Being Pregnant In The Covid-19 Pandemic: Has The Pandemic Increased Physical And Mental Symptoms?

Yıl 2024, Cilt: 11 Sayı: 4, 531 - 540, 29.12.2024

Şenay Öztürk , Rabia Sağlam

https://doi.org/10.34087/cbusbed.1422529

Öz

Aim: This descriptive-cross-sectional study aims to determine whether the Covid-19 pandemic had an effect on the physical and mental symptoms of pregnant women.
Methods: The study was conducted between December 2020 and December 2021with 352 pregnant women. The data of the study were collected using the Personal Information Form, Pregnancy Symptom Inventory-PSI, Brief Symptom Inventory-BSI and Visual Analog Scale-VAS.
Results: The participants’ PSI and BSI mean scores were 28.69± 14.46, 0.68 ± 0.47 respectively. It was found that the highest scores were obtained from the anxiety (0.72 ± 0.63) and depression (0.95 ± 0.71) sub-dimensions of the BSI. It was found that women who received support from their husbands and had good relationships with their husbands had statistically significantly lower mental and physical symptoms (p˂0.05).
Conclusions: Although it was found that pregnant women experienced mild mental and physical symptoms during the pandemic, anxiety and depression symptoms were high among mental symptoms. Especially those who received support from their husbands and had good relationships with their husbands had lower mental and physical symptoms. According to our conclusion that spouse support is especially important, spouse support should be taken into consideration when identifying risky groups and making appropriate interventions.

Anahtar Kelimeler

pandemic, pregnancy, physical symptoms, mental symptoms

Being pregnant in the covid-19 pandemic: Has the pandemıc increased physical and mental symptoms?

Öz

Aim: This descriptive-cross-sectional study aims to determine whether the Covid-19 pandemic affected pregnant women's physical and mental symptoms.
Methods: The study was conducted between December 2020 and December 2021 with 352 pregnant women. The data of the study were collected using the Personal Information Form, Pregnancy Symptom Inventory-PSI, Brief Symptom Inventory-BSI, and Visual Analog Scale-VAS.
Results: The participants’ PSI and BSI mean scores were 28.69± 14.46, 0.68 ± 0.47 respectively. It was found that the highest scores were obtained from the anxiety (0.72 ± 0.63) and depression (0.95 ± 0.71) sub-dimensions of the BSI. It was found that women who received support from their husbands and had good relationships with their husbands had statistically significantly lower mental and physical symptoms (p˂0.05).
Conclusions: Although it was found that pregnant women experienced mild mental and physical symptoms during the pandemic, anxiety, and depression symptoms were high among mental symptoms. Especially those who received support from their husbands and had good relationships with their husbands had lower mental and physical symptoms. According to our conclusion that spouse support is especially important, spouse support should be taken into consideration when identifying risky groups and making appropriate interventions.

Anahtar Kelimeler

pandemic, pregnancy, physical symptoms, mental symptoms

Kaynakça

• 1. Rožman, M, Tominc, P, The physical, emotional and behavioral symptoms of health problems among employees before and during the COVID-19 epidemic, Employee Relations, 2021,44(7),19–45. https://doi.org/10.1108/ER-10-2020-0469
• 2. Kotlar, B, Gerson, E, Petrillo, S, Langer, A, Tiemeier, H, The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review, Reproductive Health, 2021, 18(1),10, 1-39. https://doi.org/10.1186/s12978-021-01070-6
• 3. Oviedo Caro, M.A, Bueno Antequera, J, Munguía Izquierdo, D, Spanish version of Pregnancy Symptoms Inventory: transcultural adaptation and reliability, J Matern Fetal Neonatal Med, 2017, 30(18), 2185–2192. https://doi.org/10.1080/14767058.2016.1242125
• 4. Woo, J, Penckofer, S, Fagan, M, Giurgescu, C, Associations between pregnancy-related symptoms, serum 25(OH)D, and physical quality of life in pregnant women, Nutrients, 2022, 14(3), 1–11. https://doi.org/10.3390/nu14030482
• 5. Aktas, S, Calik, K.Y, Factors affecting depression during pregnancy and the correlation between social support and pregnancy depression, Iran Red Crescent Med J, 2015,17(9), e16640. https://doi.org/10.5812/ircmj.16640
• 6. Kamysheva, E, Skouteris, H, Wertheim, E.H, Paxton, S.J, Milgrom, J, Examination of a multi-factorial model of body-related experiences during pregnancy: The relationships among physical symptoms, sleep quality, depression, self-esteem, and negative body attitudes, Body Image, 2008, 5(2), 152–163. https://doi.org/10.1016/j.bodyim.2007.12.005
• 7. Kamysheva, E, Wertheim, E.H, Skouteris, H, Paxton, S.J, Milgrom, J, Frequency, severity, and effect on life of physical symptoms experienced during pregnancy, J Midwifery Womens Health, 2009, 54(1), 43–49. https://doi.org/10.1016/j.jmwh.2008.08.003
• 8. Kamysheva, E, Skouteris, H.E, Wertheim, H.S, Paxton, J, Milgrom, J, A prospective investigation of the relationships among sleep quality, physical symptoms, and depressive symptoms during pregnancy, J Affect Disord, 2010, 123(1–3), 317–320. https://doi.org/10.1016/j.jad.2009.09.015
• 9. Karaçam, Z, Özçelik, G, Gebelikte sık karşılaşılan yakınmalar, fiziksel, ruhsal ve cinsel sağlık sorunları, risk faktörleri ve yaşam kalitesi ile ilişkileri, Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 2014, 30(3), 1–18.
• 10. Shangguan, F, Wang, R, Quan, X, Zhou, C, Zhang, C, Qian, W, Zhou, Y, Liu, Z, Zhang, X.Y, Association of stress-related factors with anxiety among Chinese pregnant participants in an online crisis intervention during COVID-19 epidemic, Front Psychol, 2021, 12, 1–8. https://doi.org/10.3389/fpsyg.2021.633765
• 11. World Health Organization. Maternal Mental Health. 2020, [Accessed: 10.05.2022].https://www.who.int/mental_health/maternal/child/maternal_mental_health/en/
• 12. Güner, Ö, Öztürk, R. Psychological and social impact and lifestyle changes among pregnant women of COVID-19 pandemic: A qualitative study, Arch Psychiatr Nurs, 2022, 36, 70–77. https://doi.org/10.1016/j.apnu.2021.12.005
• 13. Overbeck, G, Rasmussen, I.S, Siersma, V, Andersen, J.H, Kragstrup, J, Wilson, P, Hauskov Graungaard, A, Ertmann, R.K, Depression and anxiety symptoms in pregnant women in Denmark during COVID-19, Scand J Public Health, 2021, 49(7), 721–729. https://doi.org/10.1177/14034948211013271
• 14. Crouse Quinn, S, Crisis and emergency risk communication in a pandemic: a model for building capacity and resilience of minority communities, Health Promot Pract, 2008, 9(4), 18–25. https://doi.org/10.1177/1524839908324022
• 15. Bao, Y, Sun, Y, Meng, S, Shi, J, Lu, L, 2019-nCoV epidemic: address mental health care to empower society, Lancet, 2020, 395(10224), e37–e38. https://doi.org/10.1016/S0140-6736(20)30309-3
• 16. Ravaldi, C, Wilson, A, Ricca, V, Homer, C, Vannacci, A, Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy, Women Birth, 2021, 34(4), 335–343. https://doi.org/10.1016/j.wombi.2020.07.002
• 17. Serafini, G, Parmigiani, B, Amerio, A, Aguglia, A, Sher, L, Amore, M, The psychological impact of COVID-19 on the mental health in the general population, QJM, 2020,113(8), 229–235. https://doi.org/10.1093/qjmed/hcaa201
• 18. Wu, Y, Zhang, C, Liu, H, Duan, C, Li, C, Fan, J, et al., Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China, Am J Obstet Gynecol, 2020, 223(2),240, e1-240.e9. https://doi.org/10.1016/j.ajog.2020.05.009
• 19. Berthelot, N, Lemieux, R, Garon-Bissonnette, J, Drouin-Maziade, C, Martel, É, Maziade, M, Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic, Acta Obstet Gynecol Scand, 2020, 99(7), 848–855. https://doi.org/10.1111/aogs.13925
• 20. Saccone, G, Florio, A, Aiello, F, Venturella, R, De Angelis, M.C, Locci, M, et al., Psychological impact of coronavirus disease 2019 in pregnant women. Am J Obstet Gynecol, 2020, 223(2), 293–295. https://doi.org/10.1016/j.ajog.2020.05.003
• 21. Lebel, C, MacKinnon, A, Bagshawe, M, Tomfohr-Madsen, L, Giesbrecht, G, Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic, J Affect Disord, 2020, 277, 5–13. https://doi.org/10.1016/j.jad.2020.07.126
• 22. Hisli Şahin, N, Durak, A, Kısa semptom envanteri (brief symptom inventory-BSI): Türk gençleri için uyarlanması, Türk Psikoloji Dergisi, 1994, 9(31), 44–56.
• 23. Foxcroft, K.F, Callaway, L.K, Byrne, N.M, Webster, J, Development and validation of a pregnancy symptoms inventory, BMC Pregnancy Childbirth, 2013,13, 3. https://doi.org/10.1186/1471-2393-13-3
• 24. Can Gürkan, Ö, Ekşi Güloğlu, Z, Gebelik semptom envanterinin Türkçe geçerlilik ve güvenilirlik çalışması, ACU Sağlık Bil Derg, 2020, 11(2), 298–303. https://doi.org/10.31067/0.2019.162
• 25. Bakır, N, Demir, C, Şener, N, Gebelerin yaşadığı stres ve gebelik semptomları arasındaki ilişki, Karya J Health Sci, 2021, 2(3), 71–76. https://doi.org/10.52831/kjhs.974791
• 26. Jarvis, S, Nelson-Piercy, C, Common symptoms and signs during pregnancy, Obstetrics, Gynaecology & Reproductive Medicine, 2020, 30(10), 321–325. https://doi.org/10.1016/j.ogrm.2020.07.005
• 27. Geren, A, Birge, Ö, Bakır, M.S, Sakıncı, M, Sanhal, C.Y, Does time change the anxiety and depression scores for pregnant women on Covid-19 pandemic?, J Obstet Gynaecol Res, 2021, 47(10), 3516–3523. https://doi.org/10.1111/jog.14935
• 28. Kotabagi, P, Fortune, L, Essien, S, Nauta, M, Yoong, W, Anxiety and depression levels among pregnant women with COVID-19, Acta Obstet Gynecol Scand, 2020, 99(7), 953–954. https://doi.org/10.1111/aogs.13928
• 29. Mei, H, Li, N, Li, J, Zhang, D, Cao, Z, Zhou, Y, et al., Depression, anxiety, and stress symptoms in pregnant women before and during the COVID-19 pandemic, J Psychosom Res, 2021, 149, 1-6. https://doi.org/10.1016/j.jpsychores.2021.110586
• 30. Cincioğlu, E, Durat, G, Öztürk, S, Akbaş, H, Riskli gebeliklerde gebelerin ruhsal durumları ve stresle başa çıkma biçimleri, Sağlık ve Toplum, 2020, 20(3), 148–157.
• 31. Beyene, G.M, Azale, T, Gelaye, K.A, Ayele, T.A, Depression remains a neglected public health problem among pregnant women in Northwest Ethiopia, Arch Public Health, 2021,79(1), 1–12. https://doi.org/10.1186/s13690-021-00649-6
• 32. Thompson, O, Ajayi, I.O, Prevalence of antenatal depression and associated risk factors among pregnant women attending antenatal clinics in Abeokuta North Local Government Area, Nigeria, Depression Res Treat, 2016, 2016, 1-15. https://doi.org/10.1155/2016/4518979
• 33. Luo, Y, Zhang, K, Huang, M, Qiu, C, Risk factors for depression and anxiety in pregnant women during the COVID-19 pandemic: Evidence from meta-analysis, PLoS One, 2022, 17(3), 1–13. https://doi.org/10.1371/journal.pone.0265021
• 34. Kahyaoglu Sut, H, Küçükkaya, B, Anxiety, depression, and related factors in pregnant women during the COVID-19 pandemic in Turkey: A web-based cross-sectional study, Perspect Psychiatr Care, 2021, 57(2), 860–868. https://doi.org/10.1111/ppc.12627
• 35. Hamzehgardeshi, Z, Omidvar, S, Amoli, A.A, Firouzbakht, M. Pregnancy-related anxiety and its associated factors during COVID-19 pandemic in Iranian pregnant women: a web-based cross-sectional study, BMC Pregnancy Childbirth, 2021, 21(1), 1–9. https://doi.org/10.1186/s12884-021-03694-9
• 36. Koyucu, R.G, Karaca, P.P, The Covid 19 outbreak: Maternal mental health and associated factors, Midwifery, 2021, 99, 1-8. https://doi.org/10.1016/j.midw.2021.103013