بررسی ارتباط استرس مادر با پیامدهای بارداری: یک مطالعه آینده‌نگر

نوع مقاله: اصیل پژوهشی

نویسندگان

1 استادیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

2 دانشجوی کارشناسی مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

3 کارشناس ارشد آمار زیستی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

4 مربی گروه مامایی، مرکز تحقیقات رشد کودکان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

چکیده

مقدمه: استرس در بارداری می­تواند با نتایج نامطلوب از جمله زایمان زودرس و کاهش رشد داخل رحمی همراه باشد. مطالعه حاضر با هدف بررسی ارتباط استرس مادر با پیامدهای بارداری در زنان باردار مراجعه کننده به مراکز سلامت شهر قزوین انجام شد.
روش‌کار: این مطالعه طولی آینده‌نگر در سال 1397 بر روی 239 زن باردار تک‌قلو در هفته 28-24 بارداری مراجعه کننده به مراکز سلامت شهر قزوین انجام شد. مادران گروه مواجهه امتیاز بالاتر از 23 و گروه غیرمواجهه، امتیاز کمتر از 23 از پرسشنامه استرس درک شده کوهن کسب کرده بودند. پیامدهای مطالعه شامل ارزیابی زایمان زودرس (قبل از 37 هفته) و پیامد نوزادی بود. مادران تا زمان زایمان پیگیری شدند و در زمان زایمان اطلاعات زایمانی تکمیل گردید. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 24) و آزمون­های تی تست، کای دو و رگرسیون لوجستیک انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: در بررسی پیامدهای مورد مطالعه، زایمان زودرس، وزن زمان تولد، قد و دور سر نوزاد، دیسترس تنفسی و ایکتر نوزادی با استرس مادر در دوران بارداری ارتباط معنی‌داری را نشان دادند (05/0>p).
نتیجه‌گیری: استرس ادراک شده در مادران باردار می­تواند موجب افزایش زایمان زودرس و پیامدهای بد نوزادی شود.

کلیدواژه‌ها


عنوان مقاله [English]

Relationship between maternal stress and pregnancy outcomes: A prospective study

نویسندگان [English]

  • Nezal Azh 1
  • Mahsa Ghasemi 2
  • Mona Khani 2
  • Maryam Mafi 3
  • Fatemeh Ranjkesh 4
1 Assistant professor, Department of Midwifery, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
2 B.Sc. Student in Midwifery, Student Research Committee, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
3 M.Sc. in Biostatistics, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
4 Istructor, Department of Midwifery, Children Growth Research Center, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
چکیده [English]

Introduction: Stress during pregnancy can be associated with adverse outcomes including preterm birth and intrauterine growth retardation. This study was performed with aim to evaluate the relationship between maternal stress and pregnancy outcomes in pregnant women referring to health centers in Qazvin.
Methods: This longitude prospective study was performed on 239 pregnant women with singleton pregnancy at 24-28 gestational weeks referred to Qazvin health centers in 2018. The subjects of exposed group obtained score > 23, while non-exposed group obtained score < 23 from Cohen's perceived stress questionnaire. The outcomes were preterm birth (before 37 weeks) and neonatal outcomes. Mothers were followed up until delivery, then checklist was completed at the time of birth. Data were analyzed by SPSS software (version 24) and t-test, Chi-square and logistic regression. P<0.05 was considered statistically significant.
Results: There was significant relationship between preterm delivery, birth weight, neonate's height and head circumference, respiratory distress, and neonatal jaundice with mother's stress during pregnancy (P <0.05).
Conclusion: Perceived stress in pregnant women can cause preterm delivery and adverse neonatal outcomes.
Keywords: 

کلیدواژه‌ها [English]

  • neonate
  • pregnancy
  • Preterm delivery
  • stress
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