Pınar Kara
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Evşen Nazik
Zehra Çerçer
Nursing Department, Faculty of Health Sciences, Kahramanmaraş İstiklal University, Kahramanmaraş, Türkiye
Nursing Department, Department of Obstetrics and Gynecology Nursing, Faculty of Health Sciences, Çukurova University, Adana, Türkiye
Midwifery Department, Faculty of Health Sciences, Gaziantep Islam Science and Technology University, Gaziantep, Türkiye
Received: 9 September 2023 / Revised: 27 October 2023 / Accepted: 2 November 2023 / Published: 30 March 2024


Introduction and aim. Global and national care recommendations indicate that women with high-risk pregnancies should receive personalized and qualified care during this period. This study was conducted to determine the distress levels in high-risk pregnant women and affecting factors.

Material and methods. The cross-sectional this study was conducted with total of 416 high-risk pregnant women who met the inclusion criteria in the obstetrics clinic of a training and research hospital. The study data were collected with data collection form and “Tilburg Pregnancy Distress Scale (TPDS).”

Results. The mean TPDS total score of high-risk pregnant women was 18.25±6.85. It was found that planning pregnancy, gravida, and diagnosis of gestational hypertension, systemic diseases, and gestational diabetes in the present pregnancy was asso ciated with pregnancy-specific distress (p<0.05; β=0.291, β=0.158, β=0.272, β=0.137, β=0.116, respectively).

Conclusion. It is advised that health professionals assess the distress levels of high-risk pregnant women and give personalized care during prenatal period.



Kara P, Nazik E, Çerçer Z. Determinants of distress levels in high-risk pregnant women – cross-sectional study. Eur J Clin Exp Med. 2024;22(1):60–67. doi: 10.15584/ejcem.2024.1.9.

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