Psychosocial Factors Associated With Anxiety And Delivery Pain

Shofia Maharani Khoirun Nisa' (2018) Psychosocial Factors Associated With Anxiety And Delivery Pain. https://doi.org/10.26911/thejmch.2018.03.01.05.

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Abstract

Background: Anxiety and pain are physiologic symptoms experienced by mothers during birth
delivery. However, if these symptoms are not well-managed they can cause low birth weight,
prematurity, prolonged labor, and postpartum depression. This study aimed to analyze the
psychosocial factors associated with anxiety and delivery pain.
Subjects and Method: This was an analytical observational study with cross sectional design.
The study was conducted at Gajahan community health center, Surakarta Hospital, and
Muhammadiyah Hospital, Delanggu, Central Java, from December 2017 to January 2018. A total
sample of 166 delivery mothers were selected for this study by purposive sampling. The dependent
variables were anxiety and delivery pain. The independent variables were parity, psychological
stress, coping mechanism, family income, and family support. The data were collected by
questionnaire. Anxiety was measured by modified Pregnancy Related Anxiety Questionaire
(PRAQ_R). The data were analyzed by path analysis.
Results: Delivery pain increased with higher anxiety (b= 0.30, SE= 0.02, p<0.001). Anxiety
decreased with higher delivery pain (b = -1.19, SE= 0.02, p<0.001) and increased with higher stress
(b = 0.92, SE= 0.09, p<0.001). Anxiety decreased with coping mechanism (b = -0.31, SE = 0.08,
p<0.001) and parity (b= -0.86, SE= 0.37, p<0.001). Stress decreased with better coping
mechanism (b= -0.48, SE= 0.08, p<0.001), higher family income (b = -0.16, SE = 0.04, p<0.001),
parity (b= -2.13, SE= 0.36, p<0.001), and stronger family support (b = -0.22, SE = 0.06, p=0.007).
Coping mechanism increased with parity (b = 1.39, SE = 0.33, p<0.001) and strong family support
(b= 0.46, SE= 0.06, p<0.001).
Conclusion: Delivery pain increases with higher anxiety. Anxiety associated with delivery pain,
stress, and coping mechanism.

Item Type:	Hak Cipta
Keywords:	delivery pain, anxiety, psychosocial, family income, parity, coping mechanism, stress
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology
Divisions:	Faculty of Medical and Health Sciences > Department of Medical Education
Depositing User:	Shofia Maharani Khoirun Nisa'
Date Deposited:	04 Jun 2024 13:20

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