RNSurveyMidwifery2021

Pandemic-related pregnancy stress among pregnant women during the COVID-19 pandemic in Spain.

Jaqueline Garcia-Silva, Alfonso Caracuel, Alvaro Lozano-Ruiz and 4 others

PMID 34649033

WHAT IT FOUND

A Spanish questionnaire for pandemic-related pregnancy stress had a dependable total score, but its subscales were less dependable.

It is an assessment tool. It does not diagnose or treat stress.

Key findings

01The full 15-item Spanish scale had a consistency score of .77, but its three subscale scores were .65, .60, and .55.

02The original three-factor model did not fit adequately, but a modified model with added item relationships fit acceptably.

03Mean PREPS-S scores were 3.51 for preparedness, 3.58 for infection, and 3.10 for positive appraisal on a 1 to 5 scale.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only low-risk pregnant women from one public hospital in southern Spain were included, so it may not apply to higher-risk pregnancies or other regions. The sample was 206, and three subscale consistency scores were below the .70 threshold the authors used. The factor model needed added correlations between item errors, so the clean three-domain structure was not fully supported. Data were collected once between April and June 2020, so the study does not show how stable scores are across pregnancy or over time. The text and table report different mean scores for the infection factor: 3.58 in Table 1 and 3.10 in the narrative. The study did not test whether using PREPS-S improves maternal or infant outcomes.

Declared interests

The authors declared no competing financial interests or personal relationships that could have appeared to influence the work.

The easy way to misread this

Do not conclude that using PREPS-S improves maternal or infant outcomes. The study only tested whether the questionnaire measured stress consistently in Spanish-speaking pregnant women. It did not test a treatment or follow-up outcomes.

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