The Impact of Stress, Social Support, and Quality of Life on Preterm Birth: Findings from a Prospective Cohort Study
Abstract
Background:
Preterm
birth,
defined
as
birth
before
37
weeks
of
gestation,
remains
a
leading
cause
neonatal
morbidity
and
mortality
worldwide.
The
causes
preterm
are
multifactorial,
with
social
determinants
such
stress,
socioeconomic
status,
support
playing
critical
roles.
In
Lebanon,
country
experiencing
political,
economic,
crises,
poses
additional
challenges.
This
study
aimed
to
investigate
the
relationship
between
support,
quality
life
outcomes
in
Lebanese
cohort.
Methods:
prospective
cohort
was
conducted
three
tertiary
care
centers
Lebanon
from
September
2021
December
2023.
A
total
116
mother-infant
pairs,
including
78
full-term
38
infants,
were
recruited.
Data
on
determinants,
perceived
stress
(PSS-10),
(MSPSS),
(WHOQOL-BREF)
collected
at
4–6
months
postpartum.
Statistical
analysis
included
t-tests,
chi-square
tests,
linear
mixed
models
explore
associations
birth.
Results:
Compared
births,
births
significantly
associated
higher
maternal
levels
evidenced
by
PSS-10
scores
(19.53
vs.
15.29,
p-value
=
0.011)
lower
physical
(39.16
vs
57.4,
<
0.001),
psychological
(54.08
66.91,
(58.53
69.56,
0.007)
domains
life.
At
postpartum,
mothers
infants
continued
report
(55.92
65.58,
0.043)
(62.52
69.84,
0.038).
addition,
all
reported
(71.8
67.3,
0.003),
(69.4
vas
61.4,
0.005),
environmental
(70
64.5,
0.012)
post-partum
compared
Stress
significant
mediator
gestational
age
(p-value
0.035).
Conclusion:
highlights
noticeable
impact
crisis-affected
region.
Mothers
experienced
suggesting
need
for
targeted
interventions
mental
health
well-being.
Addressing
these
is
needed
improving
pregnancy
outcomes,
particularly
vulnerable
populations
facing
multiple
economic
Research Square (Research Square), Год журнала: 2024, Номер unknown
Опубликована: Ноя. 13, 2024
Язык: Английский