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Perceived stress and its associated factors among pregnant women in Bale zone Hospitals, Southeast Ethiopia: a cross-sectional study

201965 citationsOpen accessDebre Berhan University

In plain language

Perceived stress during pregnancy can negatively affect both mothers and infants, yet data from developing regions remain limited. An investigation conducted in hospitals across the Bale zone in Southeast Ethiopia surveyed 396 pregnant women to determine stress levels and underlying risk factors. Using the Perceived Stress Scale and structured interviews, the findings revealed that 11.6 percent of the participants experienced perceived stress. Statistical analysis identified two key risk factors significantly linked to maternal stress: having a history of two to five previous pregnancies and being in the early stages of pregnancy, specifically under 12 weeks of gestational age. Although the overall prevalence of stress was found to be relatively low in this population, the results highlight a need for healthcare workers to focus stress screening efforts during the first trimester to mitigate potential adverse outcomes.

Key takeaways

  • The prevalence of perceived stress among pregnant women in the Bale zone was 11.6 percent.
  • Women with two to five prior pregnancies had significantly higher odds of experiencing perceived stress.
  • A gestational age of less than 12 weeks was strongly linked to increased perceived stress.
  • Routine screening by healthcare providers during the first trimester could help identify and address pregnancy-related stress early.

Why it matters

Stress during pregnancy can lead to adverse health outcomes for mothers and developing babies. Identifying who is most vulnerable helps healthcare services target their limited resources effectively. By pinpointing early pregnancy and prior pregnancy history as key risk factors, clinics can introduce targeted screening routines to support maternal mental health before complications arise.

Commercialisation angle

The findings provide clinical evidence that could inform the design of targeted maternal mental health screening tools and protocols for healthcare providers in regional hospital settings. This represents early-stage health services research rather than a commercial product. The abstract does not indicate a direct commercialisation pathway or proprietary technology.

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Abstract

OBJECTIVES: Even though perceived stresses during pregnancy adversely affect the mother and her baby, there is still a scarcity of data from developing countries including Ethiopia. Therefore, this study assessed the prevalence of perceived stress and associated factors among pregnant women in Bale zone hospitals, Southeast Ethiopia. Cross-sectional study was conducted from November 2016 to April 2017. A total of 396 pregnant women were successfully interviewed using structured and pre-tested questionnaires. Perceived stress scale was employed to assess the women's stress status. A systematic random sampling technique was used. Logistic regression was applied to identify factors associated with perceived stress and statistical significance was considered at p-value < 0.05. RESULTS: In this study, the prevalence of perceived stress among pregnant women was 11.6% (95% CI 8.30, 14.60). Having 2-5 pregnancies previously (AOR = 9.82; CI 1.08, 89.5) and gestational age less than 12 weeks (AOR = 3.53; CI 1.03, 12.08) were associated with perceived stress among pregnant women. In this study, the prevalence of perceived stress among pregnant women was relatively low. Health care providers should give due attention to the screening of stress in the first trimester to reduce the likelihood of pregnancy-specific stress.

Research topics

  • Maternal Mental Health During Pregnancy and Postpartum
  • Maternal and Perinatal Health Interventions
  • Pregnancy and Medication Impact

Read the original research

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DOI: 10.1186/s13104-019-4383-0

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