Introduction: Pregnancy is a crucial and delicate period in a woman's life, directly impacting both the mother and the fetus's health. Unplanned pregnancy significantly contributes to negative outcomes. Social support, particularly from the spouse, plays a vital role in preventing premature birth, low birth weight, and maternal anxiety and depression. The spiritual well-being of women can aid in managing stress during unplanned pregnancies. Hence, this study aims to compare the spiritual health and spouse's social support in women with planned and unplanned pregnancies.
Methods: In a descriptive-comparative study, 384 women with both planned and unplanned pregnancies were divided into two groups of 192 individuals each, based on specific inclusion criteria. The criteria included being of Iranian nationality, aged between 18 and 45, self-reported pregnancy status (planned or unplanned), having at least minimal reading and writing literacy, being free from neurological and mental diseases, not taking psychoactive drugs, and living with a spouse. The participants were selected from mothers who visited comprehensive health centers in Bushehr between June and September in the year 1402. Data collection tools included personal, social, and fertility questionnaires, as well as Yildirim's wife's social support and Palutzin and Ellison's spiritual health assessments. Data analysis was performed using SPSS version 16 software, employing both descriptive and inferential statistical methods.
Findings: The average and standard deviation of social support from the spouse in desired pregnancy (4.92) was 72.26, and in women with an unplanned pregnancy (6.56) it was 69.93. Social support from the spouse in women with unplanned pregnancy was significantly lower than in women with desired pregnancy (p<0.001). The mean and standard deviation of spiritual health in women with desired pregnancy (2.89) was 67.9, and in unplanned pregnancy (2.89) was 12.68. Spiritual health and its dimensions did not differ in the two groups (p=0.448). There was a significant correlation between spiritual health and social support of the spouse. Social support from the spouse was related to religious health (p=0.017) and spiritual health (p=0.037) in women with unplanned pregnancy, and with increasing support from the spouse in women with unplanned pregnancy, religious health and spiritual health increased.
Conclusion: Trained midwives and healthcare providers can play a crucial role in increasing the spiritual health of women with unplanned pregnancies by providing training, guidance, and raising awareness among couples seeking pregnancy care. It's important to educate them about the significance of social support for the spiritual well-being of pregnant women, particularly those facing unplanned pregnancies, who often experience greater psychological distress. This support can help them adapt and enhance their spiritual health.
Type of Study:
Research |
Subject:
Midwifery Received: 2024/02/27 | Accepted: 2024/11/1 | Published: 2024/11/1