title: Risk Factors for Stress During Antenatal Period Among Pregnant Women in Tertiary Care Hospital of Southern India.
abstract: BACKGROUND
  The well-being of an infant may be affected when the mother is subjected to psychosocial stress during her pregnancy. Mothers exposed to stressful conditions were more prone for preterm birth than those without any stress. In this study perceived stress has been used as an indicator of levels of stress. There are very few studies published from developing countries on the levels of perceived stress and its causes in pregnant women.
  
  
  METHODS
  This study employed a cross-sectional assessment of pregnant women attending the outpatient services of a tertiary care hospital for regular antenatal check-up. Women not known to have any risk factors at 28 weeks to 34 weeks of pregnancy who agreed to participate in the study were interviewed to assess the perceived stress score.
  
  
  RESULTS
  Among the total patients 57.7% were primigravida and the mean score on perceived stress scale was 13.5±5.02. The majority of the group (102; 65.4%) scored higher than the mean value of total score on the perceived stress scale. Unplanned pregnancy and husband's employment status were associated with high levels of perceived stress in multivariate analysis in this set of women.
  
  
  CONCLUSIONS
  Individual as well as pregnancy related factors can contribute to perceived stress in pregnant women. With the established relationship between maternal mental health, pregnancy outcome and infant growth, the assessment and management of stress early in the pregnancy is crucial.
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India .
authors.forename: Reeta
authors.initials: R
authors.lastname: Vijayaselvi
authors.affiliation: Associate Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India .
authors.forename: Manisha Madhai
authors.initials: MM
authors.lastname: Beck
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India .
authors.forename: Anuja
authors.initials: A
authors.lastname: Abraham
authors.affiliation: Professor, Department of Psychiatry, Christian Medical College Hospital , Vellore, Tamilnadu, India .
authors.forename: Suja
authors.initials: S
authors.lastname: Kurian
authors.affiliation: Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India .
authors.forename: Annie
authors.initials: A
authors.lastname: Regi
authors.affiliation: Assistant Professor, Department of Biostatistics, Christian Medical College Hospital , Vellore, Tamilnadu, India .
authors.forename: Grace
authors.initials: G
authors.lastname: Rebekah
keywords: Perceived stress; Prematurity; Social factors; Stress in pregnancy