Prevalence and influencing factors of pregnancy stress among pregnant women during second child pregnancy

Objective To explore the prevalence and influencing factors of pregnancy stress among pregnant women during second child pregnancy.Methods A total of 331 pregnant women during their second child pregnancy were selected by convenient sampling in outpatient clinics of 5 hospitals in Fujian province and surveyed with pregnancy pressure scale,family APGAR index and a self-designed questionnaire between July and August 2016.Results The mean score for pregnancy stress among the pregnant women was 0.75±0.48 and 21.8% of the pregnant women reported stress condition.Univariate analysis showed that the determinants of pregnancy stress among the pregnant women included the history of high risk first child pregnancy (χ²=9.479,P=0.002),relationship between the mother-in-law and daughter-in-law (χ²=18.243,P=0.000),conjugal relation (χ²=24.160,P=0.000),attitude towards pregnancy (χ²=31.560,P=0.000),reasons for having a second child (χ²=29.835,P=0.000),high risk of second child pregnancy (χ²=4.992,P=0.025),and family dysfunction (χ²=62.002,P=0.000) ; multivariate analysis revealed that conjugal relation,reasons for having a second child,high risk second child pregnancy,and family dysfunction were associated with pregnancy stress in the women.Conclusion Poor conjugal relation,family dysfunction,high risk pregnancy,and having a second child under the pressure from parents are major impact factors of pregnancy stress among pregnant women during second child pregnancy.