COVİD-19 Pandemisinin Gebe Kadınlar Üzerindeki Fiziksel ve Zihinsel Etkilerinin Araştırılması

Year 2024, Volume: 7 Issue: 1, 11 - 22, 05.04.2024

Şükran Ertekin Pınar Demet Güney

https://doi.org/10.5281/zenodo.10926561

Abstract

Amaç: Araştırmada COVİD-19 pandemisi’nin gebeler üzerindeki fiziksel ve ruhsal etkilerinin incelenmesi amaçlanmıştır.
Yöntem: Kesitsel tipteki araştırmanın örneklemini, bir il merkezinde bulunan, 11 Aile Sağlığı Merkezi’nde takip edilen 183 gebe oluşturmuştur. Veriler Gebe Tanıtım Formu, Depresyon Anksiyete Stres Ölçeği (DASÖ) ve Gebelik Semptom Envanteri (GSE) ile toplanmıştır.
Bulgular: Araştırmaya alınan 183 gebenin yaş ortalaması 26,74±4,75’dir. DASÖ’nin alt boyutlarından depresyon 20,69±7,38, anksiyete 22,24±7,37, stres 25,06±7,99, GSE alt boyutlarından gebelikte yaşanan semptomların sıklığı 41,73±18,57, semptomların günlük aktiviteleri sınırlama durumu puan ortalaması 61,11±10,56 olarak bulunmuştur. Yaşanan semptomların sıklığı ile depresyon (r=0,307; p=0,001) arasında zayıf, anksiyete (r=0,414; p=0,001) ve stres (r=0,474; p= 0,001) puanları arasında orta düzeyde pozitif yönlü istatistiksel olarak anlamlı ilişki saptanmıştır. Eğitim, gebeliğin planlı olma durumu, kontrollerin yapıldığı yer, beslenme ve uyku alışkanlığında değişime göre gebelik semptomları; aile tipine göre günlük aktivitelerin sınırlanma durumu; gebelik şekli ve gebeliğin planlı olma durumuna göre depresyon, anksiyete ve stres; gebelik haftasına göre depresyon ve anksiyete; kontrollerin yapıldığı yere göre anksiyete; uyku alışkanlığındaki değişime göre depresyon ve stres puanları arasında istatistiksel olarak anlamlı farklılık saptanmıştır (p<0,05).
Sonuç: COVİD-19 pandemi sürecinde gebeler orta düzeyde depresyon yaşarken, anksiyete ve stresi daha fazla yaşamaktadır. Ayrıca düşük de olsa gebeliğe yönelik semptomlar yaşamakta ve günlük aktiviteleri sınırlanmaktadır.

Keywords

Covid 19, fiziksel, gebelik, pandemi, ruhsal

Investigation of the Physical and Mental Effects of the COVID-19 Pandemic on Pregnant Women

Abstract

Objective: The study aims to investigate the physical and mental effects of the COVID-19 pandemic on pregnant women.
Method: The study sample of this cross-sectional type of research consisted of 183 pregnant women, followed up in 11 Family Health Centers in a city center. The data were collected using the Pregnant Women Introduction Form, the Depression Anxiety Stress Scale (DASS), and the Pregnancy Symptoms Inventory (PSI).
Results: The mean age of these 183 pregnant women was 26.74±4.75 years. The DASS sub-scale score averages were 20.69±7.38 for depression, 22.24.7±37 for anxiety, and 25.06±7.99 for stress; PSI sub-scales score averages were 41.73±18.57 for the frequency of symptoms experienced during pregnancy, and 61.11±10.56 for the limited daily activities due to symptoms. There was a statistically significant poor positive relationship between the frequency of symptoms and depression (r=0.307; p=0.001), and moderate relationship with anxiety (r=0.414; p=0.001) and stress (r=0.474; p=0.001). Statistically significant differences were found between pregnancy symptoms according to education, planned pregnancy status, place admitted for controls, change in feeding and sleep habits; limitation of daily activities according to family type; depression, anxiety, and stress according to pregnancy type, and planned pregnancy status; depression and anxiety according to gestational week; anxiety according to the place admitted for controls; depression and stress according to the change in sleep habits (p<0.05).
Conclusion: During the COVID-19 pandemic, pregnant women experienced moderate depression, but experienced anxiety and stress more. Moreover, they experienced pregnancy-related low-level symptoms and their daily activities were limited

Keywords

COVID-19, mental, pandemics, physical, pregnancy

References

• Ahlers-Schmidt, C.R., Schunn, C., Hervey, A.M., Torres, M., & Nelson, J.E.V. (2021). Promoting safe sleep, tobacco cessation, and breastfeeding to rural women during the COVID-19 pandemic: Quasi-experimental study. JMIR Pediatrics and Parenting, 4(4), e31908. http://dx.doi.org/10.2196/31908
• Akın, A., & Çetin, B. (2007). Depresyon Anksiyete Stres Ölçeği (DASÖ): Geçerlik ve güvenirlik çalışması. Kuram ve Uygulamada Eğitim Bilimleri, 7(1), 241–268.
• Alimoradi, Z., Broström, A., Tsang, H.W.H., Griffiths, M.D., Haghayegh, S., Ohayon, M.M., Chung-Lin C-Y., & Pakpour, A.H. (2021). Sleep problems during COVID-19 pandemic and its’ association to psychological distress: A systematic review and meta-analysis. EClinical Medicine, 36, 100916. http://dx.doi.org/10.1016/j.eclinm.2021.100916
• American College of Obstetricians and Gynecologists. (ACOG). (2020). COVID-19 FAQs for Obstetrician-Gynecologists, Obstetrics. Retrieved 11 May 2022. https://www.acog.org/clinical-information/physician-faqs/covid-19-faqs-for-ob-gyns-obstetrics
• Ammar, A., Trabelsi, K., Brach, M., Chtourou, H., Boukhris, O., Masmoudi, L., Bouaziz, B., Bentlage, E., How, D., Ahmed, M., Mueller, P., Mueller, N., Hammouda, O., Paineiras-Domingos, L.L., Braakman- Jansen, A., Wrede, C., Bastoni, S., Pernambuco, C.S., Mataruna, L,.….Hoekelmann, A. (2021). Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: Insights from the ECLB-COVID19 multi centre study. Biol Sport, 38(1), 9–21. http://dx.doi.org/10.5114/biolsport.2020.96857
• Barton, K., Redshaw, M., Quigley, M.A., & Carson, C. (2018). Unplanned pregnancy and subsequent psychological distress in partnered women: a cross-sectional study of the role of relationship quality and wider social support. BMC Pregnancy and Childbirth, 17(1): 44. http://dx.doi.org/10.1186/s12884-017-1223-x
• Braden, A., Musher-Eizenman, D., Watford, T., & Emley, E. (2018). Eating when depressed, anxious, bored, or happy: Are emotional eating types associated with unique psychological and physical health correlates? Appetite, 125, 410–417. http://dx.doi.org/10.1016/j.appet.2018.02.022
• Bunevicius, R., Kusminskas, L., Bunevicius, A., Nadisauskiene, R.J., Jureniene, K., & Pop, V.J.M. (2009). Psychosocial risk factors for depression during pregnancy. Acta Obstet Gynecol Scand, 88(5), 599–605. https://doi: 10.1080/00016340902846049
• Can Gürkan, Ö., & Ekşi Güloğlu, Z. (2020). Gebelik Semptom Envanteri’nin Türkçe Geçerlilik ve Güvenilirlik Çalışması. ACU Sağlık Bilimleri Dergisi, 11 (2), 298–303.
• Castro e Couto, T., Nogueira Cardoso, M., Martins Brancaglion, M.Y., Coutinho Faria, G., Duarte Garcia, F., Nicolato, R., Marques de Miranda, D., & Correa, H. (2016). Antenatal depression: Prevalence and risk factor patterns across the gestational period. J Affect Disord, 192, 70–75. http://dx.doi.org/10.1016/j.jad.2015.12.017
• Chen, H., Guo, J., Wang, C., Luo, F., Yu, X., Zhang, W., Li, J., Zhao, D., Xu, D., Gong, Q., Liao, J., Yang, H., Hou, W., & Zhang, Y. (2020). Clinical characteristics and intrauterin evertical transmission potential of COVID-19 infection in nine pregnant women: A retrospective review of medical records. Lancet, 395(10226), 809–815. http://dx.doi.org/10.1016/S0140-6736(20)30360-3
• Demircan, S., & Demirçivi Bör, E. (2022). Knowledge, perception, and protective measures of Turkish pregnant women towards COVID-19 pandemic and their effects on anxiety levels. J Obstet Gynaecol, 42(5), 1018–1022. http://dx.doi.org/ 10.1080/01443615.2021.1990232
• Dinçer, S., & Kolcu, M. (2021). COVİD-19 Pandemisinde toplumun beslenme alışkanlıklarının incelenmesi: İstanbul örneği. Türkiye Diyabet ve Obezite Dergisi, 2, 193–201. http://dx.doi.org/10.25048/tudod.928003
• Eroğlu, M., Çıtak-Tunç, G., & Kılınç, F. E. (2021). Gebelik Stresi ile Covıd-19 Korkusu Arasındaki İlişkinin İncelenmesi. Toplum ve Sosyal Hizmet, 125-139.
• Foxcroft, K.F., Callaway, L.K., Byrne, N.M., & Webster, J. (2013). Development and validation of a pregnancy symptoms inventory. BMC Pregnancy & Childbirth, 13(3): 1–9. http://www.biomedcentral.com/1471-2393/13/3
• Ghimire, U., Papabathini, S.S., Kawuki, J., Obore, N., & Musa T.H. (2021). Depression during pregnancy and the risk of low birth weight, preterm birth and intrauterine growth restriction-an updated meta-analysis. Early Hum Dev, 152, 105243. http://dx.doi.org/10.1016/j.earlhumdev.2020.105243
• İşcan G., İşcan, S.C., Koç, E.M., & Karçaaltıncaba, D. (2018). Sosyodemografi̇k ve obstetri̇k özelli̇kleri̇n gebeli̇k depresyonuna etkisi. SDÜ Tıp Fak Dergisi, 25(4), 429–435. http://dx.doi.org/10.17343/sdutfd.446740
• Jiang, H., Jin, L., Qian X., Xiong, X., La, X., Chen, W., Yang, X, Yang, F., Zhang, X., Abudukelimu, N., Li, X., Xie, Z., Zhu, X., Zhang, X., Zhang, L., Wang, L., Li, L., & Li, M. (2021). Maternal mental health status and approaches for accessing antenatal care information during the COVID-19 epidemic in China: Cross-sectional study. J Med Internet Res, 23(1), e18722. http://dx.doi.org/10.2196/18722
• Khan, M.A., Khan, N., Mustagir, G., Rana, J., Haque, R., & Rahman, M. (2020). COVID-19 infection during pregnancy: A systematic review to summarize possible symptoms, treatments, and pregnancy outcomes. Medrxiv, 1–25. http://dx.doi.org/10.1101/2020.03.31.20049304
• Khoury, J.E., Atkinson, L., Bennett, T., Jack, S.M., & Gonzalez, A. (2021). COVID-19 and mental health during pregnancy: The importance of cognitive appraisal and social support. J Affect Disord, 282, 1161–1169. http://dx.doi.org/10.1016/j.jad.2021.01.027
• Lebel, C., Mackinnon, A., Bagshawe, M., Tomfohr-Madsen, L., & Giesbrecht, G. (2020). Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of Affective Disorders, 277(2020), 5–13. http://dx.doi.org/10.1016/j.jad.2020.07.126
• Liu, C.H., Erdei, C., & Mittal, L. (2021). Risk factors for depression, anxiety, and PTSD symptoms in perinatal women during the COVID-19 Pandemic. Psychiatry Res, 295, 113552. http://dx.doi.org/10.1016/j.psychres.2020.113552
• Lovibond, P.F., & Lovibond, S.H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scale (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther, 33(3): 335–343. http://dx.doi.org/10.1016/0005-7967(94)00075-u
• Özcan, H., & Oskay, Ü. (2014). Gebelikte fazla görülen solunum sistem hastalıkları ve bakımı. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 30(3), 80-91.
• Park, S.E. (2020). Epidemiology, virology and clinical features of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2; Coronavirus Disease-19). Clin Exp Pediatr, 63(4), 119–124. http://dx.doi.org/10.3345/cep.2020.00493
• Shimabukuro, T.T., Kim, S.Y., Myers, T.R., Moro, P.L., Oduyebo, T., Panagiotakopoulos, L., Marquez P.L., Olson, C.K., Liu, R., Chang, K.T., Ellington, S.R., Burkel, V.K., Smoots, A.N., Green, C.J., Licata, C., Zhang, B.C., Alimchandani, M., Mba-Jonas, A., Martin, S.W.,…Meaney-Delman, D.M.. (2021). Preliminary findings of mRNA Covid-19 vaccine safety in pregnant persons. N Engl J Med, 384(24), 2273–2282. http://dx.doi.org/10.1056/NEJMoa2104983
• Sklaveniti, D. (2020). Antenatal visit model in low-risk pregnancy during pandemic COVID-19: A call for adjustments. Eur J Midwifery, 4, 15. http://dx.doi.org/10.18332/ejm/121097
• Tanrıverdi, G., Yalçın Gürsoy, M., & Özsezer Kaymak, G. (2020). Halk sağlığı hemşireliği yaklaşımıyla COVID-19 pandemisi. Halk Sağlığı Hemşireliği Dergisi, 2(2), 126–143.
• T.C. Sağlık Bakanlığı Doğum Öncesi Bakım Yönetim Rehberi. (2018). https://khgmsaglikhizmetleridb.saglik.gov.tr/TR,42839/dogum-oncesi-bakim-yonetim-rehberi.html
• Tunç, S.Y., Fındık, F.M., & Gül, T. (2021). COVID-19: Gebelik, prenatal bakım ve doğum yönetimi. Dicle Tıp Dergisi, 48, 70-84.
• Wainstock, T., Yoles, I., Sergienko, R., & Sheiner, E. (2021). Prenatal maternal COVID-19 vaccination and pregnancy outcomes. Vaccine, 39(41), 6037–6040. http://dx.doi.org/10.1016/j.vaccine.2021.09.012
• Woody, C.A., Ferrari, A.J., Siskind, D.J., Whiteford, H.A., Harris, M.G. (2017). A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J Affect Disord, 219, 86-92. http://dx.doi.org/10.1016/j.jad.2017.05.003
• World Health Organisation Coronavirüs disease 2019 (COVID-19), March 2020. Situation Report – 52. (Erişim tarihi 22.09.2022) https://apps.who.int/iris/handle/10665/331476
• Yanık, D., & Özcanarslan, F. (2019). Riskli gebelerde algılanan sosyal destek ile stresle başetme düzeyleri arasındaki ilişki. Ebelik ve Sağlık Bilimleri Dergisi, 2(3), 96–104.
• Yeşilçınar, İ., Güvenç, G., Kinci, M. F., Bektaş Pardes, B., Kök, G., & Sivaslıoğlu, A.A. (2022). Knowledge, fear, and anxiety levels among pregnant women during the COVID-19 pandemic: A cross-sectional study. Clin Nurs Res, 31(4), 758–765. http://dx.doi.org/10.1177/10547738221085662
• Yıldırım, F., Günaydın, N., & Alpaslan Arar, M. (2022). Determination of depression, anxiety and stress in pregnancy during the COVID-19 pandemic. Erciyes Med J, 44(4), 405–410. http://dx.doi.org/10.14744/etd.2022.40035
• Zhang, Y., Zhang, Y., Deng, R., Chen, M., Cao, R., Chen, S., Chen, K., Jin, Z., Bai, X., Tian, J., Zhou, B., & Tian, K. (2021). Association of sleep duration and screen time with anxiety of pregnant women during the COVID-19 pandemic. Front Psychol, 12(2021), 646368. http://dx.doi.org/10.3389/fpsyg.2021.646368