Pain management and medical interventions during childbirth among perinatal distressed women and women dissatisfied in their partner relationship: A prospective cohort study

Jónsdóttir, Sigríður Sía; Steingrímsdóttir, Þóra; Thome, Marga; Óskarsson, Guðmundur Kristján; Lydsdottir, Linda Bara; Ólafsdóttir, Halldóra; Sigurðsson, Jón Friðrik; Swahnberg, Katarina

doi:10.1016/j.midw.2018.10.018

Cited by 9 publications

(11 citation statements)

References 34 publications

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“…In a study conducted in Indonesia, young age was reported as the most dominant factor affecting prenatal distress in primigravidae. 2 According to our results, which were consistent with those in the literature, prenatal distress levels increased both in the pregnant women whose gestational age was between 12th -27th weeks, and in the pregnant women whose gestational age was between 28th -41st weeks as their age decreased [21,[30][31][32].…”

Section: Discussionsupporting

confidence: 92%

“…In some studies, the freqency of stress, anxiety, depression during pregnancy ranged between 7.9% and 33.8% [8,21,22,[26][27][28]. In addition, in our study, similar to literature [17,21,[29][30][31][32], the levels of prenatal distress were higher in the participants whose gestational age was between 28th -41st weeks than that in the participants whose gestational age was between 12th -27th weeks. It was reported that prenatal distress experienced during pregnancy was mostly due to changes in women in the second and third trimesters and that mothers in advanced ages can adapt to these changes better [2,5].…”

Section: Discussionsupporting

confidence: 84%

“…In studies conducted in the USA, the Netherlands, Greece and India, nulliparous women were reported to have signi cantly higher prenatal distress levels [17,25,28,29]. In a study conducted in Iceland, there was no signi cant difference between primiparous and multiparous women in terms of their prenatal distress levels [32]; however, in studies performed in Brazil, France, China, multiparous women were at higher risk of distress [19,22,26]. In the literature, it was shown that fetal loss and previous pregnancy loss are the predictors of distress, and that they increase distress levels [7,8,20].…”

Section: Discussionmentioning

confidence: 95%

“…In the literature, it was stated that there was an inverse association between the education level and perinatal distress levels, that the low education level poses a risk for distress, and that the high education level was a factor preventing pregnancy distress [19,20,22,28,29,32]. In our study, prenatal distress levels were found to be lower as the education level of the pregnant women 12th pregnancy week and the following period or between 12th -27th weeks or between 28th -41st weeks increased.…”

Section: Discussionmentioning

confidence: 99%

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Prenatal distress level and its predictors according to the gestational age in pregnant women in the semi-urban region in Northwestern Turkey: A cross-sectional study

Mercan

Selçuk

Dığın

et al. 2020

Preprint

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Background: The aim of the present study was to determine the level and predictors of prenatal distress in pregnant women according to gestational age.Methods: This a cross-sectional study was conducted in eight Family Health Centers (FHCs) in Kirklareli, in Turkey. The study included 179 pregnant women who presented to the FHCs, who were at ≥12th week of gestation. Results:The frequency of prenatal distress in the participants was 21.2% (between 12th-27th weeks:16.5%, between 28th-41st weeks: 26.8%). It was found that level of education, age of the spouse, current pregnancy being unplanned, and social support levels were associated with the level of prenatal distress in ≥12th week or between 12th-27th weeks or between 28th-41st weeks (p<0.05). And also, perceived income level, abortion, and the number of pregnancies were associated with the level of prenatal distress in ≥12th weeks; the age of women, perceived income levels, previous abortion experience, and the number of pregnancies were associated with the level of prenatal distress in between 12th-27th weeks; the age of women, education level of spouse', and previous birth experience prenatal distress levels were associated in between 28th-41st weeks (p<0.05).Conclusion: The level of prenatal distress according to the gestational age, the education level of the woman, the age of her spouse’, the unplanned pregnancy, and social support levels were predictors. In both periods, the age of women were determinants in prenatal stress levels in pregnant women. Pregnant women should be screened and evaluated for prenatal distress in their application to FHCs.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Prenatal distress level and its predictors according to the gestational age in pregnant women in the semi-urban region in Northwestern Turkey: A cross-sectional study

Mercan

Selçuk

Dığın

et al. 2020

Preprint

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“…Furthermore, women experiencing perinatal distress are much more likely to use epidural [49]. The use of epidural could thus be a marker of distress as well, which could explain the increased risk of persistent postpartum pain in the current study.…”

Section: Discussionmentioning

confidence: 81%

Are labor pain and birth experience associated with persistent pain and postpartum depression? A longitudinal cohort study

Rosseland

Rème

Simonsen

et al. 2019

Preprint

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Background: Managing labor pain and early postpartum pain has been linked to a reduced risk for postpartum depression and pain. However, the role of labor pain and the overall birth experience in the development of postpartum depression and persistent pain still remains unclear. Methods: The study sample (n=2217) was drawn from the Akershus Birth Cohort, which targeted all pregnant women scheduled to give birth at Akershus University Hospital in Norway between 2008-2010. Data from the hospital’s birth record as well as questionnaire data from gestational week 17 of pregnancy and eight weeks postpartum were used. An additional questionnaire about labor pain and birth experience was answered by 1 244 women within 48 hours after delivery. The Edinburgh Postnatal Depression Scale was used to measure postpartum depression, a single question was used to measure persistent pain eight weeks postpartum, while pain and birth experience were measured by numeric rating scales within 48 hours after delivery. Results: The results showed that neither labor pain nor birth experience were associated with persistent pain eight weeks postpartum, whereas pain before pregnancy (OR 3.70; 95% CI 2.71-5.04) and a history of depression (OR 2.31; 95% CI 1.85-2.88) were statistically significant predictors of persistent pain. A negative birth experience was significantly (OR 1.16; 95% CI 1.04-1.29) associated with postpartum depression, whereas labor pain intensity was not. Again, a history of depression (OR 3.95; 95% CI 2.92-5.34) and pre-pregnancy pain (OR 2.03; 95% CI 1.37-3.01) were important predictors of postpartum depression eight weeks after delivery. Discussion: Whilst the relationship between labor pain intensity and postpartum pain and depression remain unclear, our results do imply the need to screen for previous depression and chronic pain conditions in pregnant women, as well as consider preventive measures in those who screen positive.

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Labour Pain

Whitburn¹,

Jones²

2019

Meanings of Pain

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Pain management and medical interventions during childbirth among perinatal distressed women and women dissatisfied in their partner relationship: A prospective cohort study

Cited by 9 publications

References 34 publications

Prenatal distress level and its predictors according to the gestational age in pregnant women in the semi-urban region in Northwestern Turkey: A cross-sectional study

Prenatal distress level and its predictors according to the gestational age in pregnant women in the semi-urban region in Northwestern Turkey: A cross-sectional study

Are labor pain and birth experience associated with persistent pain and postpartum depression? A longitudinal cohort study

Labour Pain

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