The Relation Between Prenatal Maternal Stress and Sleep Quality of  Pregnant Women in Palembang

Raissa Nurwany; Rachellida Niapulina; Alfian Hasbi; Syifa Alkaf; Budi Santoso; Swanny Swanny

doi:10.24198/obgynia.v6i1.467

The Relation Between Prenatal Maternal Stress and Sleep Quality of Pregnant Women in Palembang

Raissa Nurwany, Rachellida Niapulina, Alfian Hasbi, Syifa Alkaf, Budi Santoso, Swanny Swanny

Abstract

Objective: The aim of this research is to know incidence and relationship between prenatal maternal stress and sleep quality in pregnant women in Palembang City. This study also aims to determine the factors that influence prenatal maternal stress.
Method: Observational analytic study by collecting questionnaires on October 18 - November 19, 2022 in 6 puskesmas in Palembang City. This study used Pregnancy Stress Rating Scale (PSRS) and Pittsburgh Sleep Quality Index (PSQI), followed by calculating the Prevalence Risk.
Results: In this study, the results obtained were that of 56 pregnant women in Palembang City, 57.1% experienced stress (mild stress (51.8%) and moderate stress (5.3%)). There were 39.3% of pregnant women with good sleep quality and 60.7% with poor sleep quality. It was found that there was a significant relationship between prenatal maternal stress and sleep quality of pregnant women (PR=4.350; 95% CI; (1.979 – 9.564; p= 0.000). There was a significant relationship between the age of pregnant women and prenatal maternal stress (PR= 0.323; 95) % CI: (0.168 – 0.612); p=0.000) and a significant relationship between maternal work and prenatal maternal stress (PR= 0.425; 95% CI: (0.198 – 0.913); p = 0.013)
Conclusion: 57.1% of pregnant women in Palembang experienced stress and 60.7% have poor sleep quality. There was significant relationship between prenatal maternal stress and sleep quality in pregnant women in Palembang City. Factors that influence prenatal maternal stress, namely age and mother's occupation.

Hubungan antara Prenatal Maternal Stress dan Kualitas Tidur Ibu Hamil di Kota Palembang

Abstract
Tujuan: Penelitian ini dilakukan dengan tujuan untuk mengetahui insidensi dan hubungan antara prenatal maternal stress dan kualitas tidur pada ibu hamil di Kota Palembang. Penelitian ini juga bertujuan untuk mengetahui faktor-faktor yang memengaruhi prenatal maternal stress.
Metode: Penelitian analitik observasional dengan mengumpulkan kuisioner pada tanggal 18 Oktober - 19 November 2022 di 6 puskesmas di Kota Palembang. Penelitian ini menggunakan Pregnancy Stress Rating Scale (PSRS) dan Pittsburgh Sleep Quality Index (PSQI) yang kemudian dilanjutkan penghitungan Prevalence Risk .
Hasil: Pada penelitian ini diperoleh hasil, dari 56 ibu hamil di Kota Palembang sebanyak 57,1% mengalami stres (stres ringan (51,8%) dan stres sedang (5,3%)). Terdapat 39,3% ibu hamil dengan kualitas tidur baik dan 60,7% dengan kualitas tidur buruk. Ditemukan bahwa ada hubungan signifikan antara prenatal maternal stress dan kualitas tidur ibu hamil (PR=4.350; 95% CI; (1.979 – 9.564; p= 0,000). Terdapat hubungan signifikan antara usia ibu hamil dengan prenatal maternal stress (PR= 0,323; 95% CI: (0.168 – 0.612); p=0,000) dan hubungan yang signifikan antara pekerjaan ibu dengan prenatal maternal stress (PR= 0.425; 95% CI: (0.198 – 0.913); p = 0,013)
Kesimpulan: Sebanyak 57,1% ibu hamil di kota Palembang mengalami stres dan 60,7% memiliki kualitas tidur buruk. Terdapat hubungan signifikan antara prenatal maternal stress dan kualitas tidur pada ibu hamil di Kota Palembang. Faktor yang mempengaruhi prenatal maternal stress, yaitu usia dan pekerjaan ibu.

Kata kunci: Ibu hamil, Prenatal Maternal Stress, Kualitas Tidur

Keywords

Pregnant women, Prenatal Maternal Stress, Sleep Quality

Full Text:

PDF

References

Anbesaw T, Abebe H, Kassaw C, Bete T, Molla A. Sleep quality and associated factors among pregnant women attending antenatal care at Jimma Medical Center, Jimma, Southwest Ethiopia, 2020: cross-sectional study. BMC Psychiatry. 2021;21(1):1-11. doi:10.1186/s12888-021-03483-w

Sukorini MU. Hubungan Gangguan Kenyamanan Fisik Dan Penyakit Dengan Kualitas Tidur Ibu Hamil Trimester Iii. Indones J Public Heal. 2017;12(1):1. doi:10.20473/ijph.v12i1.2017.1-12

Tsai SY, Lee PL, Gordon C, Cayanan E, Lee CN. Objective sleep efficiency but not subjective sleep quality is associated with longitudinal risk of depression in pregnant women: A prospective observational cohort study. Int J Nurs Stud. 2021;120:103966. doi:10.1016/j.ijnurstu.2021.103966

Holingue C, Owusu JT, Feder KA, Spira AP. Sleep duration and C-reactive protein: Associations among pregnant and non-pregnant women. J Reprod Immunol. 2018;128(January):9-15. doi:10.1016/j.jri.2018.05.003

Yang Y, Mao J, Ye Z, et al. Determinants of sleep quality among pregnant women in China: A cross-sectional survey. J Matern Neonatal Med. 2018;31(22):2980-2985. doi:10.1080/14767058.2017.1359831

Wang WJ, Hou CL, Jiang YP, et al. Prevalence and associated risk factors of insomnia among pregnant women in China. Compr Psychiatry. 2020;98. doi:10.1016/j.comppsych.2020.152168

Solomonova E, Lee YEA, Robins S, et al. Sleep quality is associated with vasopressin methylation in pregnant and postpartum women with a history of psychosocial stress. Psychoneuroendocrinology.2019;107(May):160-168. doi:10.1016/j.psyneuen.2019.05.010

Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Zarei S, Mohammadi A, Mirghafourvand M. Depression, anxiety and stress in the various trimesters of pregnancy in women referring to Tabriz health centres, 2016. Int J Cult Ment Health. 2018;11(4):513-521. doi:10.1080/17542863.2018.1438484

Gao M, Hu J, Yang L, et al. Association of sleep quality during pregnancy with stress and depression: A prospective birth cohort study in China. BMC Pregnancy Childbirth. 2019;19(1):11-13. doi:10.1186/s12884-019-2583-1

Pauley AM, Moore GA, Mama SK, Molenaar P, Downs DS. Associations between prenatal sleep and psychological health: A systematic review. J Clin Sleep Med. 2020;16(4):619-630. doi:10.5664/jcsm.8248

Miller MA, Mehta N, Clark-Bilodeau C, Bourjeily G. Sleep Pharmacotherapy for Common Sleep Disorders in Pregnancy and Lactation. Chest. 2020;157(1):184-197. doi:10.1016/j.chest.2019.09.026

Eichler J, Schmidt R, Hiemisch A, Kiess W, Hilbert A. Gestational weight gain, physical activity, sleep problems, substance use, and food intake as proximal risk factors of stress and depressive symptoms during pregnancy. BMC Pregnancy Childbirth. 2019;19(1):1-14. doi:10.1186/s12884-019-2328-1

Zhang H, Zhang Q, Gao T, et al. Relations between stress and quality of life among women in late pregnancy: The parallel mediating role of depressive symptoms and sleep quality. Psychiatry Investig. 2019;16(5):363-369. doi:10.30773/pi.2019.02.14

Li G, Kong L, Zhou H, Kang X, Fang Y, Li P. Relationship between prenatal maternal stress and sleep quality in Chinese pregnant women: the mediation effect of resilience. Sleep Med. 2016;25:8-12. doi:10.1016/j.sleep.2016.02.015

Yoshimura M, Conway-Campbell B, Ueta Y. Arginine vasopressin: Direct and indirect action on metabolism. Peptides. 2021;142(December 2020):170555. doi:10.1016/j.peptides.2021.170555

Solomonova E, Lee YEA, Robins S, et al. Sleep quality is associated with vasopressin methylation in pregnant and postpartum women with a history of psychosocial stress. Psychoneuroendocrinology. 2019;107:160-168. doi:10.1016/j.psyneuen.2019.05.010

Levenson JC, Kay DB, Buysse DJ. The pathophysiology of insomnia. Chest. 2015;147(4):1179-1192. doi:10.1378/chest.14-1617

Becker FG, Cleary M, Team RM, et al. Williams OBSTETRICS 2 4 T H E D I T I O N. Vol 7.; 2015. https://www.researchgate.net/publication/269107473_What_is_governance/link/548173090cf22525dcb61443/download%0Ahttp://www.econ.upf.edu/~reynal/Civil wars_12December2010.pdf%0Ahttps://think-asia.org/handle/11540/8282%0Ahttps://www.jstor.org/stable/41857625

Kominiarek MA, Grobman W, Adam E, et al. Stress during pregnancy and gestational weight gain. J Perinatol. 2018;38(5):462-467. doi:10.1038/s41372-018-0051-9

Zanardo V, Giustardi A. Stress during pregnancy, gestational weight gain, and body mass index. J Perinatol. 2018;38(10):1429-1430. doi:10.1038/s41372-018-0196-6

Nwafor JI, Okedo-Alex IN, Ikeotuonye AC. Prevalence and predictors of depression, anxiety, and stress symptoms among pregnant women during COVID-19-related lockdown in Abakaliki, Nigeria. Malawi Med J. 2021;33(1):54-58. doi:10.4314/mmj.v33i1.8

Sanchana DA, Ethirajan DS, Selvamani DI, Rohini DG. Assessment of the Prevalence of Depression, Anxiety and Stress Symptoms in Term Antenatal Women– a Tertiary Care Center Experience During Covid-19 Pandemic. Ann Trop Med Public Heal. 2021;23(23). doi:10.36295/asro.2020.232372

Keramat A, Malary M, Moosazadeh M, Bagherian N, Rajabi-Shakib MR. Factors influencing stress, anxiety, and depression among Iranian pregnant women: the role of sexual distress and genital self-image. BMC Pregnancy Childbirth. 2021;21(1):1-12. doi:10.1186/s12884-021-03575-1

Khouj MA, Albasri S, Albishri AA, Softa SM, Almaslamani AS, Ahmad HM. Prevalence of Stress, Anxiety, and Depression Among Pregnant Women in Jeddah. Cureus. 2022;14(7).

Bawahab JA, Alahmadi JR, Ibrahim AM. Prevalence and determinants of antenatal depression among women attending primary health care centers in Western Saudi Arabia. Saudi Med J. 2017;38(12):1237-1242. doi:10.15537/smj.2017.12.21262

DOI: http://dx.doi.org/10.24198/obgynia.v6i1.467