COVID-19 Pandemisinin Gebelerin Doğum Öncesi Bakım Talepleri Üzerindeki Etkisinin İncelenmesi: Kesitsel Bir Araştırma

Abstract

Amaç: Araştırmanın amacı COVID-19 pandemisinin gebe kadınların doğum öncesi bakım (DÖB) talepleri üzerindeki etkisini belirlemektir. Yöntem: Temmuz 2020 ve Kasım 2020 tarihleri arasında kesitsel olarak yapılan araştırmaya olasılıksız örnekleme yöntemi ile 370 gebe alındı. Araştırma verileri araştırmacı tarafından konuya ilişkin literatürden yararlanılarak hazırlanan bilgi formu ile yüz yüze görüşme tekniğiyle toplandı. Elde edilen veriler ki-kare testi, fisher’s exact testi, student t-test ve one-way ANOVA testlerleri kullanılarak analiz edildi ve p<0,05 istatistiksel olarak anlamlı kabul edildi. Bulgular: Araştırma kapsamındaki gebelerin aldıkları DÖB sayı ortalaması 1,7 ± 1,4 ve doğum öncesi bakıma başladıkları zaman ortalaması 23,1 ± 8,5 gestasyonel hafta idi. Gebelerin %69,6'sının gebelikleri süresince yetersiz doğum öncesi bakım aldıkları belirlendi. Kadınların %77,6'sı COVID-19 hastalığına yakalanma korkusu, %70’i COVID-19'u bebeğine bulaştırma korkusu ve %60,3'ü hastaneden eve COVID-19 taşıma korkusu yaşadıklarını bildirdi. COVID-19 hastalığına yakalanma endişesi, bebeğine COVID-19 bulaşır endişesi ve hastaneden eve COVID-19 taşıma endişesi yaşayan gebelerin yaşamayanlara göre daha az sayıda doğum öncesi bakım aldıkları, yeterli doğum öncesi bakım alma oranları daha düşük olduğu ve doğum öncesi bakım alma sürelerinin geciktiği saptandı. Sonuç: COVID-19 pandemisinin doğum öncesi bakım talebini olumsuz etkilediği belirlendi. Bu bulgu, pandeminin anne ve fetüs sağlığı üzerinde önemli bir yere sahip olan doğum öncesi bakım talebine etkisini ortaya koyan ilk çalışma olması açısından önemlidir.

Keywords

• Koronavirüs
• COVID-19
• ebelik bakımı
• gebelik
• doğum öncesi bakım

Examining The Impact of COVID-19 Pandemic on Pregnant Women’s Prenatal Care Demand: A Cross-Sectional Survey

Abstract

Objective: The study aimed to examine the impact of the COVID-19 pandemic on pregnant women’s prenatal care demand. Methods: This cross-sectional study was conducted between July 2020 and November 2020. The sample included 370 pregnant women recruited using the convenience sample method. The research data were collected by face-to-face interview technique with the questionnaire form prepared by the researcher using the literature on the subject. The data were analyzed using the chi-square test, fisher’s exact test, student t-test, and one-way ANOVA test. A p<0.05 was considered statistically significant. Results: The average number of prenatal care was 1.7 ± 1.4, the average prenatal care initiation time was 23.1 ± 8.5 weeks, and 69.6% got inadequate prenatal care during their pregnancy. The rate of having COVID-19 disease in pregnant women taking part in the study was 1.9%. Of women, 77.6% had fear of contracting COVID-19 disease, 70% fear of transmitting COVID-19 to her fetus, and 60.3% fear about carrying COVID-19 from hospital to home. It was determined that pregnant women who were worried about getting COVID-19 disease, their babies were infected with COVID-19 and carrying COVID-19 from hospital to home received less prenatal care than those who did not live, had lower rates of receiving adequate prenatal care, and delayed receiving prenatal care. Conclusion: It was determined that the COVID-19 pandemic had adversely affected the prenatal care demand. The study has important strengths as it is one of the first studies on prenatal care that is one of the determinants of maternal and fetal health.

Keywords

• Coronavirus
• COVID-19
• midwifery care
• pregnancy
• prenatal care

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