The Impact of the COVID-19 Pandemic on the Stress Levels of Pregnant Women
Öz
Aim: This study aims to determine the effects of the COVID-19 process on pregnant women in the second and third trimesters, as well as the stress they have experienced and their health behaviors.
Material and Methods: The research is of descriptive cross-sectional type. The sample size was calculated using the G*Power program. Necessary permissions were obtained for the research.
Due to restrictions in the data collection time period (November 2020-April 2021), 204 participants were reached by convenience sampling method using the online survey tool. A survey form consisting of three parts was used as a data collection tool. Personal information form including questions about sociodemographic characteristics, birth history, pregnancy and pandemic; Pregnancy Stress Rating Scale and Coronavirus Anxiety Scale were employed. High scores on the Pregnancy Stress Rating Scale indicate an increased level of stress during pregnancy. A high score on the Coronavirus Anxiety Scale indicates a high level of anxiety experienced during the coronavirus. In the study, number and percentage values were given, regression and correlation analysis and nonparametric tests were performed.
Results: It was found that pregnant women experienced moderate stress during the COVID-19 pandemic, and some obstetric characteristics such as gestational week, having problems in this and previous pregnancies, feeling fear of delivery, and having problems in previous delivery affected stress and COVID-19 anxiety. It has been observed that future anxiety increases in pregnant women who consider the measures taken as inadequate. The mean scores of the scales used in the study are 42.99 ± 24.58 (Min-max: 6-116, median: 40) for Pregnancy Stress Rating Scale, 2.60±3.26 (Min-max: 0-19, median: 2) for Coronavirus Anxiety Scale.
Conclusion: The COVID-19 pandemic is one of the factors contributing to increased stress and anxiety in pregnant women.
Anahtar Kelimeler
Etik Beyan
Ethics committee approvals were received for this study from the Ministry of Health Scientific Research Platform (03.06.2020) and the Clinical Research Ethics Committee of Giresun University (09.11.2020/12). Pregnant women were informed within the scope of the Declaration of Helsinki principles. Approvals were obtained from the researchers who conducted the validity and reliability study of the measurement tools. The literature used is shown in the references section.
Kaynakça
- Wastnedge EA, Reynolds RM, van Boeckel SR, Stock SJ, Denison FC, Maybin JA, et al. Pregnancy and COVID-19. Physiological reviews. 2021;101(1):303-318.
- Yang R, Gui X, Xiong Y. Comparison of Clinical Characteristics of Patients with Asymptomatic vs Symptomatic Coronavirus Disease 2019 in Wuhan, China. JAMA Netw Open. 2020 May 1;3(5):e2010182. doi: 10.1001/jamanetworkopen.2020.10182. Erratum in: JAMA Netw Open. 2020 Jun 1;3(6):e2014310. PMID: 32459353; PMCID: PMC7254178.
- Stepowicz A, Wencka B, Bieńkiewicz J, Horzelski W, Grzesiak M. Stress and anxiety levels in pregnant and post-partum women during the COVID-19 pandemic. Int J Environ Res Public Health. 2020;17(24). doi: 10.3390/ijerph17249450.
- Saccone G, Florio A, Aiello F, Venturella R, De Angelis MC, Locci M, et al. Psychological impact of coronavirus disease 2019 in pregnant women. American Journal of Obstetrics and Gynecology. 2020;223(2):293-295. doi: https://doi.org/10.1016/j.ajog.2020.05.003.
- Mappa I, Distefano FA, Rizzo G. Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study. J Perinat Med. 2020;48(6):545-550. doi: 10.1515/jpm-2020-0182.
- Atmuri K, Sarkar M, Obudu E, Kumar A. Perspectives of pregnant women during the COVID-19 pandemic: A qualitative study. Women Birth. 2022;35(3):280-288. doi:10.1016/j.wombi.2021.03.008
- Jago CA, Singh SS, Moretti F. Coronavirus Disease 2019 (COVID-19) and Pregnancy: Combating Isolation to Improve Outcomes. Obstet Gynecol. 2020;136(1):33-36. doi: 10.1097/aog.0000000000003946.
- 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 Oct;149:110586. doi: 10.1016/j.jpsychores.2021.110586. Epub 2021 Jul 27. PMID: 34454381; PMCID: PMC8314786.
- Moyer CA, Compton SD, Kaselitz E, Muzik M. Pregnancy-related anxiety during COVID-19: a nationwide survey of 2740 pregnant women. Arch Womens Ment Health. 2020;23(6):757-765. doi: 10.1007/s00737-020-01073-5.
- Preis H, Mahaffey B, Heiselman C, Lobel M. Vulnerability and resilience to pandemic-related stress among U.S. women pregnant at the start of the COVID-19 pandemic. Soc Sci Med. 2020;266:113348. doi: 10.1016/j.socscimed.2020.113348.