Investigation of the effects of distress on health practices in pregnant women

Öz

Abstract This study was conducted to examine the effect of distress on health practices in pregnant women at 12 weeks and over of pregnancy. The universe of this descriptive study consisted of women at 12 weeks and over of pregnancy who were admitted to the Obstetrics and Gynecology Department of a City Hospital. To calculate the minimum sample size to be included in the study, the sample selection formula was used in cases where the number of elements in the universe was unknown, and it was completed with 353 pregnant women. The data of the study were collected between November 2016 and April 2017, using the "Pregnancy Info Form", "Tilburg Pregnancy Distress Scale (TPDS)" and "Health Practices in Pregnancy Questionnaire" (HPPQ). In evaluating the data, the following were used: percentage distributions, averaging, t-test, Kruskall Wallis Variance Analysis, Mann-Whitney U-test, and Correlation Analysis. There is a statistically significant, negative, and low-level correlation between the total HPPQ score, the Spousal Involvement sub-dimension, and the total TPDS score (p <0.05). It was found that increased distress of pregnant women decreases health practices. It is required to identify pregnant women under distress and reduce or eliminate the distress, contributing to mother-child health by increasing health practices accordingly.

Anahtar Kelimeler

• Pregnancy
• Health Practices
• Distress

Kaynakça

1. [1] Aydemir, H., & Uyar Hazar, H. (2014). Low-Risk, Risky, High-Risk Pregnancy and the Role of the Midwife. Gumushane University Journal of Health Sciences, 3(2), 815–833.
2. [2] Kumcagız, H. (2017). The development of a Self-perception of Pregnants Scale and its Psychometric Features. Journal of Psychiatric Nursing.
3. [3] Dağlar, G., Nur, N., Bilgiç, D., & Kadıoğlu M. (2015). Affective Disorder in Pregnancy. Kashed, 2(1), 27–40.
4. [4] Yeşilçiçek Çalık, K., & Aktaş, S. (2011). Depression in Pregnancy: Frequency, Risk Factors and Treatment. Current Approaches in Psychiatry, 3(1), 142–162.
5. [5] Atasever, İ., & Sis Çelik, A. (2018). The Effect of Prenatal Stress on Mother-Child Health. Anatolian Journal of Nursing and Health Sciences, 21(1), 60–68.
6. [6] Lindgren, K. (2005). Testing the Health Practices in Pregnancy Questionnaire–II. Journal of Obstetric, Gynecologic & Neonatal Nursing, 34(4), 465–472.
7. [7] Akmeşe, ZB, and B. Karaca Saydam. 2020. Doğum Öncesi Bakım. edited by N. Soğukpınar and B. Saydam Karaca. Ayrıntı Basımevi.
8. [8] Diego, M. A., Field, T., Hernandez-Reif, M., Schanberg, S., Kuhn, C., & Gonzalez- Quintero, V. H. (2009). Prenatal depression restricts fetal growth. Early Human Development, 85(1), 65–70.

9. [9] Atasever İ, Sis Çelik A.2018. The Validity and Reliability of The Antenatal Perceived Stress Inventory Turkish Version: A Methodological Study. Health Care for Women International, 39(10):1140-57.
10. [10] Alder, J., Fink, N., Bitzer, J., Hösli, I., Holzgreve, W., 2007. Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. The Journal of Maternal Fetal Neonatal Medicine 20, 189-209
11. [11] Çiçek, Ö. ve Mete, S. (2015). A common problem: fear of childbirth. Journal of Dokuz Eylül University Faculty of Nursing, 8 (4), 263-268.
12. [12] Öznas S, Türkçapar AF. (2019) Investigation of Cognitive Factors Affecting Fear of Birth in Pregnants, Hasan Kalyoncu University, Institute of Social Sciences, Department of Psychology, M.Sc. Thesis, page: 1-75.
13. [13] Can, R., Yılmaz Dereli, S., Çankaya, S., Kodoz, N. (2019). Problems Experienced During Pregnancy and Their Associatıons With Quality Of Life. Sağlık ve Toplum, 2, 58–64.
14. [14] Savrun M. (2008). Pregnancy and Depression. Journal of Clinical Development, 21(1):164-166.
15. [15] Coşkun, A., Kızılay Beji, N., Hotun Şahin, N., Yeşiltepe Oskay, Ü., Küçük-Dikencik, B., & Yıldırım, G. (2008). Women's Health and Diseases Learning Guide for Nurses and Midwives. pages: 15-50.
16. [16] Er, S. (2006). Gebelikte Sağlık Uygulamaları Ölçeği Türkçe Formunun Geçerlik ve Güvenirlik Çalışması. Ege Üniversitesi.
17. [17] Capik, A. (2013). Validity and Reliability Study of the Tilburg Pregnancy Distress Scale. Ataturk University. Institute of Health Sciences, Department of Obstetrics and Gynecology Nursing.
18. [18] Bacacı, H., & Ejder Apay, S. (2018). The Relationship Between Body Image Perception and Distress in Pregnant Women. Duzce University Journal of Health Sciences Institute, 8(2), 76–82.
19. [19] Çapık, A., Apay, E. ., & Sakar, T. (2015). Determination of Distress Level in Pregnant Women. Anatolian Journal of Nursing and Health Sciences, 18(3), 196–203.
20. [20] Yıldız Çiltaş, N., & Tuncer Köse, S. (2019). Distressin Defining in Pregnancy: Erzincan Case. Mehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7(1), 15–24.
21. [21] Pottinger, A., & Trotman Edwards, H, Younger, N. (2009). Detecting Depression During Pregnancy And Associated Lifestyle Practices And Concerns Among Women İn A Hospital-Based Obstetric Clinic İn Jamaica. General Hospital Psychiatry, 31, 254–261.
22. [22] Dağlar, G., & Nur, N. (2014). Anxiety and Stress Coping Styles of Pregnant Women Relationship with Depression Level. Cumhuriyet Medical Journal, 36, 426–441.
23. [23] Goodwin, R. D., Cheslack-Postava, K., Nelson, D. B., Smith, P. H., Wall, M. M., Hasin, D. S., Nomura, Y., et al. (2017). Smoking during pregnancy in the United States, 2005–2014: The role of depression. Drug and Alcohol Dependence, 179, 159–166.
24. [24] Smedberg, J., Lupattelli, A., Mårdby, A.-C., Øverland, S., & Nordeng, H. (2015). The relationship between maternal depression and smoking cessation during pregnancy—a cross-sectional study of pregnant women from 15 European countries. Archives of Women’s Mental Health, 18(1), 73–84.
25. [25] Silva, M. M. de J., Leite, E. P. R. C., Nogueira, D. A., & Clapis, M. J. (2016). Depression in pregnancy. Prevalence and associated factors. Investigación y Educación en Enfermería, 34(2).
26. [26] Al Habashneh, R., Guthmiller, J. M., Levy, S., Johnson, G. K., Squier, C., Dawson, D. V., & Fang, Q. (2005). Factors related to utilization of dental services during pregnancy. Journal of Clinical Periodontology, 32(7), 815–821.
27. [27] Miyake, Y., Tanaka, K., Okubo, H., Sasaki, S., & Arakawa, M. (2015). Dietary vitamin D intake and prevalence of depressive symptoms during pregnancy in Japan. Nutrition, 31(1), 160–165.
28. [28] Ormsby, S. M., Dahlen, H. G., & Smith, C. A. (2018). Women’s experiences of having depression during pregnancy and receiving acupuncture treatment—A qualitative study. Women and Birth, 31(6), 469–478.