Factors Related to Psychological Distress in Multiparous Women in the First Trimester: A Cross-Sectional Study

Abstract

Background: The birth rate in Taiwan has declined rapidly; thus, encouraging women to give birth is an important issue in the country. Pregnant women may experience psychological distress, which may negatively impact the health of children and mothers. Prenatal psychological distress is more common in multiparous women than in primiparous women. In addition, compared with that in the second and third trimesters, psychological distress in the first trimester is relatively high. Understanding psychological distress and the associated factors for multiparous women in the first trimester is important to providing early interventions and preventing subsequent maternal and child health problems.Purpose: This study was designed to examine the important predictive factors related to depression, anxiety, and stress among Taiwanese multiparous women in the first trimester.Methods: A cross-sectional design was used. In all, 216 multiparous women at 16 weeks of pregnancy were recruited from three hospitals in Taiwan. Self-reported questionnaires were used to gather data on demographic characteristics, the parenting stress of motherhood, spousal support, and psychological distress. A multiple logistic regression analysis was conducted to examine the factors associated with psychological distress. Results:The prevalence of depression, anxiety, and stress in multiparous women was found to be 31.9%, 42.6%, and 11.1%, respectively. The multiple logistic regression analysis indicated that the stress related to parent-child interaction was a significant predictor of depression and anxiety, the stress related to child-rearing was a significant predictor of anxiety, and low spousal instrumental support was a significant predictor of stress. The model respectively explained 30%, 27%, and 23% of the variance in depression, anxiety, and stress.Conclusions/Implications for Practice: Reducing the stress related to parent-child interaction and child-rearing and encouraging spousal instrumental support should be considered during prenatal care when designing interventions to reduce the psychological distress of multiparous women in their first trimester.

Characteristics and Effects of Chinese Herbal Medicine in the Management of Female Infertility: A Hospital-Based Study

“…Since 2017, Taiwan has had one of the lowest fertility rates in the world. In 2021, it ranked last among 227 countries and regions, with only 1.07 births per woman [12, 13]. Therefore, vigorous and diverse measures must be taken to elevate Taiwan’s total fertility rate and prevent population decline.…”

Motherhood as Experienced by Women in a Prenatal and Early-Childhood Home Visitation Program, and Associated Factors

“…또한 동아시아 지역에서 이루어진 다른 연구를 살펴보면, 일본의 경우 엄마 되 기에는 좋은 엄마, 좋은 배우자에 대한 사회문화적 압력이 작용 하고 (Katou et al, 2022). 대만에서는 배우자의 도구적 지지가 관련이 있다고 한 결과들을 고려해 볼 때 (Wang et al, 2022) (Khang et al, 2018)…”

Spiritual Approach to Reduce Anxiety in Pregnant Mother With Long-Standing Baby in Wandanpuro Village: A Case Study

“…The emergence of physical and psychological problems in women during the pregnancy process causes the problems. The influence of many things can cause this condition, for example, the pregnant woman's age, history of previous births, family support, especially husbands and other external factors such as the economy (Wang et al, 2022). Mrs Y's first birth history was a normal delivery in 2012 by the Public Health Center midwife and the baby was healthy, even though she had experienced problems because the fetus was breech.…”

“…Mrs. Y had responsibility for cleaning and taking care of the home, looking after and dropping off and picking up his children from school. These activities could be a risk factor for the client experiencing psychological problems during pregnancy due to barriers to socializing with the surrounding environment and the lack of involvement of husbands in caring for children are factors that significantly cause stress, anxiety and depression in pregnant women (Wang et al, 2022). However, it is different from Panora, Lestari and Hidayah (2021) research which stated that there is no real connection between the husband's social support and the anxiety felt by women during the pregnancy process.…”