The Role of Maternal Perceived Social Support on the Relation Between Prenatal Depressive Symptoms and Labor Experience

Background: Depression during pregnancy is a severe risk factor for negative outcomes in women and children. In particular, prenatal symptoms of depression are linked to a more complicated labor experience, characterized by more painful labor and more frequent recourse to epidural analgesia and/or o...

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Published in:European journal of health psychology 2022-07, Vol.29 (3), p.156-162
Main Authors: Tani, Franca, Ghinassi, Simon, Ponti, Lucia
Format: Article
Language:English
Subjects:
Female
Human
Labor (Childbirth)
Major Depression
Oxytocin
Parental Role
Pregnancy
Role Perception
Social Support
Symptoms
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container_title European journal of health psychology
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creator Tani, Franca
Ghinassi, Simon
Ponti, Lucia
description Background: Depression during pregnancy is a severe risk factor for negative outcomes in women and children. In particular, prenatal symptoms of depression are linked to a more complicated labor experience, characterized by more painful labor and more frequent recourse to epidural analgesia and/or oxytocin. Although this link is evident, less is known about possible mediators of this relationship. Aims: This study investigated the mediating role of perceived maternal social support on the relationship between prenatal maternal depression and labor experience. Methods: Participants were 152 Italian nulliparous women (Mage = 31.68 years, SD = 4.94). Data were collected at two different times: T1 (at week 30-33 of gestation) women completed the Beck Depression Inventory and the Maternal Social Support Scale; T2 (at childbirth) clinical data regarding labor was registered from hospital records (duration of labor in hours and administration of oxytocin and epidural analgesia in hours). Results: The Structural Equation Modeling showed that prenatal symptoms of depression are linked to a more complicated labor experience (β = .31, p 
doi_str_mv 10.1027/2512-8442/a000103
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In particular, prenatal symptoms of depression are linked to a more complicated labor experience, characterized by more painful labor and more frequent recourse to epidural analgesia and/or oxytocin. Although this link is evident, less is known about possible mediators of this relationship. Aims: This study investigated the mediating role of perceived maternal social support on the relationship between prenatal maternal depression and labor experience. Methods: Participants were 152 Italian nulliparous women (Mage = 31.68 years, SD = 4.94). Data were collected at two different times: T1 (at week 30-33 of gestation) women completed the Beck Depression Inventory and the Maternal Social Support Scale; T2 (at childbirth) clinical data regarding labor was registered from hospital records (duration of labor in hours and administration of oxytocin and epidural analgesia in hours). Results: The Structural Equation Modeling showed that prenatal symptoms of depression are linked to a more complicated labor experience (β = .31, p &lt; .001). However, the quality of the maternal social support can mediate this relationship (indirect effect: β = .17, p &lt; .000). Limitations: The complexity of the proposed model, the characteristics of the sample, the variables investigated, and the questionnaires used are discussed. Conclusion: The perception of having a good social network is an important predictor of women's health in the transition to motherhood, decreasing the negative effect of maternal prenatal depressive symptoms on the quality of women's labor experience.</description><identifier>ISSN: 2512-8442</identifier><identifier>EISSN: 2512-8450</identifier><identifier>DOI: 10.1027/2512-8442/a000103</identifier><language>eng</language><publisher>Göttingen: Hogrefe Publishing</publisher><subject>Female ; Human ; Labor (Childbirth) ; Major Depression ; Oxytocin ; Parental Role ; Pregnancy ; Role Perception ; Social Support ; Symptoms</subject><ispartof>European journal of health psychology, 2022-07, Vol.29 (3), p.156-162</ispartof><rights>2021 Hogrefe Publishing</rights><rights>2021, Hogrefe Publishing</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-a261t-8993f8964efa7052afedaf77487a346ea007e258d4d1e718d79d731c37719bdb3</cites><orcidid>0000-0002-7451-1861</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Tani, Franca</creatorcontrib><creatorcontrib>Ghinassi, Simon</creatorcontrib><creatorcontrib>Ponti, Lucia</creatorcontrib><title>The Role of Maternal Perceived Social Support on the Relation Between Prenatal Depressive Symptoms and Labor Experience</title><title>European journal of health psychology</title><description>Background: Depression during pregnancy is a severe risk factor for negative outcomes in women and children. In particular, prenatal symptoms of depression are linked to a more complicated labor experience, characterized by more painful labor and more frequent recourse to epidural analgesia and/or oxytocin. Although this link is evident, less is known about possible mediators of this relationship. Aims: This study investigated the mediating role of perceived maternal social support on the relationship between prenatal maternal depression and labor experience. Methods: Participants were 152 Italian nulliparous women (Mage = 31.68 years, SD = 4.94). Data were collected at two different times: T1 (at week 30-33 of gestation) women completed the Beck Depression Inventory and the Maternal Social Support Scale; T2 (at childbirth) clinical data regarding labor was registered from hospital records (duration of labor in hours and administration of oxytocin and epidural analgesia in hours). Results: The Structural Equation Modeling showed that prenatal symptoms of depression are linked to a more complicated labor experience (β = .31, p &lt; .001). However, the quality of the maternal social support can mediate this relationship (indirect effect: β = .17, p &lt; .000). Limitations: The complexity of the proposed model, the characteristics of the sample, the variables investigated, and the questionnaires used are discussed. 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In particular, prenatal symptoms of depression are linked to a more complicated labor experience, characterized by more painful labor and more frequent recourse to epidural analgesia and/or oxytocin. Although this link is evident, less is known about possible mediators of this relationship. Aims: This study investigated the mediating role of perceived maternal social support on the relationship between prenatal maternal depression and labor experience. Methods: Participants were 152 Italian nulliparous women (Mage = 31.68 years, SD = 4.94). Data were collected at two different times: T1 (at week 30-33 of gestation) women completed the Beck Depression Inventory and the Maternal Social Support Scale; T2 (at childbirth) clinical data regarding labor was registered from hospital records (duration of labor in hours and administration of oxytocin and epidural analgesia in hours). 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source PsycARTICLES
subjects Female
Human
Labor (Childbirth)
Major Depression
Oxytocin
Parental Role
Pregnancy
Role Perception
Social Support
Symptoms
title The Role of Maternal Perceived Social Support on the Relation Between Prenatal Depressive Symptoms and Labor Experience
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