Titill: | Effects of perinatal distress, satisfaction in partner relationship and social support on pregnancy and outcome of childbirth |
Höfundur: | |
Útgáfa: | 2019 |
Tungumál: | Enska |
Háskóli/Stofnun: | Linnaeus University |
ISBN: | 978- 91-88898-61-6 |
Efnisorð: | Perinatal distress; Partner relationship; Social support; Pregnancy; SIck leave certificates; Childbirth; Midwifery; Self-reported scales; Meðganga; Fæðingarhjálp; Mæðravernd; Streita; Fæðing; Hjúskaparstaða; Doktorsritgerðir |
URI: | https://hdl.handle.net/20.500.11815/1214 |
Tilvitnun:Jonsdottir, Sigridur Sia (2019). Effects of perinatal distress, satisfaction in partner relationship and social support on pregnancy and outcome of childbirth, Linnaeus University Dissertations No 352/2019, ISBN: 978-91-88898-60-9 (print), 978- 91-88898-61-6 (pdf).
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Útdráttur:Aim: The aim of this thesis was to achieve a deeper understanding of the
situation among women experiencing perinatal distress during pregnancy and
childbirth and the effects that dissatisfaction in partner relationship and weak
social support from family and friends could have on pregnancy and childbirth.
Methods: Following screening for perinatal distress, 562 expecting mothers
came for a semi-structured interview. This screening, done with the Depression
Anxiety Stress Scales and the Edinburgh Postpartum Depression Scale,
categorized 360 (64.1%) women into the perinatal distressed group (PDG) and
202 (35.9%) into the non-distressed group (NDG). During the interview
women answered the Dyadic Adjustment Scale and the Multidimensional Scale
of Perceived Social Support. Data were collected with these instruments for
study I. Additional data for the three other studies were gathered from the
women´s pregnancy records (II), electronic medical records (II, III), and
childbirth records (IV). Results of the four studies were obtained by using
descriptive statistics; parametric and nonparametric statistics and regression
modeling.
Results: Women in the PDG were significantly more likely than the NDG to
be dissatisfied in their partner relationship, continue smoking during pregnancy,
be dissatisfied with division of household tasks and child-rearing, have
elementary or lower education, and to be students or unemployed. They were
also significantly more likely to experience fatigue, vomiting and pelvic girdle
pain during pregnancy. Women in the PDG who received weak family support
reported nausea and heartburn more frequently than those with strong family
support. Women in the PDG utilized more antenatal care service and were
allocated more part time as well as earlier sick leaves during pregnancy, than
those in the NDG. Women in the PDG were significantly more likely to use
epidural anesthesia as a single pain management during labor.
Conclusion: Perinatal distress affects pregnancy and childbirth. It is more
common among women who are dissatisfied in their partner relationship and
with the division of household tasks and child-rearing. Perception of weak social
support also affects pregnancy among distressed women. Distressed women
along with their partners and families should be offered support and
consultation to relieve distress and strengthen their bonds during pregnancy and
childbirth.
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