Comparison of Stress-Coping Levels of Pregnant Women with and without High-Risk Pregnancy and Determination of the Affecting Factors During the Covid-19 Pandemic


Abstract views: 76 / PDF downloads: 49

Authors

  • Tuğçe SÖNMEZ Tarsus University
  • Aslı SİS ÇELİK

DOI:

https://doi.org/10.5281/zenodo.8402945

Keywords:

Coping, COVID-19, Stress, Risk, Pregnant

Abstract

Objective: The purpose of this study is to compare stress coping levels of pregnant women with and without high-risk pregnancy and determine the affecting factors during the COVID-19 pandemic.

Methods: This descriptive, cross-sectional, and relational screening study was conducted with 203 pregnant women. Data were collected through the descriptive characteristics form and the Stress-Coping Style Scale.

Results: The average age of women with high-risk pregnancy was 30.80±5.46 with a current average of 34.13±5.14 gestational week, and 73.3% of women were found to experience stress due to the COVID-19 pandemic. The average age of women with no high-risk pregnancy was 29.07±5.54 with a current average of 34.56±6.23 gestational week, and 54.9% of women were found to experience stress due to the COVID-19. The comparison of the Stress-Coping Style Scale sub-scale mean scores of women with/without high-risk pregnancy showed that the difference between the groups was statistically significant according to the Seeking Social Support Approach, Desperate Approach, and Submissive Approach sub-scale mean scores (p≤0.001).

Conclusion: Stress-coping approach of women with high-risk pregnancy were found to be affected by delaying going to the hospital due to a problem experienced during pregnancy in the pandemic period. However, stress-coping in women without high-risk pregnancy were found to be affected by factors such as thinking that pregnant women were more at risk during the pandemic, thinking that the COVID-19 would harm the baby, experiencing stress due to the COVID-19, and delaying going to the hospital due to a problem experienced during pregnancy in the pandemic period.

References

Ayaz, R., Hocaoglu, M., Günay, T., Yardımcı, O.D., Turgut, A., & Karateke, A. (2020). Anxiety and depression symptoms in the same pregnant women before and during the COVID-19 pandemic. J Perinat Med. 48, 965–70. https://doi.org/10.1515/jpm-2020-0380

Azh, N., Ghasemi, M., Khani, M., Mafi, M., & Ranjkesh, F. (2019). Relationship between maternal stress and pregnancy outcomes: A prospective study. Iran J Obstet Gynecol Infertil. 22(5), 27-36. https://doi.org/10.22038/IJOGI.2019.1357

Barbosa-Leiker, C., Lederhos Smith, C., Crespi, E.J., Brooks, O., Burduli, E., Ranjo, S., Carty, C.L., Hebert, L.E., Waters, S.F., & Gartstein, M.A. (2021). Stressors, coping, and resources needed during the COVID-19 pandemic in a sample of perinatal women. BMC Pregnancy and Childbirth 21, 171. https://doi.org/10.1186/s12884-021-03665-0

Berthelot, N., Lemieux, R., Garon-Bissonnette, J., Drouin-Maziade, C., Martel, É., & Maziade, M. (2020). Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic. Acta Obstet Gynecol Scand. 99, 848–55. https://doi.org/10.1111/aogs.13925

Ceulemans, M., Foulon, V., Ngo, E., Panchaud, A., Winterfeld, U., Pomar, L., Lambelet, V., Cleary, B., O'Shaughnessy, F., Passier, A., Richardson, J.L., Hompes, T., & Nordeng, H. (2021). Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic—A multinational cross-sectional study. Acta Obstet Gynecol Scand. 100, 1219–29. https://doi.org/10.1111/aogs.14092

Cincioğlu, E., Durat, G., Öztürk, S., & Akbaş, H. (2020). Mental states and coping styles with stress of women in high-risk pregnancy. Health and Society 20(3), 148-157.

Cheng, C.Y., Stevenson, E.L., Yang, C.T., & Liou S.R. (2018). Stress and quality of life for Taiwanese women who underwent infertility treatment. JOGNN 47(4), 498–508. https://doi.org/10.1016/j.jogn.2018.03.005

Colli, C., Penengo, C., Garzitto, M., Driul, L., Sala, A., Degano, M., Preis, H., Lobel, M., & Balestrieri, M. (2021). Prenatal stress and psychiatric symptoms during early phases of the COVID-19 pandemic in Italy. Int J Womens Health. 13, 653–62. https://doi.org/10.2147/IJWH.S315467

Dağlar, G., & Nur, N. (2014). The relationship between anxiety and depression level and coping styles with stress of pregnant women. Cumhuriyet Medical Journal. 36, 429-441. https://doi.org/10.7197/cmj.v36i4.5000076793

Deribe, L., Addissie, A., Girma, E., Abraha, A., Adam, H., & Lindström, N.B. (2023). Stress and coping strategies among parents of children with cancer at Tikur Anbessa Specialized Hospital paediatric oncology unit, Ethiopia: a phenomenological study. BMJ Open. 13, e065090. https://doi.org/10.1136/bmjopen-2022-065090

Elkin, N. (2015). Ways of coping with stress affecting factors of pregnant women. Mersin Univ Health Science Journal. 8(1), 22-31.

Fan, S., Guan, J., Cao, L., Wang, M., Zhao, H., Chen, L., & Yan, L. (2021) Psychological effects caused by COVID-19 pandemic on pregnant women: a systematic review with meta-analysis. Asian J Psychiatry J. 56, 102533. https://doi.org/10.1016/j.ajp.2020.102533

Folkman, S., & Lazarus, R.S. (1988). Coping as a mediator of emotion. Journal of personality and social psychology. 54(3), 466-475.

Gourounti, K., Anagnostopoulos, F., & Lykeridou, K. (2013). Coping strategies as psychological risk factor for antenatal anxiety, worries, and depression among Greek women. Arch Womens Ment Health. 16, 353–61. https://doi.org/10.1007/s00737-013-0338-y.

Guardino, C.M., & Dunkel Schetter, C. (2014). Coping during pregnancy: a systematic review and recommendations. Health Psychol Rev. 8, 70–94. https://doi.org/10.1080/17437199.2012.752659

Hamzehgardeshi, Z., Omidvar, S., Amoli, A.A., & Firouzbakht, M. (2021). Pregnancy related anxiety and its associated factors during COVID-19 pandemic in Iranian pregnant women: a web-based cross-sectional study. BMC Pregnancy Childbirth. 21, 1–9. https://doi.org/10.1186/s12884-021-03694-9

Hessami, K., Romanelli, C., Chiurazzi, M., & Cozzolino, M. (2020). COVID-19 pandemic and maternal mental health: a systematic review and meta-analysis. J Matern Neonatal Med. 1, 1–8. https://doi.org/10.1080/14767058.2020.1843155

Ibrahim, S.M., Nicoloro-Santa Barbara, J., Auerbach, M.V., Rosenthal, L., Kocis, C., Busso, C.E., & Lobel, M. (2019). Pregnancy-specific coping and changes in emotional distress from mid- to late pregnancy. J Reprod Infant Psychol. 37, 397–412. https://doi.org/10.1080/02646838.2019.1578871

Jiloha, R.C. (2020). COVID‐19 and mental health. Epidemiol Int. 5(1), 7‐9. https://doi.org/10.24321/2455.7048.202002

Lau, Y., Wang, Y., Kwong, D.H.K., & Wang, Y. (2016). Are different coping styles mitigating perceived stress associated with depressive symptoms among pregnant women? Perspect Psychiatr Care. 52, 102–12. https://doi.org/10.1111/ppc.12105

Liu, C.H., Erdei, C., & Mittal, L. (2021). Risk factors for depression, anxiety, and PTSD symptoms in perinatal women during the COVID-19 pandemic. Psychiatry Res. 295, 113552. https://doi.org/10.1016/j.psychres.2020.113552

Lobel, M., & Dunkel Schetter, C. (2016). Pregnancy and prenatal stress. Encycl Ment Heal Second Ed. 318–29. https://doi.org/10.1016/B978-0-12-397045-9.00164-6

Mappa, I., Distefano, F.A., & Rizzo, G. (2020). Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study. J Perinat Med. 48, 545–50. https://doi.org/10.1515/jpm-2020-0182

Pearlstein, T. (2015). Depression during pregnancy. Best Pract Res Clin Obstet Gynaecol. 29, 754–64. https://doi.org/10.1016/j.bpobgyn.2015. 04.004

Perzow, S.E.D., Hennessey, E-M.P., Hoffman, M.C., Grote, N.K., Davis, E.P., & Hankin, B.L. (2021). Mental health of pregnant and postpartum women in response to the COVID-19 pandemic. J Affect Disord Reports. 4, 100123. https://doi.org/10.1016/j.jadr.2021.100123

Pope, J., Olander, E.K., Leitao, S., Meaney, S., & Matvienko-Sikar, K. (2021). Prenatal stress, health, and health behaviours during the COVID -19 pandemic: An international survey. Women Birth. http://dx.doi.org/10.1016/j.wombi.2021.03.007.

Preis, H., Mahaffey, B., Heiselman, C., & Lobel, M. (2020). Pandemic-related pregnancy stress and anxiety among women pregnant during the coronavirus disease 2019 pandemic. Am J Obstetr Gynecol MFM. 2, 100155. http://dx.doi.org/10.1016/j.ajogmf.2020.100155

Racine, N., Hetherington, E., McArthur, B.A, McDonald, S., Edwards, S., Tough, S., Madigan, S. (2021). Maternal depressive and anxiety symptoms before and during the COVID-19 pandemic in Canada: a longitudinal analysis. Lancet Psychiatry. 8, 405–15. http://dx.doi.org/10.1016/S2215-0366(21)00074-214.

Sun, F., Zhu, J., Tao, H., Ma, Y., & Jin, W. (2021). A systematic review involving 11,187 participants evaluating the impact of COVID-19 on anxiety and depression in pregnant women. J Psychosom Obstet Gynecol. 42, 91–9. http://dx.doi.org/10.1080/0167482X.2020.1857360.

Şahin, N.H., & Durak, A. (1995). The scale of coping styles with stress: its adaptation for university students. Turkish Journal of Psychology.10(34), 56-73.

Talley, L. (2013). Stress management in pregnancy. Int J Childbirth Educ. 28, 43-45.

Weissman, M.M., Wickramaratne, P., Nomura, Y., Warner, V., Pilowsky, D., & Verdeli, H. (2006). Offspring of depressed parents: 20 years later. Am J Psychiatry. 163, 1001–8. http://dx.doi.org/10.1176/ajp.2006.163.6.1001

World Health Organization (WHO). (2020). WHO Director-General’s opening remarks at the media briefing on COVID-19. https://www.who.int/director-general/ speeches/detail/who-director-general-s-opening-remarks-at-the-mediabriefing- on-covid-19---11-march-2020 Accessed 15 March 2020 (Press release)

Wyszynski, D.F., Hernandez-Diaz, S., Gordon-Dseagu, V., Ramiro, N., & Koenen, K.C. (2021). Stress levels among an international sample of pregnant and postpartum women during the COVID-19 pandemic. The Journal of Maternal-Fetal & Neonatal Medicine. 35(25), 7043-7051. http://dx.doi.org/10.1080/14767058.2021.1936489

Yan, H., Ding, Y., & Guo, W. (2020). Mental health of pregnant and postpartum women during the coronavirus disease 2019 pandemic: a systematic review and meta-analysis. Front Psychol. 11, 1–12. http://dx.doi.org/10.3389/fpsyg.2020.617001

Yılmaz, S., & Beji, N. (2010). Levels of coping with stres, depression and prenatal attachment and affecting factors of pregnant women. Journal of general medicine 20(3), 99-108.

Downloads

Published

2023-10-04

How to Cite

SÖNMEZ, T., & SİS ÇELİK, A. (2023). Comparison of Stress-Coping Levels of Pregnant Women with and without High-Risk Pregnancy and Determination of the Affecting Factors During the Covid-19 Pandemic. GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 8(Özel Sayı), 719–731. https://doi.org/10.5281/zenodo.8402945

Issue

Section

Articles