Title: Determinants and Relationship between Prenatal Perceived Maternal Family Social Support and pre-term birth in a Tertiary Hospital in Southern Nigeria

Authors: Ibuaku JC, Nwajei AI, Alabi AN, Oyefara B., Onuoha FM, Ododo NA

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.92

Abstract

Background: Perceived social support is essential during pregnancy. The delivery of healthy term babies is the joy of every mother. Sometimes, premature deliveries with their immediate and long-time complications do occur despite adequate antenatal care given to pregnant women.

Objectives: To evaluate the determinants and relationship between prenatal perceived maternal family social support and pre-term delivery in a tertiary hospital in southern Nigeria

Methodology: A systematic sampling of 200 newly delivered women at Federal Medical Centre, Asaba, Nigeria was carried out after ethical approval was obtained. The study group consisted of 100 cases versus 100 control groups. Multi-dimensional Scale of Perceived Social Support (MSPSS) questionnaire was administered to each of the participants. The gestational age (weeks) at birth was retrieved from the respondents’ case files. The results were analyzed using the statistical package for social sciences (SPSS) software version 17. P-values ≤0.05 was considered statistically significant.

Results: There was a high mean MSPSS score among the study group (28.48±6.24). Good perceived maternal social support had direct relationship with term delivery. The place of residence and family type/cycle were found to be predictors of good maternal family social support.

Conclusions: A good perceived maternal social support is necessary for normal term delivery. Medical doctors attending to pregnant women should evaluate the maternal social support in order to prevent pre-term deliveries and their associated consequences.

Keywords: Maternal. Social. Support. Predictors. Birth. Weight.

References

  1. National Cancer Society dictionary of cancer terms. Available at; http/www.cancer.gov/publications/dictionaries/cancer-terms?cdrid=440116. Accessed on May 27th 2015.
  2. Krause N. Lifetime trauma, emotional support, and life satisfaction among older adults. The Geront . 2004; 44: 615-623.
  3. Fleda MJ. Race, Stress And Social Support; Addressing The Crisis In Black Infant Mortality. Joint centre for political and economic studies, Health Policy Institute Washinton D.C. 2013; 22:3-9
  4. Kate K, Courtney DV. Modeling Social Influence on Human Health. Psychosomatic Med. 2011;73(1): 67-74.
  5. Dawson TM, Dawson VL. Taming The Clot-Buster Tpa. Nat Med.2006;12:993–994
  6. Barry LC, Kasl SV, Lichtman J, Vaccarino V, Krumholz HM. SocialSupport And Change In Health-Related Quality Of Life 6 Months After Coronary Artery Bypass Grafting. J Psychosom Res2006;60:185–93.
  7. Cohen SD, Sharma T, Acquaviva K, Peterson RA, Patel SS, Kimmel PL. Social Support And Chronic Kidney Disease: An Update. AdvChron Kidney Dis. 2007;14:335–344.
  8. Strating MM, Suurmeijer TP, van Schuur WH. Disability, SocialSupport, And Distress In Rheumatoid Arthritis: Results From A Thirteen-Year Prospective Study. Arthr Rheum2006;55:736–44.
  9. Ickovics JR, Kershaw TS, Westdahl, Schindler Rising CS, Klima C, ReynoldsH et al. Group Prenatal Care and Preterm Birth Weight: Results from a Matched Cohort Study of Public Clinics. Obs and Gynecology 102. 2003; 1051-1057.
  10. Available at; https://ukhealthcare.uky.edu/health-and-wellness/publications/fact-sheets/mother-baby/Short-and-Long-Term-Effects-of-Preterm-Birth-Fact-Sheet/ accessed; 14 July 2017.
  11. Mukosohn N.C Onwughalu N. High Infant mortality rate in Nigeria and sub-Saharan Africa. Available at: http/mucongochi.blogspot.com/2010/10/my-original-research-on-infant.html. Accessed on 28th May 2015.
  12. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. J of Personality Assesm.1988; 52: 30-41.
  13. Janet N, Seggane M, Anna E, Eija A, Hans A. Adaptation of the multidimensional scale of perceived social support in a Ugandan setting. AfrHlth Sci. 2009; 9:35-41.
  14. Araoye MO. Subject Selection; Research Methodology For Health Sciences,1st Nathadex Publishers,Saw-Mill,Ilorin; 2003; 115-129
  15. Elsenbruch S, Benson M, Rücke M, Rose J, Dudenhausen MK, Pincus-Knackstedt F. et al. Social Support during Pregnancy: Effects on Maternal Depressive Symptoms, Smoking and Pregnancy Outcome. J. Med.  Human Reproduction, 2006;22(3):869-877.
  16. Rambod M, Raffi F. Perceived Social Support and Quality of Life in Iranian Hemodialysis Patients .Iran J of Nurs. 2009;22(58):99-110  
  17. Jodibala H, Usha S, Sudesh D. An exploratory study to assess the Family support and its effect on Outcome of Pregnancy in terms of Maternal and Neonatal Health in a selected hospital Ludhiana.Punjab Nur and midwifery research J. 2010:6(4);137-144
  18. Azam B, Mojgan M, Easa M, Sakineh MC. Social Support For Women Of Reproductive Age And Its Predictors; A Population Based Study. Women’s hlth. 2012;12(30):2-10.
  19. Rambod M, Raffi F. Perceived Social Support and Quality of Life in Iranian Hemodialysis Patients . Iran J of Nurs. 2009;22(58):99-110
  20. Hovey JD, Magaña CG. Cognitive, Affective, and Physiological Expressions of Anxiety Symptomatology Among Mexican Migrant Farmworkers: Predictors and Generational Differences. Mental Hlth J.2002; 38(3):223-237.
  21. Dallas Rochelle L, William E, Vicky O, and Xia Y. Individual and Familial Stressors Among Rural Nebraskan, Bilingual, Paraprofessional Educators. J. of Hispanic Higher Edu. 2006: 127–141.
  22. XieRi-Hua,Yang J, Liao Shunping, Xie H, Mark WW. Prenatal Family Support, Postnatal Family Support And Postpartum Depression. The Austr New Zealand j of obst and gyn. 2010;50 (4): 340-354.
  23. Nylen KJ, O’Hara MW, Engeldinger J. Perceived Social Support Interacts With Prenatal Depression To Predict Birth Outcomes. J of Behavourial Med.2012; 3:345-347.
  24. Ghosh JC, Wilhelm, Michelle H, Dunkel-Schetter CL, Christina A, Ritz BR. Paternal Support And Preterm Birth, and The Moderation of Effects of Chronic Stress: A Study In Los Angeles County Mothers. of women's mental hlth. 2010;13:327-338.
  25. Mark D, Pagel GS, Harri R, Egan DM. Psychosocial Influence On New Born Outcome; A Controlled Prospective Study. science and med. 2005;30(5):597-604.

Corresponding Author

Ibuaku J.C.

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone; +2348037083524