Maternal stress and birth outcomes among women with gestational diabetes mellitus (gdm) and healthy pregnant women
Anxiety, depression and stress during pregnancy caused an adverse outcome at birth. Thus, this study was conducted to determine maternal stress level of woman with GDM and without GDM, to assess their birth outcome and to determine the relationship between maternal stress and birth outcome for bo...
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| Format: | Monograph |
| Language: | English |
| Published: |
Universiti Sains Malaysia
2016
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| Online Access: | http://eprints.usm.my/62602/ http://eprints.usm.my/62602/1/IZYANA%20BINTI%20MOHD%20RUSDIN%20-%20e.pdf |
| Summary: | Anxiety, depression and stress during pregnancy caused an adverse outcome at birth. Thus, this
study was conducted to determine maternal stress level of woman with GDM and without
GDM, to assess their birth outcome and to determine the relationship between maternal stress
and birth outcome for both groups. A total about 42 pregnant women at more than 20 gestation
weeks who were having GDM and 71 participants without GDM were recruited at Antenatal
Clinic and Antenatal Ward, HUSM from January to April, 2016. All participants were given
self-reported questionnaire for their sociodemographic and medical history. Perceived Stress
Scale (PSS) questionnaire were used to assess maternal stress level. The weight and body
composition were analysed by using bio-impedance analysis TANITA. Two weeks after the
expected date of delivery, the participants were followed up through phone call to assess their
birth outcome include gestation week at birth, birth weight, birth length, head circumference
and mode of delivery. Ponderal index (kg/m3) were calculated manually. There was significant
different in median value of fat percentage and pre-pregnancy BM1 between GDM and control
group. The p-value for fat percentage was p = 0.012 (p-vahie <0.005) and p-value for prepregnancy
BMI was p = 0.08 (p-value < 0.05), respectively. There were significant differences
in median birth length between normal, median (IQR); 52 (3) and overweight participants, median (IQR); 50 (3), p-value is 0.017. There were no significant differences of PSS score between GDM and control group. There was significant, good and negative correlation
between PSS score and head circumference of the babies (r = -0.321, p < 0.05). In conclusion,
the maternal stress level between GDM and control group are equal. Regardless of that, there
was association between maternal stress level and head circumference of baby. |
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