Volume 17, Issue 8 (August 2019)                   IJRM 2019, 17(8): 585-590 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Faramarzi M, Hassanjanzadeh P, Khafri S. Maternal mid- and late-pregnancy distress and birth outcome: A causal model of the mediatory role of pregnancy-specific distress. IJRM 2019; 17 (8) :585-590
URL: http://ijrm.ir/article-1-1625-en.html
Maternal mid- and late-pregnancy distress and birth outcome: A causal model of the mediatory role of pregnancy-specific distress
Mahbobeh Faramarzi * 1, Parvin Hassanjanzadeh2 , Soraya Khafri3
1- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
2- Psychology Department, Ayatollah Amoli Branch, Islamic Azad University, Amol, Iran
3- Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Abstract:   (2407 Views)
Background: There is lack of information about the effect of general distress and pregnancy-specific distress in mid- and late-pregnancy separately on neonatal outcome.
Objective: 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.
Materials and Methods: 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.
Results: 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.
Conclusion: 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.
Keywords: Birth outcomes, Pregnancy, Distress, Anxiety, Depression
Full-Text [PDF 525 kb]   (599 Downloads) |   |   Full-Text (HTML)  (403 Views)  
Type of Study: Short Research Reports |
References
1. Faramarzi M, Pasha H, Khafri S, Heidary S. The factor structure and psychometric properties of the persian version of the revised prenatal coping inventory (Nu-PCI). J Clin Diagn Res 2017; 11: QC17-QC20. [DOI:10.7860/JCDR/2017/21582.9480] [PMID] [PMCID]
2. Pasha H, Basirat Z, Hajahmadi M, Bakhtiari A, Faramarzi M, Salmalian H. Maternal expectations and experiences of labor analgesia with nitrous oxide. Iran Red Crescent Med J 2012; 14: 792-797. [DOI:10.5812/ircmj.3470] [PMID] [PMCID]
3. Stewart DE. Clinical practice: Depression during pregnancy. N Engl J Med 2011; 365: 1605-1611. [DOI:10.1056/NEJMcp1102730] [PMID]
4. Nath A, Murthy GVS, Babu GR, Di Renzo GC. Effect of prenatal exposure to maternal cortisol and psychological distress on infant development in Bengaluru, southern India: a prospective cohort study. BMC Psychiatry 2017; 17: 255. [DOI:10.1186/s12888-017-1424-x] [PMID] [PMCID]
5. Yali AM, Lobel M. Stress-resistance resources and coping in pregnancy. Int J Anxiety, Stress & Coping 2002; 15: 289-309. [DOI:10.1080/1061580021000020743]
6. Faramarzi M, Amiri FN, Rezaee R. Relationship of coping ways and anxiety with pregnancy specific-stress. Pak J Med Sci 2016; 32: 1364-1369. [DOI:10.12669/pjms.326.10892] [PMID] [PMCID]
7. Faramarzi M, Pasha H. The role of social support in prediction of stress during pregnancy. J Babol Univ Med Sci 2015; 17: 52-60.
8. Skouteris H, Wertheim EH, Rallis S, Milgrom J, Paxton SJ. Depression and anxiety through pregnancy and the early postpartum: an examination of prospective relationships. J Affect Disord 2009; 113: 303-308. [DOI:10.1016/j.jad.2008.06.002] [PMID]
9. Faramarzi M, Pasha H. Psychometric properties of the Persian version of the Prenatal Distress Questionnaire. Social Behavior and Personality: An International Journal 2018; 46: 815-822. [DOI:10.2224/sbp.6703]
10. Henriksen RE, Thuen F. Marital quality and stress in pregnancy predict the risk of infectious disease in the offspring: the norwegian mother and child cohort study. PloS One 2015; 10: e0137304. [DOI:10.1371/journal.pone.0137304] [PMID] [PMCID]
11. Tegethoff M, Greene N, Olsen J, Schaffner E, Meinlschmidt G. Stress during pregnancy and offspring pediatric disease: A national cohort study. Environ Health Perspect 2011; 119: 1647-1652. [DOI:10.1289/ehp.1003253] [PMID] [PMCID]
12. Borders AE, Grobman WA, Amsden LB, Holl JL. Chronic stress and low birth weight neonates in a low-income population of women. Obstet Gynecol 2007; 109: 331-338. [DOI:10.1097/01.AOG.0000250535.97920.b5] [PMID]
13. Akiki S, Avison WR, Speechley KN, Campbell MK. Determinants of maternal antenatal state-anxiety in mid-pregnancy: Role of maternal feelings about the pregnancy. J Affect Disord 2016; 196: 260-267. [DOI:10.1016/j.jad.2016.02.016] [PMID]
14. Huizink AC. Prenatal stress and its effects on infant development. Academic Thesis, University Utrecht. The Netherlands; 2000: 1-217.
15. Servili C, Medhin G, Hanlon C, Tomlinson M, Worku B, Baheretibeb Y, et al. Maternal common mental disorders and infant development in Ethiopia: the P-MaMiE Birth Cohort. BMC Public Health 2010; 10: 693. [DOI:10.1186/1471-2458-10-693] [PMID] [PMCID]
16. Davis EP, Sandman CA. The timing of prenatal exposure to maternal cortisol and psychosocial stress is associated with human infant cognitive development. Child Dev 2010; 81: 131-148. [DOI:10.1111/j.1467-8624.2009.01385.x] [PMID] [PMCID]
17. Hasanjanzadeh P, Faramarzi M. Relationship between Maternal General and Specific-Pregnancy Stress, Anxiety, and Depression Symptoms and Pregnancy Outcome. J Clin Diagn Res 2017; 11: VC04-VC07. [DOI:10.7860/JCDR/2017/24352.9616] [PMID] [PMCID]
18. Lobel M, Cannella DL, Graham JE, DeVincent C, Schneider J, Meyer BA. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychol 2008; 27: 604-615. [DOI:10.1037/a0013242] [PMID]
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb