The comparison of maternal stress level during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic
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HIGHLIGHTS
- Maternal stress level during pregnancy in the COVID-19 pandemic had normal category.
- There was no difference of maternal stress level during pregnancy between good and adverse pregnancy outcomes in the COVID-19 pandemic.
- Other factors can influence maternal stress level during pregnancy in the COVID-19 pandemic.
ABSTRACT
Objective: This study analyzed the comparison of maternal stress levels during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia.
Materials and Methods: A hospital-based analytic observational study conducted with a case-control approach, involving mothers giving birth in March-August 2022, aged 20–35, without disease histories such as hypertension, anemia, gestational diabetes mellitus, and tuberculosis. Two groups in this study had matched inclusion criteria, consisting of 24 respondents with adverse pregnancy outcomes in the case group and 34 respondents with good pregnancy outcomes in the control group. The sampling method used total population technique. Data were obtained from medical record and modification of Depression Anxiety Stress Scale (DASS42) questionnaire. Analysis of confounding variables used different tests and bivariate analysis using the Mann-Whitney test.
Results: Respondent characteristics had no difference (p >0.05). Respondent distribution with normal levels in the control group (70.6%) was higher than in the case group (45.8%). The result of Mann-Whitney test was no different in maternal stress levels during pregnancy between the case and control groups with pregnancy outcomes in COVID-19 pandemic (p=0.102).
Conclusion: Most maternal stress levels during pregnancy were in the normal category. There was no difference in maternal stress level during pregnancy between both groups in COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia.
Engidaw NA, Mekonnen AG, Amogne FK. Perceived stress and its associated factors among pregnant women in Bale zone Hospitals, Southeast Ethiopia: a cross-sectional study. BMC Res Notes. 2019;12(1):356. doi: 10.1186/s13104-019-4383-0. PMID: 31234892; PMCID: PMC6591949.
Horsch A, Gilbert L, Lanzi S, et al. Prospective associations between maternal stress during pregnancy and fasting glucose with obstetric and neonatal outcomes. J Psychosom Res. 2019;125: 109795. doi: 10.1016/j.jpsychores.2019.109795. Epub 2019 Aug 6. PMID: 31421320.
Matas-Blanco C, Caparros-Gonzalez RA. Influence of Maternal Stress during Pregnancy on Child's Neurodevelopment. Psych. 2020 Oct;2(4):186–97. doi: 10.3390/psych2040016.
Lilliecreutz C, Larén J, Sydsjö G, et al. Effect of maternal stress during pregnancy on the risk for preterm birth. BMC Pregnancy Childbirth. 2016;16:5. doi: 10.1186/s12884-015-0775-x. PMID: 26772181; PMCID: PMC4714539.
Quinn JA, Munoz FM, Gonik B, et al. Preterm birth: Case definition & guidelines for data collection, analysis, and presentation of immunisation safety data. Vaccine. 2016;34(49): 6047-6056. doi: 10.1016/j.vaccine.2016.03.045. Epub 2016 Oct 13. PMID: 27743648; PMCID: PMC5139808.
Lima SAM, El Dib RP, Rodrigues MRK, et al. Is the risk of low birth weight or preterm labor greater when maternal stress is experienced during pregnancy? A systematic review and meta-analysis of cohort studies. PLoS One. 2018;13(7):e0200594. doi: 10.1371/journal.pone.0200594. PMID: 3004 8456; PMCID: PMC6061976.
Cutland CL, Lackritz EM, Mallett-Moore T, et al. Low birth weight: Case definition & guidelines for data collection, analysis, and presentation of maternal immunization safety data. Vaccine. 2017;35(48 Pt A):6492-6500. doi: 10.1016/j. vaccine.2017.01.049. PMID: 29150054; PMCID: PMC5710991.
Nurbaiti, Gofar SH, Samsun, Winarno G, et al. The accuracy of the weight of the fetal agency using ultrasound based on the formula hadlock compared to the birth of new body weight. KnE Life Sci. 2019;2019(7):82–6. doi: 10.18502/kls.v4i15.5741.
Matvienko-Sikar K, Redsell S, Flannery C. Effects of maternal stress and/or anxiety interventions in the first 1000 days:Systematic review of reviews. J Reprod Infant Psychol. 2023;41(2):114-151. doi: 10.1080/02646838.2021.1976400. Epub 2021 Sep 23. PMID: 34555958.
Arinda YD, Herdayati M. Masalah kesehatan mental pada wanita hamil selama pandemi COVID-19 [Mental healt in pregnancy during COVID-19 pandemics]. J Kesehat Vokasional. 2021;6(1):32. doi: 10.22146/JKESVO.62784.
Puertas-Gonzalez JA, Mariño-Narvaez C, Romero-Gonzalez B, et al. Stress and psychopathology reduction in pregnant women through online cognitive behavioural therapy during COVID-19: A feasibility study. Behav Sci (Basel). 2021; 11(7):100. doi: 10.3390/bs11070100. PMID: 3435 6717; PMCID: PMC8301144.
Gruebner O, Rapp MA, Adli M, et al. Cities and Mental Health. Dtsch Arztebl Int. 2017;114(8):121-127. doi: 10.3238/arztebl.2017.0121. PMID: 28302261; PMCID: PMC5374256.
VAAY. The most stressful cities index 2021. 2021. [cited 2022 Apr 10]. Available from: https://vaay. com/en/pages/stressful-cities-index.
Kementerian Kesehatan Republik Indonesia. Laporan Provinsi DKI Jakarta [Report from the Province DKI Jakarta]. Riskesdas 2018; 2018.
Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar 2018 [Basic Health Research 2018]. 2018; 227.
Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar 2013 [Basic Health Research 2013]. 2013; 166.
Tambunan RNZ. Gambaran faktor-faktor stres pada ibu hamil saat pandemi di wilayah kerja Puskesmas Biru-biru [Stress factors among pregnant women in Biru-Biru Health Center] [undergraduate thesis on the internet]. Univeristas Sumatera Utara; 2021. Available from: https://repositori.usu.ac.id/bitstream/handle/123456789/44274/171101090.pdf?sequence=1
Nurahmawati D. Pengaruh umur, jenis pekerjaan, paritas, umur gestasi dan stres psikososial pada ibu hamil terhadap berat badan lahir bayi di Desa Ngetos Kecamatan Ngetos Kabupaten Nganjuk [Effect of age, occupation, parity, gestational age, and psychosocial stress on birthweight in Nganjuk]. Judika (Jurnal Nusantara Medika). 2019:2(1); 34–42. doi: 10.33369/jvk.v2i1.10652.
Saleha N, Delfina R, Maiyulis M. Derajat stres ibu hamil dan preeklamsia mempengaruhi kejadian persalinan prematur [Stress and preeclampsia in pregnancy affect prematurity]. J Vokasi Keperawatan. 2019;2(1):34–42. doi: 10.33369/jvk. v2i1.10652.
Primawati AS, Widyawati MN, Admini A. Penurunan tingkat stres ibu hamil dengan terapi musik dan aromatherapy pada kelas ibu hamil [Stress reduction with music and aromatherapy in prenatal class]. J Kebidanan. 2018;8(1):37. doi: 10.31983/jkb.v8i1.3733.
Khayati YN, Veftisia V. Hubungan stress dan pekerjaan dengan preeklampsia di wilayah Kabupaten Semarang. Indones J Midwifery. 2018;1(1). doi: 10.35473/ijm.v1i1.38.
Rudiyanti N, Rosmadewi R. Hubungan usia, paritas, pekerjaan dan stres dengan emesis gravida-rum di Kota Bandar Lampung. J Ilm Keperawatan Sai Betik. 2019;15(1):7. doi: 10.26630/jkep. v15i1.1253.
Nasution SM. Pengaruh usia kehamilan, jarak kehamilan, komplikasi kehamilan, antenatal care terhadap kejadian bayi berat lahir rendah (BBLR) di RSUD Dr. Pirngadi Kota Medan Tahun 2017 [Effect of gestational age, distance, complications, and antenatal care on LBW in Medan] [undergraduate thesis on the internet]. Universitas Sumatera Utara; 2018. Available from: https://repositori.usu.ac.id/handle/123456789/6477.
Aniroh U, Fatimah RF. Tingkat kecemasan ibu primigravida dalam menghadapi persalinan ditinjau dari usia ibu dan sosial ekonomi [Primigravida's anxiety to face delivery in relations to age and socieconomic level]. J Ilmu Keperawatan Matern. 2019;2(2):1. doi: 10.32584/jikm.v2i2.374.
Utomo YD, Sudjiwanati. Pengaruh dukungan sosial terhadap tingkat kecemasan ibu [Social support affects mother's anxiety]. Psikovidya. 2018;22(2): 185–211. doi: 10.37303/psikovidya.v22i2.117.
Pusparini DA, Kurniawati D, Kurniyawan EH. Hubungan tingkat stres dengan kualitas tidur pada ibu preeklamsi di wilayah kerja Puskesmas Tempurejo-Jember [Stress and sleep quality among preeclampsia mothers in Jember]. Pustaka Kesehat. 2021;9(1):16. doi: 10.19184/pk.v9i1.16139.
Goletzke J, Kocalevent RD, Hansen G, et al. Prenatal stress perception and coping strategies: Insights from a longitudinal prospective pregnancy cohort. J Psychosom Res. 2017;102:8-14. doi: 10.1016/j.jpsychores.2017.09.002. Epub 2017 Sep 4. PMID: 28992901.
Rofiqoch I, Dewi S, Yuliani DA. Strategi coping stress pada ibu hamil di masa pandemi Covid-19 [Stress coping strategy in pregnancy during Covid-19 pandemics]. J Kebidanan Harapan Ibu Pekalongan. 2021;8(2):100–6. doi: 10.37402/ jurbidhip.vol8.iss2.141.
Chapuis-de-Andrade S, Moret-Tatay C, de Paula TA, et al. Psychological factors and coping strategies in pregnancies complicated by hypertension: A cluster-analytic approach. J Affect Disord. 2022;296:89-94. doi: 10.1016/j.jad.2021. 09.049. Epub 2021 Sep 22. PMID: 34597892.
Penengo C, Colli C, Cesco M, et al. Stress, coping, and psychiatric symptoms in pregnant women in outpatient care during the 2021 second-wave COVID-19 pandemic. Front Psychiatry. 2022;12: 775585. doi: 10.3389/fpsyt.2021.775585. PMID: 35069284; PMCID: PMC8775005.
Faramarzi M, Amiri FN, Rezaee R. Relationship of coping ways and anxiety with pregnancy specific-stress. Pak J Med Sci. 2016;32(6):1364-1369. doi: 10.12669/pjms.326.10892. PMID: 28083027; PM CID: PMC5216283.
Duhita F, Rahmawati NI. Dampak kesehatan anak pada periode embrio, janin, bayi dan usia sekolah dengan ayah perokok [Impact on health during embryonic, fetal, infancy and school-aged periods among children with smoking father]. J Kesehat Vokasional. 2019;4(1). doi: 10.22146/jkesvo. 41777.
Iryadi R. Hubungan ibu hamil perokok pasif dengan kejadian bayi berat badan lahir rendah [Passive pregnant smoker and LBW incidence]. J Kesehat Pertiwi. 2020;2(2).
Mustika E, Minata F. Analisis faktor maternal dan penyakit kronik pada kejadian persalinan prematur [Maternal factors and chronic diseases in premature delivery incidence]. J Kesehat Saelmakers Perdana. 2021;4(1). doi: 10.32524/jksp.v4i1.38.
Puspitaningrum EM. Hubungan status gizi ibu hamil dengan kejadian berat badan lahir rendah (BBLR) di RSIA Annisa Kota Jambi tahun 2018 [Pregnancy nutritional status and LBW in Jambi, 2018]. Scientia Journal. 2018;7(2):1-7. doi :10. 5281/scj.v7i2.67.
Angraini EC, Ratnaningsih S, Utami FS. Kepatuhan ibu hamil dalam melakukan ANC pada masa pandemi COVID-19 [Pregnant women's compli-ance of ANC during COVID-19 pandemics]. J Kesehat. 2022;13(1):130–8. doi: 10.35730/jk. v13i1.591.
Dewanggayastuti KI, Surinati IDAK, Hartati NN. Kepatuhan ibu hamil melakukan kunjungan ANC pada masa pandemi COVID-19 [Pregnant women's compliance of ANC visit during COVID-19 pandemics]. J Gema Keperawatan. 2022;15(1). doi: 10.33992/jgk.v15i1.1910.
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