Perceived psychological stress and associated factors in low-risk pregnant women in prenatal control

Estrés psicológico percibido y factores asociados en gestantes de bajo riesgo que acuden a control prenatal Estrés psicológico y factores asociados en gestantes

Published 2022-09-06


https://doi.org/10.30554/archmed.22.1.4085.2022
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Vol. 22 No. 1 (2022): .
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Monterrosa-Castro , A. ., Gonzalez-Sequeda, A., & Romero-Martinez, S. (2022). Perceived psychological stress and associated factors in low-risk pregnant women in prenatal control: Estrés psicológico y factores asociados en gestantes . Archivos De Medicina , 22(1). https://doi.org/10.30554/archmed.22.1.4085.2022
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Monterrosa-Castro , A. ., Gonzalez-Sequeda, A., & Romero-Martinez, S. (2022). Perceived psychological stress and associated factors in low-risk pregnant women in prenatal control: Estrés psicológico y factores asociados en gestantes . Archivos De Medicina , 22(1). https://doi.org/10.30554/archmed.22.1.4085.2022

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Alvaro Monterrosa-Castro
(1) Médico. Especialista en Ginecología y Obstetricia. Profesor Titular. Líder del Grupo de Investigación Salud de la Mujer. Facultad de Medicina. Universidad de Cartagena. Cartagena. Colombia.
https://orcid.org/0000-0002-0686-6468 ORCID
Andrea Gonzalez-Sequeda
(2) Estudiante de Medicina. Integrante. Grupo de Investigación Salud de la Mujer. Facultad de Medicina. Universidad de Cartagena. Cartagena. Colombia.
https://orcid.org/0000-0002-1035-4334 ORCID
Shairin Romero-Martinez
(3) Estudiante de Medicina. Integrante. Grupo de Investigación Salud de la mujer. Facultad de medicina. Universidad de Cartagena. Cartagena. Colombia.
https://orcid.org/0000-0003-1714-4425 ORCID
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Objective: to estimate the frequency of perceived psychological stress (PPS) and identify associated factors in low obstetric risk pregnancies.

Materials and methods: a cross-sectional study that is part of the “biopsychosocial health in low risk pregnant women in prenatal control” research project. 683 pregnant women who attend prenatal control at Santa Cruz of Bocagrande clinic in Cartagena, Colombia were studied.  Form of sociodemographic characteristics, obstetric history and perceived psychological stress questionnaire of 10 items (PSS-10) was applied.  Anonymous and voluntary participation, statistical analysis was performed with Epi-Info 7.2. Unadjusted bivariate logistic regression between PPS and qualitative variables was carried out. The correlation coefficient between PSS-10 and quantitative variables was estimated. P<0.05: Statistically significant.

Results: Age 28,3±6,3; years studied 12,5±2,7; nutritional status: normal 30,4% [IC95%:27,0-34,0], overweight 17,7% [IC95%:14,9-20,8], obesity 33,0% [IC95%:29,5-36,7]. More than 60% never/almost never faced their things or solved their problems. PPS in 350 participants (51,2%) was found. Energy drinks consumption OR:7,4 [IC95%:1,6-32,5], economic problems OR:2,9[IC95%:2,0-4,3, partner problems OR:1,9[IC95%:1,0-3,4], anxiety OR:2,0[IC95%:1,3-2,9] and fatigue OR:1,7[IC95%:1,2-2,4], were associated with PPS. Also work as an employee OR:0,5[IC95%:0,3-0,7] and be professional OR:0,5[IC95%:0,3-0,7]. Hypertension arterial, diabetes, hypothyroidism and gestational diabetes, were not associated with PPS. The correlation between PSS-10 with maternal age was: rho: -0,11[IC95%:-0,21to-0,06], with years studied rho: -0,12[IC95%:-0,19to-0,51]. It was not observed with gestational age, pregnancies, misbirth, vaginal deliveries or cesarean section (p>0,05).

Conclusion: PPS was present in half of the pregnant population and many psychosocial factors unlike obstetric and biomedical ones explored were significantly associated.

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