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Coping style and preterm labor

K Demyttenaere1, A Maes, P Nijs

  • 1Department of Psychiatry, University Hospital Gasthuisberg, Leuven, Belgium.

Journal of Psychosomatic Obstetrics and Gynaecology
|June 1, 1995
PubMed
Summary

Women hospitalized for preterm labor do not differ in coping style from controls. However, for those with preterm labor, palliative coping and social support seeking predict better outcomes, while active coping may be detrimental.

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Area of Science:

  • Psychology
  • Obstetrics
  • Perinatal Medicine

Background:

  • Preterm labor presents unique psychological challenges for expectant mothers.
  • Understanding coping mechanisms is crucial for managing preterm labor outcomes.

Purpose of the Study:

  • To investigate differences in coping styles between women with and without preterm labor.
  • To determine if coping effectiveness predicts hospitalization duration and gestational age at delivery.
  • To explore the predictive value of coping strategies on preterm labor outcomes.

Main Methods:

  • Psychometric tests, including the State-Trait Anxiety Index and Utrechtse Coping Lijst, were administered.
  • Participants included 23 primigravidae hospitalized for preterm labor and 22 controls.
  • Statistical analysis was used to compare groups and identify predictors of outcomes.

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Main Results:

  • No significant differences in trait anxiety or coping style were found between women with and without preterm labor.
  • Within the preterm labor group, coping mechanisms significantly predicted the course and outcome of contractions.
  • Palliative coping and social support seeking acted as protective mechanisms, while active coping showed an adverse effect on delivery outcomes.

Conclusions:

  • Coping strategies significantly influence the outcomes of preterm labor, independent of initial anxiety levels or coping style differences.
  • Social support seeking and palliative coping are associated with delivering at a later gestational age.
  • Active coping may be linked to adverse outcomes in the context of preterm labor.