|Characterizing Mental Health Status of Couples in High-risk Pregnancy and its Relevant Characteristics|
|Nayere Azam Hajikhani1, Giti Ozgoli2, Taghi Pourebrahim3, Yadollah Mehrabi4, Elham khoori5|
|1Student Research Committee, School of Nursing and Midwifery, ShahidBeheshti University of Medical Sciences, Tehran, Iran
2Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Department of Clinical and Health Psychology, Educational sciences and Psychology, Faculty shahid beheshti university, Tehran, Iran
4Department of Epidemiology, School of Public Health Shahid Beheshti ,University of Medical Sciences, Tehran, Iran
5Department of Reproductive Health and Midwifery, Counselling and Reproductive Health Centre, Golestan, University of Medical Sciences,Gorgan, Iran
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Keywords : Mental Health, High-risk Pregnancy, Relevant characteristics
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Objectives: Considering the increasing morbidity and mortality in high-risk pregnancies, this type of pregnancy is associated with stress for couples. It is essential to identify the mental health status of couples during this period. This cross-sectional study was designed to determine the mental health status of couples in high-risk pregnancies and its respective characteristics.
Materials and Methods: This cross-sectional study was conducted on couples with high risk pregnancy in hospitals and public health centers in Gorgan during 2016-2017. The sample size included 375 couples who were selected by cluster random sampling method based on the inclusion criteria. Data collection tools were four questionnaires. The data was analyzed using descriptive and analytical indices.
Results: The results showed that 31.7% of mothersand 25.6% of fathers in this situation had mental disorders. In examining the mental healthRelevant characteristics, the results indicated an inverse relationship among duration of marriage (p=0.041), number of children (p=0. 050), maternal age (p=0.018), number of previous pregnancies (p = 0/032), age of spouse (p=0.013), gestational age (p=0.12), social support (p=0.001) and the mean mental health score of pregnant women. These factors were associated with an improved mental health. The mean score forthe spouse’s mental health (p= 0.000), the need for counseling (p=0.12), opening the pregnancy file before the first trimester (p=0.015) and concern (p=0.000) had a direct relationship with the mean mental health score of pregnant women.
Conclusion: Checking mental health during prenatal care is recommended to promote the mental health status ofcouples with high-risk pregnancy.
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