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Jonsdottir SS, Swahnberg K, Thome M, Oskarsson GK, Bara Lydsdottir L, Olafsdottir H, Sigurdsson JF, Steingrimsdottir T. Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships. Scand J Caring Sci 2019; 34:167-180. [PMID: 31218722 DOI: 10.1111/scs.12718] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Accepted: 05/08/2019] [Indexed: 12/24/2022]
Abstract
INTRODUCTION Although perinatal distress is acknowledged as a burdening condition for pregnant women, its effects on pregnancy are not well known. This study was conducted to increase knowledge regarding the effects of distress on pregnancy-related problems. The study also assessed women's need for sick leave and increased prenatal care due to distress, and the effects of weak social support and dissatisfaction with their partner relationships. METHODS In total, 2523 women were screened for perinatal distress three times during pregnancy in this quantitative cohort study. Structured psychiatric interviews were conducted following the screening, with 562 of the participants. Data from participants' pregnancy records were also analysed. The study was conducted in primary healthcare centres in Iceland after receiving approval from the Icelandic National Bioethical Committee. The main outcome measures were pregnancy problems, sick leave issued and prenatal service needs. RESULTS Data from 503 women were analysed. The perinatal distress group (PDG) was significantly more likely than was the nondistressed group (NDG) to experience fatigue, vomiting and pelvic pain after controlling for background variables. Distressed women who reported weak family support experienced symptoms of nausea and heartburn. The PDG needed more frequent prenatal care than did the NDG and was issued sick leave for up to 42 days longer. Dissatisfaction in the partner relationship and with the division of household tasks and childcare was strongly associated with distress, the development of complications and the need for sick leave. DISCUSSION Identification of perinatal distress by midwives and other healthcare professionals is important, since distress may be linked to women's complaints of fatigue, vomiting, pelvic pain and need for prolonged sick leave, and additional prenatal care services will be needed. Perceived dissatisfaction in the partner relationship and with the division of household tasks should also form part of clinical practice and assistance provided.
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Affiliation(s)
- Sigridur Sia Jonsdottir
- Department of Health and Caring Sciences, Linnaeus University, Kalmar / Växjö, Sweden.,School of Health Science, University of Akureyri, Akureyri, Iceland
| | - Katarina Swahnberg
- Department of Health and Caring Sciences, Linnaeus University, Kalmar / Växjö, Sweden
| | - Marga Thome
- Faculty of Nursing, School of Health Science, University of Iceland, Reykjavik, Iceland
| | | | - Linda Bara Lydsdottir
- Faculty of Medicine, School of Health Science, University of Iceland, Reykjavik, Iceland.,Division of Mental Health, Landspitali University Hospital, Reykjavik, Iceland
| | | | - Jon Fridrik Sigurdsson
- Faculty of Medicine, School of Health Science, University of Iceland, Reykjavik, Iceland.,Division of Mental Health, Landspitali University Hospital, Reykjavik, Iceland.,Department of Psychology, School of Business, Reykjavik University, Reykjavik, Iceland
| | - Thora Steingrimsdottir
- Faculty of Medicine, School of Health Science, University of Iceland, Reykjavik, Iceland.,Women's Clinic, Landspitali University Hospital, Reykjavik, Iceland
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Jonsdottir SS, Steingrimsdottir T, Thome M, Oskarsson GK, Lydsdottir LB, Olafsdottir H, Sigurdsson JF, Swahnberg K. Pain management and medical interventions during childbirth among perinatal distressed women and women dissatisfied in their partner relationship: A prospective cohort study. Midwifery 2019; 69:1-9. [DOI: 10.1016/j.midw.2018.10.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Revised: 10/11/2018] [Accepted: 10/26/2018] [Indexed: 11/15/2022]
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