Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships

Sigridur Sia Jonsdottir; Katarina Swahnberg; Marga Thome; Guðmundur Kristjan Oskarsson; Linda Bara Lydsdottir; Halldora Olafsdottir; Jon Fridrik Sigurdsson; Thora Steingrimsdottir

doi:10.1111/scs.12718

Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships

University of Akureyri, Landspitali, University of Iceland, Reykjavik University

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	167-180
Number of pages	14
Journal	Scandinavian Journal of Caring Sciences
Volume	34
Issue number	1
DOIs	https://doi.org/10.1111/scs.12718
Publication status	Published - 1 Mar 2020

Bibliographical note

Funding Information: This work was supported by the Memorial Fund of midwife, Bjorg Magnusdottir, and farmer, Magnus Jonsson [grant number not available], and the University of Akureyri, Iceland Research Fund (Grant No. H1717). The original ISPMH was funded by the Icelandic Centre for Research (RANNIS [50427021, 50427022, 50427023, 100740001]), University of Iceland Research Fund [grant number not available], Landspitali University Hospital of Iceland Research Fund [grant number not available] and the Wyeth Research Fund [grant number not available]. We would like to thank the midwives, Gu?r?n G. Eggertsd?ttir and Hildur Kristj?nsd?ttir, who gathered data from the pregnancy records. We are also grateful to staff at the medical record archives of the three hospitals involved for their valuable help and support and to Finnbogi Ragnar Ragnarsson at TM Software, for assistance regarding electronic data collection. We would also like to express our appreciation to the women who participated in the ISPMH for their important contributions to the study and to the midwives and other healthcare professionals who recruited participants. We also wish to thank the original members of the ISPMH and staff for their contribution and work. Finally, we thank Editage.com for language editing. Publisher Copyright: © 2019 Nordic College of Caring Science

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 1 No Poverty
SDG 2 Zero Hunger
SDG 3 Good Health and Well-being
SDG 4 Quality Education
SDG 5 Gender Equality
SDG 6 Clean Water and Sanitation
SDG 7 Affordable and Clean Energy
SDG 8 Decent Work and Economic Growth
SDG 9 Industry, Innovation, and Infrastructure
SDG 10 Reduced Inequalities
SDG 11 Sustainable Cities and Communities
SDG 12 Responsible Consumption and Production
SDG 13 Climate Action
SDG 14 Life Below Water
SDG 15 Life on Land
SDG 16 Peace, Justice and Strong Institutions
SDG 17 Partnerships for the Goals

Other keywords

partner
perinatal distress
pregnancy complications
service needs
sick leave
social support

Access to Document

10.1111/scs.12718

Cite this

Jonsdottir, S. S., Swahnberg, K., Thome, M., Oskarsson, G. K., Bara Lydsdottir, L., Olafsdottir, H., Sigurdsson, J. F., & Steingrimsdottir, T. (2020). Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships. Scandinavian Journal of Caring Sciences, 34(1), 167-180. https://doi.org/10.1111/scs.12718

@article{f167cfb3445742beb683779f8c6cd367,

title = "Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships",

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{\textquoteright} 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.",

keywords = "Midwifery, Nursing, Pregnancy, Stress, partner, perinatal distress, pregnancy complications, service needs, sick leave, social support",

author = "Jonsdottir, \{Sigridur Sia\} and Katarina Swahnberg and Marga Thome and Oskarsson, \{Gu{\dh}mundur Kristjan\} and \{Bara Lydsdottir\}, Linda and Halldora Olafsdottir and Sigurdsson, \{Jon Fridrik\} and Thora Steingrimsdottir",

note = "Funding Information: This work was supported by the Memorial Fund of midwife, Bjorg Magnusdottir, and farmer, Magnus Jonsson [grant number not available], and the University of Akureyri, Iceland Research Fund (Grant No. H1717). The original ISPMH was funded by the Icelandic Centre for Research (RANNIS [50427021, 50427022, 50427023, 100740001]), University of Iceland Research Fund [grant number not available], Landspitali University Hospital of Iceland Research Fund [grant number not available] and the Wyeth Research Fund [grant number not available]. We would like to thank the midwives, Gu?r?n G. Eggertsd?ttir and Hildur Kristj?nsd?ttir, who gathered data from the pregnancy records. We are also grateful to staff at the medical record archives of the three hospitals involved for their valuable help and support and to Finnbogi Ragnar Ragnarsson at TM Software, for assistance regarding electronic data collection. We would also like to express our appreciation to the women who participated in the ISPMH for their important contributions to the study and to the midwives and other healthcare professionals who recruited participants. We also wish to thank the original members of the ISPMH and staff for their contribution and work. Finally, we thank Editage.com for language editing. Publisher Copyright: {\textcopyright} 2019 Nordic College of Caring Science",

year = "2020",

month = mar,

day = "1",

doi = "10.1111/scs.12718",

language = "English",

volume = "34",

pages = "167--180",

journal = "Scandinavian Journal of Caring Sciences",

issn = "0283-9318",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "1",

}

Jonsdottir, SS, Swahnberg, K, Thome, M , Oskarsson, GK , Bara Lydsdottir, L, Olafsdottir, H, Sigurdsson, JF & Steingrimsdottir, T 2020, 'Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships', Scandinavian Journal of Caring Sciences, vol. 34, no. 1, pp. 167-180. https://doi.org/10.1111/scs.12718

Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships. / Jonsdottir, Sigridur Sia; Swahnberg, Katarina; Thome, Marga et al.
In: Scandinavian Journal of Caring Sciences, Vol. 34, No. 1, 01.03.2020, p. 167-180.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships

AU - Jonsdottir, Sigridur Sia

AU - Swahnberg, Katarina

AU - Thome, Marga

AU - Oskarsson, Guðmundur Kristjan

AU - Bara Lydsdottir, Linda

AU - Olafsdottir, Halldora

AU - Sigurdsson, Jon Fridrik

AU - Steingrimsdottir, Thora

N1 - Funding Information: This work was supported by the Memorial Fund of midwife, Bjorg Magnusdottir, and farmer, Magnus Jonsson [grant number not available], and the University of Akureyri, Iceland Research Fund (Grant No. H1717). The original ISPMH was funded by the Icelandic Centre for Research (RANNIS [50427021, 50427022, 50427023, 100740001]), University of Iceland Research Fund [grant number not available], Landspitali University Hospital of Iceland Research Fund [grant number not available] and the Wyeth Research Fund [grant number not available]. We would like to thank the midwives, Gu?r?n G. Eggertsd?ttir and Hildur Kristj?nsd?ttir, who gathered data from the pregnancy records. We are also grateful to staff at the medical record archives of the three hospitals involved for their valuable help and support and to Finnbogi Ragnar Ragnarsson at TM Software, for assistance regarding electronic data collection. We would also like to express our appreciation to the women who participated in the ISPMH for their important contributions to the study and to the midwives and other healthcare professionals who recruited participants. We also wish to thank the original members of the ISPMH and staff for their contribution and work. Finally, we thank Editage.com for language editing. Publisher Copyright: © 2019 Nordic College of Caring Science

PY - 2020/3/1

Y1 - 2020/3/1

N2 - 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.

AB - 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.

KW - Midwifery

KW - Nursing

KW - Pregnancy

KW - Stress

KW - partner

KW - perinatal distress

KW - pregnancy complications

KW - service needs

KW - sick leave

KW - social support

UR - https://www.scopus.com/pages/publications/85067897936

U2 - 10.1111/scs.12718

DO - 10.1111/scs.12718

M3 - Article

C2 - 31218722

SN - 0283-9318

VL - 34

SP - 167

EP - 180

JO - Scandinavian Journal of Caring Sciences

JF - Scandinavian Journal of Caring Sciences

IS - 1

ER -

Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships

Abstract

Bibliographical note

UN SDGs

Other keywords

Access to Document

Fingerprint

Cite this