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

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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:   (2669 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
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Type of Study: Short Research Reports |
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