Abstract

The study aimed to investigate the associations between maternal lifestyles and antenatal stress and anxiety. 1491 pregnant women were drawn from the Guangxi birth cohort study (GBCS). A base line questionnaire was used to collect demographic information and maternal lifestyles. The Pregnancy Stress Rating Scale (PSRS) and Self-Rating Anxiety Scale (SAS) were used to assess prenatal stress and anxiety, respectively. Regression analyses identified the relationship between maternal lifestyles and prenatal stress and anxiety: (1) Hours of phone use per day was positively correlated to prenatal stress and anxiety and increased with stress and anxiety levels (all P trend < 0.05). In addition, not having baby at home was positively correlated to prenatal stress. (2) Self-reported sleep quality was negative with prenatal stress and anxiety, and decreased with stress and anxiety levels (all P trend < 0.01). Moreover, not frequent cooking was negatively correlated to prenatal stress and having pets was negatively correlated to prenatal anxiety (P < 0.05). However, having pets was not correlated to prenatal stress (P > 0.05). Our results showed that adverse lifestyles increase the risk of antenatal stress and anxiety, a regular routine and a variety of enjoyable activities decreases the risk of prenatal stress and anxiety.

Highlights

  • Stress and anxiety are relatively common in pregnant women during the prenatal period[1,2,3,4,5], this topic is currently receiving a large amount of attention from researchers

  • Comparisons between each stress group revealed that frequent cooking (χ2 = 9.943, P = 0.007), not having pets (χ2 = 10.782, P = 0.005), not having a baby at home (χ2 = 43.085, P < 0.001), a high level of phone usage per day (χ2 = 38.936, P < 0.001) and bad self-reported sleep quality (χ2 = 12.776, P = 0.012) were more likely to experience prenatal stress symptoms

  • From this cross-sectional study, we found that parts of maternal lifestyles during pregnancy had an impact on prenatal stress and anxiety

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Summary

Results

Comparisons between each stress group revealed that frequent cooking (χ2 = 9.943, P = 0.007), not having pets (χ2 = 10.782, P = 0.005), not having a baby at home (χ2 = 43.085, P < 0.001), a high level of phone usage per day (hours) (χ2 = 38.936, P < 0.001) and bad self-reported sleep quality (χ2 = 12.776, P = 0.012) were more likely to experience prenatal stress symptoms. Not having pets (χ2 = 8.698, P = 0.003), increased phone usage per day (hours) (χ2 = 6.697, P = 0.035) and bad self-reported sleep quality (χ2 = 11.43, P = 0.003) was correlated to prenatal anxiety symptoms in two groups. 1.00 (reference) −0.64 0.24 0.53 (0.33, 0.85) 0.008 −0.78 0.26 0.46 (0.27, 0.77) 0.003

Discussion
Conclusions
Materials and Methods
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