Document Type : Original Article

Authors

1 Associate Professor, Department of psychology, Payame Noor University (PNU), Tehran, Iran

2 Assistant Professor, Department of psychology, Payame Noor University (PNU), Tehran, Iran

3 Assistant Professor, Department of Assistant Professor, Department of psychology, Payame Noor University (PNU), Tehran, Iran

4 Assistant Professor, MA,Department of Psychology, Payame Noor

Abstract

Self-care to reduce maternal and neonatal complications. The present study was conducted with the aim of comparing The present study was conducted with the aim of comparing self-care behavior, marital stress, and fear of childbirth in women with gestational diabetes and Without diabetes in Shiraz city. It is a descriptive design in a comparative causal way. The statistical population of the research was all women with gestational diabetes referred Hafez Maternity and Gynecology Hospital, as well as pregnant women without diabetes in Shiraz city in 2019. To conduct the research, among pregnant women referred to Hafez Shiraz Hospital, 50 women with gestational diabetes diagnosed by a specialist doctor (with FBS more than 120 or GCT more than 140) and 50 healthy pregnant women (with normal blood sugar) were selected voluntarily and available as samples. The measurement tools of the research included the European Questionnaire of Self-Care Behavior (Jarasma et al., 2003), Fear of Childbirth Questionnaire (Namazi, 1993), and the Stockholm Orth Marital Stress Scale (Gomer et al., 2000). Data analysis was done using multivariate analysis and Tukey's post hoc test in SPSS-23 software. The findings showed that there is a significant difference between the two groups of pregnant women with diabetes and pregnant women without this disease in terms of self-care behavior, marital stress, and fear of childbirth (P<0.001). Pairwise comparisons indicated a higher level of these three variables among diabetic pregnant women. Based on the results, it can be said the score of pregnant women with diabetes is weak in self-care, on the other hand, they experience higher fear of childbirth and marital stress compared to pregnant women without diabetes. Since gestational diabetes is asymptomatic and at the same time full of complications, it seems necessary to recognize and find solutions to the sources of aggravation of this disease, such as marital stress and fear of childbirth, as well as performing self-care behaviors

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