Maternal age as a main factor influencing prenatal distress in Indonesian Primigravida

Autor: Titin Ungsianik, Imami Nur Rachmawati, Ike Puspasari Ayu
Rok vydání: 2019
Předmět:
Zdroj: Enfermería Clínica. 29:310-314
ISSN: 1130-8621
DOI: 10.1016/j.enfcli.2019.04.039
Popis: Objectives Pregnancy is a maturation crisis, especially for primigravida, which affects both mother and fetus well-being. This study aimed to identify prenatal distress in primigravida and its relationship with maternal age, educational background, income level, gestational age, social support, previous traumatic experiences, satisfaction with paternal support, and pregnancy planning. Methods This cross-sectional study involved 214 primigravidas in Serang City, Banten Province, Indonesia. Translated instruments, such as a socio-demographic questionnaire, PTSD Symptom Scale (PSS), the Multidimensional scale of perceived social support (MSPSS), London Measure of Unplanned Pregnancy Instrument (LMUP), Marital Adjustment Test (MAT), and Prenatal Distress Questionnaire (PDQ), were applied. Results The results revealed that most respondents experienced severe distress (55.6%). Maternal age is the most dominant factor influencing prenatal distress in primigravida (OR = 10.31; 95% CI: 4.7–22.6). Conclusions The younger the mother, the greater the extent of the psychosocial problems. A higher maternal age is assumed to be associated with greater adaptation to the changes occurring during pregnancy. Healthcare providers should be aware that pregnancy can lead to distress, especially in young primigravidas. Programs to maintain mental health during pregnancy should be implemented.
Databáze: OpenAIRE