Factors Predicting Coping of Pregnant Women Working in the Manufacturing Industry: A Cross-sectional Study


  • Pongsri Buddharak Faculty of Nursing, Chiang Mai University, Thailand.
  • Nantaporn Sansiriphun Faculty of Nursing, Chiang Mai University, Thailand.
  • Thanee Kaewthummanukul Faculty of Nursing, Chiang Mai University, Thailand.
  • Apiradee Nantsupawat Faculty of Nursing, Chiang Mai University, Thailand.




Coping, Cross-sectional study, Predicting factors, Manufacturing industry, Sense of coherence, Social support


Pregnant women working in the manufacturing industry are at risk of experiencing stress both from pregnancy itself and from their occupation. Supporting them to cope effectively with this stress is an important role of the nurse-midwife. This cross-sectional study investigated the predictive power of job strain, pregnancy-specific stress, sense of coherence, self-esteem, religious belief, and social support in predicting coping among pregnant women working in the manufacturing industry. The participants were 288 women visiting the antenatal department of five provincial hospitals in Thailand. The research instruments were a demographic data recording form, and the Thai versions of the Job Content Questionnaire, the Revised Prenatal Distress Questionnaire, the 13-item Sense of Coherence, the Rosenberg Self-Esteem Scale, the Buddhist Belief Questionnaire, the Social Support Questionnaire, and the Ways of Coping Checklist-Revised. Data were analyzed using descriptive statistics and hierarchical multiple regression.

The study results revealed that job strain, pregnancy-specific stress, sense of coherence, self-esteem, religious belief, and social support altogether could explain 60% of the variance in problem-focused coping and 57% of the variance in emotion-focused coping of pregnant women working in the manufacturing industry. Social support was the strongest predictorof problem-focused coping, while the sense of coherence was the strongest predictor of emotion-focused coping. The findings can be used by nurse-midwives in planning interventions to promote coping of pregnant women working in the manufacturing industry, focusing on enhancing social support and a sense of coherence and reducing pregnancy-specific stress.



Alves AC, Cecatti JG, Souza RT. Resilience and stress during pregnancy: a comprehensive multidimensional approach in maternal and perinatal health. Sci World J. 2021:1–7. doi: 10.1155/2021/9512854.

Social Security Office, Ministry of Labour. Social security statistics 2021. 2021 [cited 2023 May 20]. Available from: https://www.sso.go.th/wpr/assets/upload/files_storage/ ssoth/6eef985339f2599ece228dae79ad2728.pdf (in Thai)

Rahimi R, Moeindarbary S, Ghasempour M, Moghadam TT, Heydari O, Bafghi ZR, et al. Maternal occupational exposures and adverse pregnancy outcomes: an overview of meta- analysis. Int J Pediatr. 2020;8(5):11341–6. doi: 10.22038/ijp.2020.47228.3830.

Siriarunrat S, Tachasuksri T, Suppaseemanont W, Boonnate N. Safety in workplaces and factors influencing work safety behavior among pregnant women working in the industries in the east coast area of Thailand. Public Health Nurs. 2019;33(3):29-45 (in Thai).

Rahman FS, Martiana T. Pregnancy disorders in female workers at the industrial area of Sidoarjo, Indonesia. J Public Health Res. 2020;9(2):1824. doi: 10.4081/ jphr.2020.1824.

Kinser PA, Jallo N, Amstadter AB, Thacker LR, Jones EM, Moyer S, et al. Depression, anxiety, resilience, and coping: the experience of pregnant and new mothers during the first few months of the COVID-19 pandemic. J Womens Health. 2021;30(5):654-64 doi: 10.1089/jwh.2020.8866.

Yu M, Qiu T, Liu C, Cui Q, Wu H. The mediating role of perceived social support between anxiety symptoms and life satisfaction in pregnant women: a cross-sectional study. Health Qual Life Outcomes. 2020;18(1):223. doi: 10.1186/s12955-020-01479-w.

Sanguanklin N, McFarlin BL, Finnegan L, Park CG, Giurgescu C, White-Traut R, et al. Job strain and psychological distress among employed pregnant Thai women: role of social support and coping strategies. Arch Womens Ment Health. 2014;17(4):317-26. doi: 10. 1007/s00737-013-0410-7.

Ramos I, Ross KM, Rinne GR, Somers JA, Mancuso R, Hobel CJ, et al. Pregnancy anxiety, placental corticotropinreleasing hormone and length of gestation. Biol Psychol. 2022;172:108376. doi:10.1016/j.biopsycho.2022.108376.

Lazarus RS, Folkman S. Stress, appraisal and coping. New York City: Springer; 1984.

Karasek RA, Theorell T. Healthy work: stress, productivity and the reconstruction of working life. New York City: Basic Books; 1990.

Lojewski J, Flothow A, Harth V, Mache S. Employed and expecting in Germany: a qualitative investigation into pregnancy-related occupational stress and coping behavior. Work. 2018;59(2):183–99. doi: 10.3233/wor-172673.

Walker LO, Murry N. Maternal stressors and coping strategies during the extended postpartum period: a retrospective analysis with contemporary implications. Womens Health Rep. 2022;3(1):104–14. doi: 10. 1089/whr.2021.0134.

Lobel M, Hamilton JG, Cannella DT. Psychosocial perspectives on pregnancy: prenatal maternal stress and coping. Soc Personal Psychol Compas. 2008;2(4):1600- 23. doi: 10.1111/j.1751-9004.2008.00119.x.

Tripathi P, Devkota G. Stress and coping strategies among pregnant women attending antenatal clinic of a teaching hospital in Eastern Nepal. Nepal J Obstet Gynecol. 2020;15(31);28-33. doi: 10.3126/njog.v15i2.32899.

Yodthong S, Usaha R, Poopatayakon A. Stress and coping of adolescent mothers in first childbirth. Med J Srisaket Surin Buriram Hosp. 2020;35(2):381-91 (in Thai).

Antonovsky A. Unraveling the mystery of health: How people manage stress and stay well. San Francisco: JosseyBass; 1987.

Mitonga-Monga J, Mayer CH. Sense of coherence, burnout, and work engagement: the moderating effect of coping in the Democratic Republic of Congo. Int J Environ Res Public Health. 2020;17(11):4127. doi: 10.3390/ ijerph17114127.

Rosenberg M. Rosenberg Self-esteem Scale (RSE): acceptance and commitment therapy. Measur Pack. 1965;61:52.

Seesopon S, Pothiban L, Suwankruhasn N. Buddhist beliefs and caregiving burden among caregivers of older persons with congestive heart failure. J Nurs Educ. 2017;10(3):56- 70 (in Thai).

Krok D. Value systems and centrality of religiosity as predictors of non-religious and religious coping with stress in early adulthood. Arch Psychiatry Psychother. 2015;7(3):21-31. doi: 10.12740/app/59050.

House JS. Work stress and social support. Reading: Addison-Wesley; 1981.

Chen Z, Li Y, Chen J, Guo X. The mediating role of coping styles in the relationship between perceived social support and antenatal depression among pregnant women: a crosssectional study. BMC Pregnancy Childbirth. 2022;22(1): 188. doi: 10.1186/s12884-022-04377-9.

Posaen R, Chareonsanti J, Supavititpatana B. Pregnancyspecific stress, social support, and coping among gestational diabetic women. JBCN_Bangkok. 2019;35(1):59-70 (in Thai).

Tabachnick BG, Fidell LS. Using multiple statistics. 6th ed. London: Pearson Education; 2007.

Gray J, Grove KS, Sutherland S. Practice of nursing research: appraisal, synthesis, and generation of evidence. 8th ed. Philadelphia:Saunders; 2017.

Vitaliano PP, Russo J, Carr JE, Maiuro RD, Becker J. The Ways of Coping Checklist: revision and psychometric properties. Multivariate Behav Res.1985;20(1):3-26. doi: 10.1207/s15327906mbr2001_1.

Sawang S, Oei TP, Goh YW, Mansoer W, Markhum E, Ranawake D. Confirmatory factor analysis of the Way of Coping Checklist-revised (WCCL-R) in the Asian context. Appl Psychol. 2010;9(2):202-19. doi: 10.1111/j. 1464-0597.2009.00378.x.

Goh YW, Sawang S, Oei TP, Ranawake DS. An Asian perspective of occupational stress coping model: a case study of Sri Lankan employees. Aust N Z J Psychol. 2012;5:25-31. doi: 10. 1017/orp.2012.5.

Phakthongsuk P. Construct validity of the Thai version of the job content questionnaire in a large population of heterogeneous occupations. J Med Assoc Thai.2009;92(4):564-72.

Hanucharurnkul S, Intarasombat P, Putwatana P. Daily hassles, a sense of coherence, and perceived general wellbeing of nursing faculty members. Thai J Nurs. 1989;38(3): 169-90 (in Thai).

Wongpakaran T, Wongpakaran N. Confirmatory factor analysis of Rosenberg Self-esteem Scale: a study of Thai student sample. J Psychiatr Assoc Thailand. 2011;56(1): 59-70 (in Thai).

Nualyong A. The relationship among perception of disease, social support, and self-care behavior in pregnancy induced hypertension patients [master’s thesis]. [Bangkok, Thailand]: Mahidol University; 1992. doi: 10.14457/ MU.the.1992.70. (in Thai).

Munro BH. Statistical methods for health care research. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2005.

Ministry of Labour. Law on labor protection and welfare. 2019 Nov 13 [cited 2023 Mar 2]. Available from: https://lb.mol.go.th/en/law-on-labor-protection-andwelfare

Wigert H, Nilsson C, Dencker A, Begley C, Jangsten E, Sparud-Lundin C, et al. Women’s experiences of fear of childbirth: a metasynthesis of qualitative studies. Int J Qual Stud Health Well-being. 2020;15(1):1704484. doi: 10.1080/17482631.2019.1704484.

Nuampa S, Tangsuksan P, Chunpia C, Wanasathit W. Experiences of antenatal care attendance and health information seeking among working pregnancy in the large industry: descriptive qualitative study. Nurs Sci J Thail. 2020;38(4):44-61 (in Thai).

Amphai S, Kantaruksa K, Sriarporn P, Sansiriphun N. A grounded theory of the transition from a high-risk pregnancy to motherhood among women in northern Thailand. Pacific Rim Int J Nurs Res. 2021;25(2):213–28.

Cirklová J. Coping with the quarter-life crisis the Buddhist way in the Czech Republic. Contemp Buddhism. 2020: 21(1-2):222-40. doi: 10.1080/14639947. 2021.1929603.

Phillips D, Chamberlain A, Goreczny A. The relationship between religious orientation and coping styles among older adults and young adults. J Psychol Behav Sci. 2014;2(1),29–43.




How to Cite

Buddharak P, Sansiriphun N, Kaewthummanukul T, Nantsupawat A. Factors Predicting Coping of Pregnant Women Working in the Manufacturing Industry: A Cross-sectional Study. PRIJNR [Internet]. 2023 Jun. 17 [cited 2024 Jul. 25];27(3):500-15. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/261682