Vulnerability of high-risk pregnancy in the perception of pregnant women and their families

Vieira, Viviane Cazetta de Lima; Barreto, Mayckel da Silva; Marquete, Verônica Francisqueti; Souza, Rebeca Rosa de; Fischer, Mayara Maria Johann Batista; Marcon, Sônia Silva

doi:10.15253/2175-6783.20192040207

Cited by 7 publications

(5 citation statements)

References 11 publications

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“…23 Pregnancy after 35 years of age is considered high-risk, which possibly causes women to experience this period with worry, fear, and stress. 24 As for younger pregnant women, among whom are the adolescents in this survey, a possible explanation for the relationship with the researched event stems from the challenges faced in pregnancy during adolescence. It is worth noting that teenage pregnant women may present greater emotional, socioeconomic, and family vulnerability, 11,25 which favors the occurrence of stress during a phase of greater accountability because of the challenges and new demands of the transition to motherhood.…”

Section: Discussionmentioning

confidence: 97%

Perceived stress and associated factors in pregnant women: a cross-sectional study nested within a population-based cohort

Lopes

Lima

Ferreira

et al. 2023

Rev. Bras. Saude Mater. Infant.

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Objectives: to estimate the prevalence of perceived stress and verify the associated factors in pregnant women assisted by Family Health teams in Montes Claros, Minas Gerais - Brazil. Methods: epidemiological, cross-sectional, and analytical study, nested in a population-based cohort. Sociodemographic and obstetric characteristics and physical and mental health conditions were assessed. The stress level was estimated by the Perceived Stress Scale (PSS-14). Descriptive and bivariate analyses were conducted, followed by the Poisson Regression model with robust variance. Results: a total of 1,279 pregnant women participated. The prevalence of high-stress levels was 23.5% (CI95%=20.8%-26.2%). The outcome was more prevalent among pregnant women aged above 35 years (PR=1.38; CI95%=1.09-1.74) and less than or equal to 19 (PR=1.41; CI95%=1.13-1.77); without a partner (PR=1.33; CI95%=1.09-1.62); with low social support (PR=1.42; CI95%=1.18-1.70); multiparous (PR=1.30; CI95%=1.02-1.66); with current unplanned pregnancy (PR=1.23; CI95%=1.00-1.52); urinary tract infection (PR=1.35; CI95%=1.12-1.62); high level of anxiety symptoms (PR=1.42; CI95%=1.18-1.71); severe (PR=4.74; CI95%=3.60-6.26) and moderate (PR=3.19; CI95%=2.31-4.39) symptoms of depression; and neurological complaints (PR=1.77; CI95%=1.27-2.47). Conclusions: there was a significant prevalence of high perceived stress among pregnant women, an outcome associated with sociodemographic, clinical, obstetric, and emotional factors, which demonstrates the need for comprehensive care of pregnant women’s health.

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Section: Discussionmentioning

confidence: 97%

Perceived stress and associated factors in pregnant women: a cross-sectional study nested within a population-based cohort

Lopes

Lima

Ferreira

et al. 2023

Rev. Bras. Saude Mater. Infant.

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“…The abrupt experience of a pregnancy loss for the first time or on a recurring basis contributes to the attribution of negative meanings. Sometimes, pregnancy, in addition to being desired, is symbolized as a dream (7,22) . Therefore, the women in this study associate pregnancy losses with SLE and the presence of APS, leading to the understanding that, due to these diseases, the dream of motherhood was interrupted early.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy loss in women with systemic lupus erythematosus: Grounded Theory

Souza,

Barreto,

Teston

et al. 2024

Rev. Bras. Enferm.

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Objective: to learn the meanings attributed to pregnancy loss by women with Lupus. Method: qualitative research, based on Symbolic Interactionism and Grounded Theory. Data collection took place between January and August 2022 through in-depth interviews. Data analysis went through the stages of initial and focused coding. Results: seventeen women participated. The central phenomenon “The climb to motherhood: falls and overcoming” was constructed, consisting of three categories: “Falling to the ground during the climb: the experience of pregnancy loss”; “Getting up and following the path: new attempts to conceive”; and “Remembering the journey: meanings attributed to pregnancy losses”. Final considerations: experiencing pregnancy is, analogously, like climbing a mountain, where obstacles need to be overcome to reach the summit. The experience of pregnancy loss is seen as complex, especially when there is fragility in healthcare and a lack of awareness regarding feelings of loss and grief.

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“…23 A gravidez a partir de 35 anos é considerada de alto risco, o que possivelmente faz com que as mulheres vivenciem esse período com preocupações, medo e estresse. 24 Quanto às gestantes mais jovens, entre as quais estão as adolescentes neste inquérito, uma possível explicação para a relação com o evento pesquisado decorre dos desafios enfrentados na gravidez durante a adolescência. Vale salientar que as gestantes adolescentes podem apresentar maior vulnerabilidade emocional, socioeconômica e familiar, 11,25 o que favorece a ocorrência de estresse durante uma fase de maior responsabilização tendo em vista os desafios e as novas demandas da transição para a maternidade.…”

Section: Discussionunclassified

Estresse percebido e fatores associados em gestantes: estudo transversal aninhado a uma coorte de base populacional

Lopes

Lima

Ferreira

et al. 2023

Rev. Bras. Saude Mater. Infant.

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Resumo Objetivos: estimar a prevalência de estresse percebido e verificar os fatores associados em gestantes assistidas por equipes da Saúde da Família de Montes Claros, Minas Gerais – Brasil. Métodos: estudo epidemiológico, transversal e analítico, aninhado a uma coorte de base populacional. Avaliaram-se características sociodemográficas, obstétricas, condições de saúde física e mental. O nível de estresse foi estimado pela Escala de Estresse Percebido (Perceveid Stress Scale, PSS-14). Foram conduzidas análise descritiva e bivariada, seguidas do modelo de Regressão de Poisson com variância robusta. Resultados: participaram 1.279 gestantes. A prevalência do nível de estresse elevado foi de 23,5% (IC95%=20,8%-26,2%). O desfecho foi mais prevalente entre gestantes com idade acima dos 35 anos (RP=1,38; IC95%=1,09-1,74) e menor ou igual a 19 (RP=1,41; IC95%=1,13-1,77); sem companheiro(a) (RP=1,33; IC95%=1,09-1,62); com baixo apoio social (RP=1,42; IC95%=1,18-1,70); multíparas (RP=1,30; IC95%=1,02-1,66); com gravidez atual não planejada (RP=1,23; IC95%=1,00-1,52); infecção urinária (RP=1,35; IC95%=1,12-1,62); alto nível de sintomas de ansiedade (RP=1,42; IC95%=1,18-1,71); sintomas graves (RP=4,74; IC95%=3,60-6,26) e moderados (RP=3,19; IC95%=2,31-4,39) de depressão; e queixas neurológicas (RP=1,77; IC95%=1,27-2,47). Conclusões: houve expressiva prevalência de elevado estresse percebido entre gestantes, desfecho associado a fatores sociodemográficos, clínicos, obstétricos e condições emocionais, o que demonstra a necessidade de atenção integral à saúde da gestante.

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Vulnerability of high-risk pregnancy in the perception of pregnant women and their families

Cited by 7 publications

References 11 publications

Perceived stress and associated factors in pregnant women: a cross-sectional study nested within a population-based cohort

Perceived stress and associated factors in pregnant women: a cross-sectional study nested within a population-based cohort

Pregnancy loss in women with systemic lupus erythematosus: Grounded Theory

Estresse percebido e fatores associados em gestantes: estudo transversal aninhado a uma coorte de base populacional

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