Preventive Care in Nursing and Midwifery Journal
Volume 14, Issue 1 (1-2024)
Prev Care Nurs Midwifery J 2024, 14(1): 26-33 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Safaie N, Saffarieh E, Paknazar F, Mansori K, Ensafi F. The marital satisfaction status and its related factors in pregnant women in semnan, Iran: A cross-sectional study. Prev Care Nurs Midwifery J 2024; 14 (1) :26-33
URL: http://nmcjournal.zums.ac.ir/article-1-878-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-878-en.html
Department of Obstetrics and Gynecology, School of Medicine, Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran , saffariehelham2000@gmail.com
Abstract: (1734 Views)
Background: Pregnancy brings significant changes in the marital relationship of couples, especially new first-time parent. Marital relationships change during pregnancy under the influence of psychological and physiological changes of pregnancy.
Objectives: The aim of this study was to determine the marital satisfaction status and its related factors in pregnant women in Semnan, Iran.
Methods: In this cross-sectional study, 281 pregnant women referred to the health centers of Semnan (Iran) were examined in 2019 using a cluster sampling method. ENRICH Marital Satisfaction (EMS) questionnaire was used to collect data which higher score indicated higher marital satisfaction. Data were analyzed by SPSS26 using independent sample t-test and ANOVA.
Results: The mean (SD) of age was 28.96 (4.75) years. Only 11.4% of them had academic education and 31.7% were employed. The mean (SD) total score of marital satisfaction was 59.98 (25.9). Among the factors related to marital satisfaction, the items of personality issues, communication and conflict resolution received the highest mean scores with 48.6, 38.7 and 38.4 respectively. Also, 14.9% of women had very low marital satisfaction, 8.9% low, 24.2% moderate, 19.2% high, and 32.7% very high marital satisfaction. There is no statistically significant relationship between age, education and employment status with marital satisfaction (P-Value>0.05).
Conclusion: This study showed that the status of marital satisfaction in half of the pregnant women was moderate or low. Therefore, it seems necessary to carry out psychiatric interventions along with holding classes on marital communication skills, conflict resolution and sexual relations.
Type of Study: Orginal research |
Subject:
Midwifery
References
1. Li X, Laplante DP, Paquin V, Lafortune S, Elgbeili G, King S. Effectiveness of cognitive behavioral therapy for perinatal maternal depression, anxiety and stress: A systematic review and meta-analysis of randomized controlled trials. Clinical Psychology Review. 2022;92:102129. [https://doi.org/10.1016/j.cpr.2022.102129] [PMID]
2. Zaheri H, Najar S, Abbaspoor Z. Effectiveness of cognitive-behavioral stress management on psychological stress and glycemic control in gestational diabetes: a randomized controlled trial. The Journal of Maternal-Fetal and Neonatal Medicine. 2017;30(11):1378-82. [https://doi.org/10.1080/14767058.2016.1214699] [PMID]
3. Alipour Z, Kazemi A, Kheirabadi G, Eslami AA. Marital communication skills training to promote marital satisfaction and psychological health during pregnancy: a couple focused approach. Reproductive Health. 2020;17:23. [https://doi.org/10.1186/s12978-020-0877-4] [PMID]
4. Atkinson L, Teychenne M. Psychological, social and behavioural changes during pregnancy: implications for physical activity and exercise. In: Ruchat S-M, Mottola MF, editors. Exercise and Physical Activity During Pregnancy and Postpartum: Evidence-Based Guidelines. 2nd ed. Cham: Springer; 2022. p. 21-45. [https://doi.org/10.1007/978-3-031-06137-0_2]
5. Rahimi F, Goli S, Eslami F. The effect of educational classes during pregnancy on the level of sexual satisfaction after delivery in nulliparous women. Journal of Education and Health Promotion. 2020;9:253. [https://doi.org/10.4103/jehp.jehp_54_20] [PMID]
6. Nouri M, Kebria MH, Ahmadianfar F, Khosravi A. Marital satisfaction and related factors among married women. International Journal of Health Studies. 2019;4(4):1-5. [https://ijhs.shmu.ac.ir/index.php/ijhs/article/view/389]
7. Taghani R, Ashrafizaveh A, Soodkhori MG, Azmoude E, Tatari M. Marital satisfaction and its associated factors at reproductive age women referred to health centers. Journal of Education and Health Promotion. 2019;8:27. [https://doi.org/10.4103/jehp.jehp_172_18] [PMID]
8. Dobrowolska M, Groyecka-Bernard A, Sorokowski P, Randall AK, Hilpert P, Ahmadi K, et al. Global perspective on marital satisfaction. Sustainability. 2020;12(21):8817. [https://doi.org/10.3390/su12218817]
9. Mangeli M, Ramezani T, Mangeli S. The Effect of Educating about Common Changes in Pregnancy Period and the Way to Cope with them on Marital Satisfaction of Pregnant Women. Iranian Journal of Medical Education. 2009;8(2):305-13.
10. Røsand GM, Slinning K, Eberhard-Gran M, Røysamb E, Tambs K. Partner relationship satisfaction and maternal emotional distress in early pregnancy. BMC Public Health. 2011;11:161. [https://doi.org/10.1186/1471-2458-11-161] [PMID]
11. Jawed-Wessel S, Santo J, Irwin J. Sexual activity and attitudes as predictors of sexual satisfaction during pregnancy: a multi-level model describing the sexuality of couples in the first 12 weeks. Archives of Sexual Behavior. 2019;48(3):843-54. [https://doi.org/10.1007/s10508-018-1317-1] [PMID]
12. Fuchs A, Czech I, Sikora J, Fuchs P, Lorek M, Skrzypulec-Plinta V, et al. Sexual functioning in pregnant women. International Journal of Environmental Research and Public Health. 2019;16(21):4216. [https://doi.org/10.3390/ijerph16214216] [PMID]
13. Rosen NO, Williams L, Vannier SA, Mackinnon SP. Sexual intimacy in first-time mothers: Associations with sexual and relationship satisfaction across three waves. Archives of Sexual Behavior. 2020;49(8):2849-61. [https://doi.org/10.1007/s10508-020-01667-1] [PMID]
14. Masoumi SZ. The status and marital satisfaction factors in nulliparous pregnant females attending clinics in Asadabad city during years 2015 and 2016. Avicenna Journal of Nursing and Midwifery Care. 2017;25(2):52-9. [https://doi.org/10.21859/nmj-25017]
15. Fowers BJ, Olson DH. ENRICH Marital Satisfaction Scale: A brief research and clinical tool. Journal of Family Psychology. 1993;7(2):176-85. [https://doi.org/10.1037/0893-3200.7.2.176]
16. Arab Alidousti A, Nakhaee N, Khanjani N. Reliability and validity of the Persian versions of the ENRICH marital satisfaction (brief version) and Kansas Marital Satisfaction Scales. Health and Development Journal. 2015;4(2):158-67.
17. Rostami A, Ghazinour M, Nygren L, Richter J. Marital satisfaction with a special focus on gender differences in medical staff in Tehran, Iran. Journal of Family Issues. 2014;35(14):1940-58. [https://doi.org/10.1177/0192513X13483292]
18. Hajihasani M, Sim T. Marital satisfaction among girls with early marriage in Iran: Emotional intelligence and religious orientation. International Journal of Adolescence and Youth. 2019;24(3):297-306. [https://doi.org/10.1080/02673843.2018.1528167]
19. Fatehi S, Ozra A. The effect of demographic factors on marital satisfaction of couples 35-55 years. Journal of Women's Strategic Studies. 2017;9(35):111-35.
20. Nezhad MZ, Goodarzi AM. Sexuality, intimacy, and marital satisfaction in Iranian first-time parents. Journal of Sex and Marital Therapy. 2011;37(2):77-88. [https://doi.org/10.1080/0092623X.2011.547336] [PMID]
21. Salma Belal G, Gaheen A. Factors affecting marital satisfaction among primigravida women in Tanta city, Egypt. Journal of Nursing and Health Science. 2016;5(6):71-8.
22. Ziaee T, Jannati Y, Mobasheri E, Taghavi T, Abdollahi H, Modanloo M, et al. The relationship between marital and sexual satisfaction among married women employees at Golestan University of Medical Sciences, Iran. Iranian Journal of Psychiatry and Behavioral Sciences. 2014;8(4):44-51.
23. Zoby MM. The association between personality and marital and relationship outcome [dissertation]. Virginia Beach, VA: Regent University; 2005. Available from: https://www.proquest.com/docview/305006334?pq-origsite=gscholar&fromopenview=true
24. Rogge RD, Bradbury TN, Hahlweg K, Engl J, Thurmaier F. Predicting marital distress and dissolution: refining the two-factor hypothesis. Journal of Family Psychology. 2006;20(1):156-9. [https://doi.org/10.1037/0893-3200.20.1.156] [PMID]
25. Salehi F, Shahhosseini Z. Association between women's marital satisfaction and anxiety during pregnancy. Iranian Journal of Psychiatry and Behavioral Sciences. 2017;11(3):e7937. [https://doi.org/10.17795/ijpbs-7937]
26. Kazemi A, Ranaei F, Moradi G. Related factors for marital satisfaction in primigravida women referred to Sanandaj comprehensive health centers in 2018. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2021;6(4):25-35.
27. Asoodeh MH, Khalili S, Daneshpour M, Lavasani MG. Factors of successful marriage: Accounts from self described happy couples. Procedia - Social and Behavioral Sciences. 2010;5:2042-6. [https://doi.org/10.1016/j.sbspro.2010.07.410]
28. Lee RE. Women look at their experience of pregnancy. Infant Mental Health Journal. 1995;16(3):192-205.
https://doi.org/10.1002/1097-0355(199523)16:3<192::AID-IMHJ2280160305>3.0.CO;2-D [https://doi.org/10.1002/1097-0355(199523)16:33.0.CO;2-D]
29. McLanahan S, Percheski C. Family structure and the reproduction of inequalities. Annual Review of Sociology. 2008;34:257-76. [https://doi.org/10.1146/annurev.soc.34.040507.134549]
30. Vagheei Y, Miri M, Ghasemipour M. A survey about effective factors on the marital satisfaction in employees of two Birjand universities. Journal of Birjand University of Medical Sciences. 2010;17(3):193-200.
31. Schneewind KA, Gerhard AK. Relationship personality, conflict resolution, and marital satisfaction in the first 5 years of marriage. Family Relations. 2002;51(1):63-71. [https://doi.org/10.1111/j.1741-3729.2002.00063.x]
32. Wagner A, Mosmann CP, Scheeren P, Levandowski DC. Conflict, conflict resolution and marital quality. Paidéia (Ribeirão Preto). 2019;29:e2919. [https://doi.org/10.1590/1982-4327e2919]
33. Bodenmann G, Kessler M, Kuhn R, Hocker L, Randall AK. Cognitive-behavioral and emotion-focused couple therapy: Similarities and differences. Clinical Psychology in Europe. 2020;2(3):e2741. [https://doi.org/10.32872/cpe.v2i3.2741] [PMID]
34. Shahmoradi M, Nicknam M, Khakpour R. The Effectiveness of Cognitive-Behavioral Couple Therapy on Love Schemes and Marital Satisfaction of Married Women. Community Health Journal. 2021;15(1):14-24.
35. Beasley CC, Ager R. Emotionally focused couples therapy: A systematic review of its effectiveness over the past 19 years. Journal of Evidence-Based Social Work. 2019;16(2):144-59. [https://doi.org/10.1080/23761407.2018.1563013] [PMID]
36. Horrell KE, Elizabeth Lewis Hall M, Anderson TL, Lee G. Gender Role Ideologies, Marital Satisfaction, and Eudaimonic Well-Being in Evangelical Women. Journal of Psychology and Theology. 2022;50(4):292-305. [https://doi.org/10.1177/00916471211011598]
37. Sayehmiri K, Kareem KI, Abdi K, Dalvand S, Gheshlagh RG. The relationship between personality traits and marital satisfaction: a systematic review and meta-analysis. BMC Psychology. 2020;8:38. [https://doi.org/10.1186/s40359-020-0383-z] [PMID]
38. Marvi FJ, Kordi M, Mazlom SR, Talab FR, Hesari EMG. The relationship between insomnia severity and marital satisfaction in pregnant women. Qom University of Medical Sciences Journal. 2019;13(11):42-50. [https://doi.org/10.29252/qums.12.11.6]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |