Individual and collective contribution of antenatal psychosocial distress conditions and preterm birth in Pakistani women.

Autor: Lalani S; School of Nursing and Midwifery, The Aga Khan University, Karachi, Pakistan., Premji SS; Faculty of Health Sciences, School of Nursing, Queen's University, Kingston, Ontario, Canada., Shaikh K; School of Nursing and Midwifery, The Aga Khan University, Karachi, Pakistan., Sulaiman S; Faculty of Nursing, Brock University, St. Catharines, Ontario, Canada., Yim IS; Department of Psychological Science, University of California, Irvine, Irvine, California, United States of America., Forcheh N; School of Nursing and Midwifery, The Aga Khan University, Karachi, Pakistan., Babar N; Department of Obstetrics and Gynaecology, The Aga Khan Hospital for Women, Karimabad, Karachi, Pakistan., Nausheen S; Department of Obstetrics and Gynaecology, The Aga Khan University, Karachi, Karachi, Pakistan., Letourneau N; Faculty of Nursing & Cumming School of Medicine, Departments of Pediatrics, Psychiatry & Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Mar 30; Vol. 18 (3), pp. e0282582. Date of Electronic Publication: 2023 Mar 30 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0282582
Abstrakt: Background: We determined whether dimensions of psychosocial distress during pregnancy individually and collectively predicted preterm birth (PTB) in Pakistani women as it may be misleading to extrapolate results from literature predominantly conducted in high-income countries.
Methods: This cohort study included 1603 women recruited from four Aga Khan Hospital for Women and Children in Sindh, Pakistan. The primary binary outcome of PTB (i.e., livebirth before 37 completed weeks' gestation) was regressed on self-reported symptoms of anxiety (Pregnancy-Related Anxiety (PRA) Scale and Spielberger State-Trait Anxiety Inventory Form Y-1), depression (Edinburgh Perinatal Depression Scale (EPDS)), and covariates such as chronic stress (Perceived Stress Scale) assessed with standardized question and scales with established language equivalency (Sindhi and Urdu).
Results: All 1603 births occurred between 24 and 43 completed weeks' gestation. PRA was a stronger predictor of PTB than other types of antenatal psychosocial distress conditions. Chronic stress had no effect on the strength of association between PRA and PTB and a slight but non-significant effect on depression. A planned pregnancy significantly lowered risk of PTB among women who experienced PRA. Aggregate antenatal psychosocial distress did not improve model prediction over PRA.
Conclusions: Like studies in high-income countries, PRA became a strong predictor of PTB when considering interactive effects of whether the current pregnancy was planned. Women's resilience and abilities to make sexual and reproductive health decisions are important to integrate in future research. Findings should be generalized with caution as socio-cultural context is a likely effect modifier. We did not consider protective/strength-oriented factors, such as resilience among women.
Competing Interests: I have read the journal’s policy and the authors of this manuscript have the following competing interests: All authors except, NF, declare no conflict of interest. NF, Senior Biostatistician, was paid through the CIHR Project Grant and Startup Grant, Faculty of Health, York University. This does not alter our adherence to PLOS ONE policies on publication of this article. Data are available on reasonable request. Please contact Dr. Shahirose Sadrudin Premji (shahirose.premji@queensu.ca) for more information, collaborations, or data access inquiries. We do not have permission from the Pakistani participants to share individual level data. They have given informed consent on the basis that only aggregate date would be published. Hence, data are available on reasonable request as stated above and I have provided the contact information.
(Copyright: © 2023 Lalani et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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