Psychosocial status in pregnancy associated with marital adjusment

This study is a descriptive and cross-sectional type of research, carried out to investigate the relationship between psychosocial health status in pregnancy and marital adjustment and the influencing factors. The research population consists of all the pregnant women admitting to the obstetrics polyclinic of Celal Bayar University Hafsa Sultan Hospital and Manisa Merkez Efendi State Hospital in Manisa Province of Turkey, during the year 2012 (N=16295). The study sample is made of 376 pregnant women with 95% probability and ± 5% bias according to the Sample Size Formula for the Finite Population. Data is obtained via a survey form including questions related to demographic properties of the pregnant participants, descriptive properties related to pregnancy and marriage, and Scale for the Assessment of Psychosocial Status in Pregnancy and Marital Adjustment Scale. Data were analyzed using "IBM SPSS Version 21.0". Shapiro and Kolmogorow-Smirnow tests were used to assess whether the psychosocial status scores and marital adjustment scores were normally distributed or not. To analyze the data, total number, percentage, Mann-Whitney U test, Kruskal Wallis variation analysis test and correlation test were used. 31.9% of the pregnant women were in the 25-29 age group and the mean age was 26.68±5.15. 31.9% were secondary school graduate, 82.2% were housewives, 45.5%had their first pregnancy between the ages of 20-24 and the mean first pregnancy age was 22.32±3.81, 78.7% was in their third trimester and the mean gestational age was 32.02±8.01, 77.7% had their pregnancy planned, and 83.3% admitted to the antenatal controls regularly. There was statistically significant relation between psychosocial status of the pregnants and their age, education status, occupation, socio-economical status, social security, years lived in Manisa province, education ststus of husband, occupation of husband, number of pregnancies, number of deliveries, abortional status, previous delivery interval, number of living offspring, whether or not pregnancy is planned, regular admission to antenatal controls, type of marriage, duration of marriage, number of marriages and partner coordination. There was statistically significant relation between the marital adjustment score of pregnants and their socio-economical status, number ıf pregnancies, number of deliveries, previous delivery interval, number of living offspring, whether pregnancy is planned or not, type of marriage and partner coordination. There was a strong and significant relation between psychosocial status and marital adjustment of the pregnants in a positive way. There was a positive, strong and significant relation between marital adjustment and "pregnancy and partner coordination", but positive, weak and statistically significant relation between marital adjustment score and "anxiety and stress", "domestic violance", "psychosocial support", "familial properties" and "physical-psychosocial changes related to pregnancy". As a result, it is found that as partner coordination and marital adjustment advances positively, psychosocial status in pregnancy gets better as well. According to this finding, when marital adjustment is good, psychosocial status in pregnancy is likely to be good in health.