Women’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilities

Abstract Background Self-care behaviors during pregnancy significantly impacts mother and children's health. This study aimed to explore the self-care behaviors and the associations of these behaviors with the psychological well-being of women during pregnancy, as well as the mediating effects...

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Main Authors: Lam Duc Nguyen, Long Hoang Nguyen, Ly Thi Ninh, Ha Thu Thi Nguyen, Anh Duy Nguyen, Linh Gia Vu, Hao Si Anh Nguyen, Son Hoang Nguyen, Linh Phuong Doan, Thuc Minh Thi Vu, Bach Xuan Tran, Carl A. Latkin, Cyrus S. H. Ho, Roger C. M. Ho
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-022-04961-z
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author Lam Duc Nguyen
Long Hoang Nguyen
Ly Thi Ninh
Ha Thu Thi Nguyen
Anh Duy Nguyen
Linh Gia Vu
Hao Si Anh Nguyen
Son Hoang Nguyen
Linh Phuong Doan
Thuc Minh Thi Vu
Bach Xuan Tran
Carl A. Latkin
Cyrus S. H. Ho
Roger C. M. Ho
author_facet Lam Duc Nguyen
Long Hoang Nguyen
Ly Thi Ninh
Ha Thu Thi Nguyen
Anh Duy Nguyen
Linh Gia Vu
Hao Si Anh Nguyen
Son Hoang Nguyen
Linh Phuong Doan
Thuc Minh Thi Vu
Bach Xuan Tran
Carl A. Latkin
Cyrus S. H. Ho
Roger C. M. Ho
author_sort Lam Duc Nguyen
collection DOAJ
description Abstract Background Self-care behaviors during pregnancy significantly impacts mother and children's health. This study aimed to explore the self-care behaviors and the associations of these behaviors with the psychological well-being of women during pregnancy, as well as the mediating effects of different social support with these associations. Methods A cross-sectional data of 562 pregnant women at Hanoi Obstetrics & Gynecology Hospital and Ca Mau Obstetrics & Pediatrics in Vietnam were analyzed. Questions about self-care behaviors, pregnancy characteristics, social support, and psychological well-being were asked. Multivariate regression models were performed. Structural Equation Modeling (SEM) was employed to test the mediating effects of different social support with the association between self-care behaviors and psychological well-being. Findings Only 13% of pregnant women often or always did physical exercise at least three times a week, and 40% consumed enough fiber and five servings of vegetables a day. Only 78.7% always avoided alcohol drinking, and 53.9% of pregnant women avoided being exposed to second-hand smoking and 71,7% avoided using traditional medicine without physicians’ prescriptions. Around 66% of pregnant women always or often had prenatal care checkups as scheduled. Information sources, social support and childbirth expectation were major drivers for self-care practices. SEM model showed that social support mediated the relationship between maternal health behaviors and mental well-being. Conclusion This study highlighted the remarkable gaps in self-care practices among our pregnant women, which were significantly associated with their mental well-being. Social support-oriented consultancy and interventions should be warranted for improving behaviors and the mental well-being of pregnant women in Vietnam.
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spelling doaj.art-610a0847ffb644be8bcf1ed8d762dad92022-12-22T03:59:06ZengBMCBMC Pregnancy and Childbirth1471-23932022-08-0122111210.1186/s12884-022-04961-zWomen’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilitiesLam Duc Nguyen0Long Hoang Nguyen1Ly Thi Ninh2Ha Thu Thi Nguyen3Anh Duy Nguyen4Linh Gia Vu5Hao Si Anh Nguyen6Son Hoang Nguyen7Linh Phuong Doan8Thuc Minh Thi Vu9Bach Xuan Tran10Carl A. Latkin11Cyrus S. H. Ho12Roger C. M. Ho13Department of Anaesthesiology, Hanoi Medical UniversityDepartment of Global Public Health, Karolinska InstitutetSocial Affair Department, Ca Mau Obstetrics & Pediatrics HospitalHanoi Obstetrics and Gynecology HospitalHanoi Obstetrics and Gynecology HospitalInstitute for Global Health Innovations, Duy Tan UniversityInstitute of Health Economics and TechnologyCenter of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh UniversityInstitute for Global Health Innovations, Duy Tan UniversityInstitute of Health Economics and TechnologyInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityBloomberg School of Public Health, Johns Hopkins UniversityDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of SingaporeAbstract Background Self-care behaviors during pregnancy significantly impacts mother and children's health. This study aimed to explore the self-care behaviors and the associations of these behaviors with the psychological well-being of women during pregnancy, as well as the mediating effects of different social support with these associations. Methods A cross-sectional data of 562 pregnant women at Hanoi Obstetrics & Gynecology Hospital and Ca Mau Obstetrics & Pediatrics in Vietnam were analyzed. Questions about self-care behaviors, pregnancy characteristics, social support, and psychological well-being were asked. Multivariate regression models were performed. Structural Equation Modeling (SEM) was employed to test the mediating effects of different social support with the association between self-care behaviors and psychological well-being. Findings Only 13% of pregnant women often or always did physical exercise at least three times a week, and 40% consumed enough fiber and five servings of vegetables a day. Only 78.7% always avoided alcohol drinking, and 53.9% of pregnant women avoided being exposed to second-hand smoking and 71,7% avoided using traditional medicine without physicians’ prescriptions. Around 66% of pregnant women always or often had prenatal care checkups as scheduled. Information sources, social support and childbirth expectation were major drivers for self-care practices. SEM model showed that social support mediated the relationship between maternal health behaviors and mental well-being. Conclusion This study highlighted the remarkable gaps in self-care practices among our pregnant women, which were significantly associated with their mental well-being. Social support-oriented consultancy and interventions should be warranted for improving behaviors and the mental well-being of pregnant women in Vietnam.https://doi.org/10.1186/s12884-022-04961-zMaternal behaviorPsychological well-beingSocial supportPregnant womenStructural equation modeling
spellingShingle Lam Duc Nguyen
Long Hoang Nguyen
Ly Thi Ninh
Ha Thu Thi Nguyen
Anh Duy Nguyen
Linh Gia Vu
Hao Si Anh Nguyen
Son Hoang Nguyen
Linh Phuong Doan
Thuc Minh Thi Vu
Bach Xuan Tran
Carl A. Latkin
Cyrus S. H. Ho
Roger C. M. Ho
Women’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilities
BMC Pregnancy and Childbirth
Maternal behavior
Psychological well-being
Social support
Pregnant women
Structural equation modeling
title Women’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilities
title_full Women’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilities
title_fullStr Women’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilities
title_full_unstemmed Women’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilities
title_short Women’s holistic self-care behaviors during pregnancy and associations with psychological well-being: implications for maternal care facilities
title_sort women s holistic self care behaviors during pregnancy and associations with psychological well being implications for maternal care facilities
topic Maternal behavior
Psychological well-being
Social support
Pregnant women
Structural equation modeling
url https://doi.org/10.1186/s12884-022-04961-z
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