Psychological Status During the Second Pregnancy and Its Influencing Factors

Yimin Cai,1,* Zhoumin Shen,1,* Bifang Zhou,2 Xiali Zheng,3 Yulian Li,2 Yuming Liu,3 Jiayu Yang,3 Nian Xie,4 Hongjiao Chen4 1Department of Nursing, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, 410005, People’s Republic of China; 2Department of Interventional Vascular Surgery, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, Hunan, 410005, People’s Republic of China; 3Department of Pediatrics, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, Hunan, 410005, People’s Republic of China; 4Department of Nursing, Medical School, Medical College of Hunan Normal University, Changsha, Hunan, 410013, People’s Republic of China*These authors contributed equally to this workCorrespondence: Bifang Zhou, Department of Interventional Vascular Surgery, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), No. 61 of Jiefang West Road, Furong District, Changsha, 410005, People’s Republic of China, Tel +86-13755027990, Fax +86-0731-82278012, Email yul_2021@21cn.comObjective: To investigate the psychological status of women during their second pregnancy.Methods: A total of 162 women who were pregnant for the second time were selected as the research subjects. The general demographic data and pregnancy-related conditions of the subjects were investigated by a questionnaire developed for this study. The anxiety and depression of the subjects were evaluated with a self-rating anxiety scale (SAS) and a self-rating depression scale (SDS).Results: The subjects scored themselves on the SAS and on the SDS. There was a statistically significant difference when comparing the scores and total scores with the domestic norm. Statistical data analysis was conducted using SPSS 19.0 software. The results of a multi-factor logistics regression analysis showed that four factors, namely a low age, low education level, low monthly household income and foetal sex expectations, were the main influencing factors for the occurrence of anxiety among women during their second pregnancies (p < 0.05). Three factors, namely a low education level, low monthly household income and a poor relationship between the husband and wife, were the main influencing factors for the occurrence of depression among the subjects (p < 0.05).Conclusion: During their second pregnancies, women have different degrees of anxiety and depression. Measures should be taken to intervene and guide women who develop these adverse emotions.Keywords: second child, psychological condition, anxiety, depression, influencing factors