Moniri Monireh, Mirghafourvand Mojgan, Meedya Shahla, Ghanbari-Homaie Solmaz
Students Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Nurs Open. 2024 Dec;11(12):e70116. doi: 10.1002/nop2.70116.
A positive pregnancy experience can be a good start for healthy motherhood. This study aimed to investigate Iranian women's pregnancy experience and how self-reported hassles and uplifts influence birth experience, postpartum depression and anxiety, and the association between childbirth experience and postpartum mental health.
A prospective descriptive study.
A prospective descriptive study was conducted among 228 pregnant women from health centres in Tabriz, Iran. From the 28th to 36th weeks of pregnancy, participants completed the Pregnancy Experience Scale. Then, the mothers were followed up until 4-6 weeks postpartum, and Childbirth Experience Questionnaires version 2.0, Edinburgh Postnatal Depression and the short form of Specific Postpartum Anxiety Scales were completed. The data were analysed using the general linear model.
After adjusting for possible confounding variables, there was no statistically significant association between women's pregnancy and childbirth experiences. However, the mean scores of postpartum depression and anxiety were significantly higher in women who felt unhappy about the discomforts that they experienced during pregnancy (β [95% CI] = 0.01 [0.01-0.02]; p < 0.001, 0.22 [0.09-0.35]; p = 0.001, respectively).
There was a significant statistical reverse association between childbirth experience and postpartum anxiety and depression. The study demonstrated a significant association between women's pregnancy, birth experiences and postpartum psychological outcomes. Implementing interventions that create a positive pregnancy experience will likely have an impact on reducing the prevalence of postpartum depression and anxiety.
Pregnant women participated solely in the data collection by responding to the questionnaires. No participant contributions were required for the study's design, outcome measurement or implementation.
积极的孕期体验是健康孕产的良好开端。本研究旨在调查伊朗女性的孕期体验，以及自我报告的困扰和愉悦如何影响分娩体验、产后抑郁和焦虑，以及分娩体验与产后心理健康之间的关联。
前瞻性描述性研究。
对来自伊朗大不里士健康中心的228名孕妇进行了前瞻性描述性研究。在怀孕第28至36周，参与者完成了孕期体验量表。然后，对母亲们进行随访直至产后4至6周，并完成分娩体验问卷2.0版、爱丁堡产后抑郁量表和产后特定焦虑量表简表。使用一般线性模型对数据进行分析。
在对可能的混杂变量进行调整后，女性的孕期和分娩体验之间没有统计学上的显著关联。然而，对孕期不适感到不开心的女性产后抑郁和焦虑的平均得分显著更高（β[95%置信区间]=0.01[0.01 - 0.02]；p<0.001，0.22[0.09 - 0.35]；p = 0.001，分别）。
分娩体验与产后焦虑和抑郁之间存在显著的统计学反向关联。该研究表明女性的孕期、分娩体验与产后心理结果之间存在显著关联。实施能创造积极孕期体验的干预措施可能会对降低产后抑郁和焦虑的患病率产生影响。
孕妇仅通过回答问卷参与了数据收集。研究的设计、结果测量或实施无需参与者做出贡献。
