, and care information were filled out by these mothers.
One hundred fifty-four near-miss mothers were investigated. The findings indicated that lack of social support, domestic violence, and marital dissatisfaction leads to a significant increase in the mean score of depression among near-miss mothers. In addition, according to the findings, an unemployed spouse, low level of education, lack of social support, recent unintended pregnancy, high blood pressure, and bleeding during pregnancy result in a significant increase in the mean score of stress among near-miss mothers. The findings also showed that domestic violence, a history of infertility, heart disease, and bleeding complications significantly increase anxiety in near-miss mothers.
Considering the high levels of depression, anxiety, and stress in near-miss mothers, it is of utmost importance to pursue and check up on their mental health, as they are one of the most vulnerable groups in society. It is crucial to provide them support long after discharge to reintegrate these mothers into normal living as per the present study's findings.
妊娠和分娩期间危及生命的并发症可能会对母亲的身心健康产生影响。本研究旨在调查经历过孕产妇接近死亡情况的母亲中与抑郁、焦虑和压力相关的因素。
这是一项描述性分析研究，数据采用横断面收集。通过普查方法（至少符合世界卫生组织临床、实验室和管理标准中的一项标准）选取过去一年内分娩的接近死亡情况的母亲。这些母亲填写了抑郁、焦虑和压力量表（DASS - 21）以及一份关于个人、家庭、生育和护理信息的人口统计学问卷。
对154名接近死亡情况的母亲进行了调查。研究结果表明，缺乏社会支持、家庭暴力和婚姻不满会导致接近死亡情况的母亲抑郁平均得分显著增加。此外，根据研究结果，配偶失业、教育程度低、缺乏社会支持、近期意外怀孕、高血压和孕期出血会导致接近死亡情况的母亲压力平均得分显著增加。研究结果还显示，家庭暴力、不孕史、心脏病和出血并发症会显著增加接近死亡情况的母亲的焦虑。
鉴于接近死亡情况的母亲中抑郁、焦虑和压力水平较高，关注并检查她们的心理健康至关重要，因为她们是社会中最脆弱的群体之一。根据本研究结果，在她们出院后长期为其提供支持，以使这些母亲重新融入正常生活至关重要。
