|Predictors of Mental Health During High-Risk Pregnancy|
|Nayere Azam Hajikhani1, Giti Ozgoli2, Taghi Pourebrahim3, Yadollah Mehrabi4|
|1Department of Midwifery, Gorgan Branch, Islamic Azad University, Gorgan, Iran
2Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Department of Clinical and Health Psychology, Educational Sciences and Psychology, Faculty Shahid Beheshti University, Tehran, Iran
4Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
CJMB 2020; 7: 54–58
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Keywords : Mental health, Predictors, High-risk pregnancy
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Objectives: Given the increased morbidity and mortality rates in high-risk pregnancies, which are associated with stress, this study aimed to investigate the predictors of the mental health of mothers during high-risk pregnancy.
Materials and Methods: To this end, 750 eligible couples referring to hospitals and public health centers of Gorgan (2016-2017) were selected using stratifed-cluster random sampling method. Then, pregnancy worries and social support questionnaires were completed by mothers and mental health questionnaire was completed by the couples. Next, the correlation level was measured by Pearson correlation coeffcient. Finally, the contribution of each variable as the predictor of maternal mental health was discussed by utilizing stepwise regression analysis.
Results: The mean score of worry was 34.57 among the mothers, which was lower than the mean value while the support score was 14.45 which was higher than the mean value. The strongest predictors of the mental health of mothers with high-risk pregnancy were mother’s worry, the mental health of fathers, and the social support with standard coeffcients of 0.447, 0.153, and -0.88, respectively.
Conclusions: In general, counseling and care programs are recommended for high-risk pregnant mothers in order to reduce their worries while increasing the mental health of the spouses and encouraging important relatives to attract further social support and improve the maternal mental health.
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