Türkiye'de Bir Pandemi Hastanesi Tarafından Takip Edilen / İzlenen Covid-19 Salgını Konusunda Hamile Kadınların Endişeleri ve Korkuları: Kesitsel Bir Çalışmadan Bulgular

Öz

Giriş: Bu çalışmada, koronavirüs hastalığı 2019 salgınının depresif ve anksiyete belirtilerinin prevalansı ve Türkiye genelinde hamile kadınlar arasında karşılık gelen risk faktörleri üzerindeki etkisi araştırıldı. Gereç ve Yöntem: 29 Nisan- 12 Mayıs tarihleri arasında Covid-19'a yönelik gebelikte ruh sağlığı ile ilgili endişeleri belirlemek için kesitsel çalışma yapılmıştır. Çalışma tasarımının planlanması, uygulanması ve raporlanmasında STROBE kullanılmıştır. Frekans, nominal değişkenlerin yüzdesi ve sürekli değişkenler için ortalama ve standart sapma gibi tanımlayıcı istatistikler hesaplandı. Kaygı düzeyi hoc testten sonra analiz edildi. Pearson’un korelasyon analizi kullanıldı. Bulgular: Pandemi hastanesinde belirtilen tarihler arasında toplam 106 geçerli anket toplandı. Gebe kadınların yaklaşık %57,3'ü Covid-19 salgını sırasında enfekte olmaktan endişe duyuyordu ve %89,6'sı çevrimiçi danışmanlık istedi. Katılımcıların %28,3'ü randevularını azaltmak istedi. Hamile kadınların en fazla danışmanlık alması gereken konu, bebekleri ve kendileri için Covid-19 salgınına karşı enfeksiyondan korunmaktı. Gebe kadınların ortalama durumluk kaygı puanı 57.11 ± 8.11 ve sürekli kaygı ortalaması 57.52 ± 7.38 idi. Sonuçlar: Anne ve çocuk bakım kurumları, hamile kadınların taleplerini anlamalı, doğum öncesi bakım hizmetlerinin araçlarını optimize etmeli ve anne ve çocuğun güvenliği için özel ve erişilebilir sağlık eğitimi ve hizmeti sağlamalıdır.

Anahtar Kelimeler

• Covid-19
• Corona virüsü
• gebelik
• endişe
• kaygı
• kaygı
• konsültasyon

Worry and concerns of pregnant women about the outbreak of Covid-19 being followed-up/monitored by a pandemic hospital in Turkey: Findings from a Cross-Sectional Study

Öz

Introductions: The global epidemic of Covid-19, which is currently affecting the world, with more than one million infected, is a serious problem that causes anxiety and fear among pregnant women. This study aimed to examine the impact of coronavirus disease 2019 outbreak on the prevalence of fear and anxiety the corresponding risk factors among pregnant women across Turkey. Material and Methods:: Cross-sectional study was done in between April 29 to May 12 to identify mental health concerns in pregnancy to Covid-19. STROBE was used in the planning, implementation, and reporting of the study design. Descriptive statistics including frequency, the percentage for nominal variables, and mean and standard deviation for continuous variables were calculated. The level of anxiety was analyzed post hoc test. Pearson’s correlation analysis was used. Results: A total of 106 valid questionnaires were collected between the dates specified in the pandemic hospital. About 57.3% of pregnant women were concerned about becoming infected during the Covid-19 outbreak, and 89.6% requested online counseling. 28.3% of the participants requested to reduce their appointments. The topic that pregnant women needed the most counseling on was the protection for their baby and themself from infection against the Covid-19 outbreak. The average state anxiety point of pregnant women was 57.11 ± 8.11 and the mean of trait anxiety was 57.52 ± 7.38. Conclusions: Mother and childcare institutions should understand the demands of pregnant women, optimizing the tools of antenatal care service, and providing special and accessible health education and service for the safety of the mother and child.

Anahtar Kelimeler

• Covid-19
• Corona virus
• pregnancy
• worry
• concerns
• anxiety
• consultations
• Covid-19, Corona virus, pregnancy, worry, concerns, anxiety, consultations

Kaynakça

1. 1. Theworldnews.Net. The British Government Has Approved The 360 Billion Euro Package And Warns Pregnant Women. Notification Dated 17.03.2020. Online: As Of 25 March 2020 Https://Theworldnews.Net/De-News/Britische-Regierung-Verabschiedet-360-Millillion-Euro-Paket-Und-Warnt-Schwangere
2. 2. Cucinotta D, Vanelli M. WhoDeclares Covıd-19 A Pandemic. Acta Biomed. 2020;91(1):157–160.
3. 3. Chen N, Zhou M, Dong X, Et Al. Epidemiological And Clinical Characteristics Of 99 Cases Of 2019 Novel Coronavirus Pneumonia İn Wuhan, China: A Descriptive Study. Lancet. 2020;395(10223):507–513
4. 4. Huang C, Wang Y, Li X, Et Al. Clinical Features Of Patients İnfected With 2019 Novel Coronavirus İn Wuhan. Lancet. 2020;395(10223):497–506.
5. 5. Zhao M, Lin R, Yang W, Et Al. Estimating The Unreported Number Of Novel Coronavirus (2019-Ncov) Cases İn China İn The First Half Of January 2020: A Data-Driven Modelling Analysis Of The Early Outbreak. Jcm. 2020;9(2):388.
6. 6. Huang C, Wang Y, Li X, Et Al. Clinical Features Of Patients İnfected With 2019 Novel Coronavirus İn Wuhan. Lancet. 2020;395(10223):497–506.
7. 7. Zhao M, Lin R, Yang W, Et Al. Estimating The Unreported Number Of Novel Coronavirus (2019-Ncov) Cases İn China İn The First Half Of January 2020: A Data-Driven Modelling Analysis Of The Early Outbreak. Jcm. 2020;9(2):388.
8. 8. Stockman Lj, Lowther Sa, Coy K, Et Al. Sars During Pregnancy, United States. Emerging Infect Dis. 2004;10(9):1689–1690.

9. 9. Dawood Fs, Garg S, Fink Rv. Et Al. Epidemiology And Clinical Outcomes Of Hospitalizations For Acute Respiratory Or Febrile İllness And Laboratory-Approved Flu Among Pregnant Women During The 2010-2016 Flu Season, 2010-2016. J Infect Dis 2019; Doı: 10.1093 / İnfdis / Jiz670.
10. 10. Trushakova S, Kisteneva L, Guglieri-López B. Et Al. Influenza Epidemiology İn Pregnant Women Hospitalized With Respiratory Disease İn Moscow, 2012 / 2013-2015 / 2016: Hospital-Based Active Surveillance Study. Bmc Pregnancy Birth 2019; 19: 72 Doi: 10.1186 / S12884-019-2192-Z
11. 11. Alfaraj Sh, Al-Tawfiq Ja, Memiş Za .Mers (Mers-Cov) Infection During Pregnancy: Two Cases And Review Of The Literature. (J) J Microbiol Immunol Infect, 2019,52 (3): 501-503.Doı: 10.1016 / J.Jmii.2018.04.005.
12. 12. Güngör İ, Rathfish Yg. Normal Doğum Eyleminin İkinci Ve Üçüncü Evresinde Kanıta Dayalı Uygulamalar. Hemar-G. 2009; 11(2): 56-65.
13. 13. Mirzadeh M, Khedmat L. Pregnant Women İn The Exposure To Covıd-19 İnfection Outbreak: The Unseen Risk Factors And Preventive Healthcare Patterns. J Matern Neonatal Med. 2020;7:1–2.
14. 14. American College Of Obstetricians And Gynecologists. Cesarean Delivery On Maternal Request. Committee Opinion No. 559. Obstet Gynecol. 2013;121:904–907.
15. 15. Huan L, Ganesh A.Novel Corona Virus Disease (Covıd-19) İn Pregnancy: What Clinical Recommendations To Follow? Acta Obstet Gynecol Scand. 2020;00:1–4.Doı: 10.1111/Aogs.13836
16. 16. Wong Sf, Chow Km, Leung, Tn, Etc. Pregnancy And Severe Acute Respiratory Syndrome Female Perinatal Outcomes (J). Am J Obstet Gynecol., 2004,191 (1.): 292-297.Doı: 10.1016 / J.Ajog .2003.11.019
17. 17. Alfaraj Sh, Al-Tawfiq Ja, Memiş Za .Mers (Mers-Cov) Infection During Pregnancy: Two Cases And Review Of The Literature. (J) J Microbiol Immunol Infect, 2019,52 (3): 501-503.Doı: 10.1016 / J.Jmii.2018.04.005.
18. 18. Liang Juan, Lin Zheng, Xu Hong. Analysis Of The Second Child Of Advanced Maternal Pregnancy Pregnancy Status Quo And Demand Factors (J). Journal Of Modern Nursing, 2019, 25 (23): 2.947 - 2.951. Doı: 10,3760 / Cma.J.İssn .1674-2907.2019.23.009.
19. 19. Vandenbroucke Jp, Von Elm E, Altman Dg, Gøtzsche Pc, Mulrow Cd, Et Al. Strengthening The Reporting Of Observational Studies İn Epidemiology (Strobe): Explanation And Elaboration. Plos Med 2007: 4(10): 297. Doi:10.1371/Journal.Pmed. 0040297
20. 20. Du L, Gu Yb, Cui Mq, Et Al. Investigation On Demands For Antenatal Care Services Among 2 002 Pregnant Women During The Epidemic Of Covıd-19 İn Shanghai. Article İn Chinese) Zhonghua Fu Chan Ke Za Zhi. 2020:25;55(3):160-165.Doi: 10.3760/Cma.J.Cn112141-20200218-00112.
21. 21. Öner N, Le Compte A. Handbook Of State-Trait Anxiety. İstanbul: Bosphorus University Press; 1983.
22. 22. Spielberger Cd, Gorsuch Rl, Lushene R. The State-Trait Anxiety Inventory (Test Manual). Palo Alto, Ca, Consulting Psychologists 1970;22.
23. 23. Nunnally J, Bernstein I. Psychometric Theory 3rd Edition (Macgraw-Hill, New York). 1994.
24. 24. Gynaecologists Rcooa. Coronavirus (Covıd-19) İnfection İn Pregnancy: İnformation For Healthcare Professionals (Version 6). 3 April 2020. Available From: Https://Www.Rcog.Org.Uk/Globalassets/Documents/Guidelines/2020-04-03-Coronavirus-Covid-19-İnfection-İn-Pregnancy.Pdf
25. 25. Chua Msq, Lee Jcs, Sulaiman S, Et Al. From The Frontlines Of Covıd‐19–How Prepared Are We As Obstetricians: A Commentary. Bjog Int J Obstet Gy. 2020. Doı:10.1111/1471-0528.16192
26. 26. Capanna F, Haydar A, Mccarey C, Et Al. Preparing An Obstetric Unit İn The Heart Of The Epidemic Strike Of Covıd-19: Quick Reorganization Tips. J Matern Fetal Neonatal Med. 2020;1–11. Doı:10.1080/14767058.2020.1749258
27. 27. Yassa M, Birol P, Yirmibes C, Et Al. Near-Term Pregnant Women’s Attitude Toward, Concern About And Knowledge Of The Covıd-19 Pandemic.The Journal Of Maternal-Fetal & Neonatal Medicine. 2020 Doı: 10.1080/14767058.2020.1763947
28. 28. Wu Y, Zhang C, Liu H, Et Al. Perinatal Depressive And Anxiety Symptoms Of Pregnant Women Along With Covıd-19 Outbreak İn China (Published Online Ahead Of Print, 2020 May 10). Am J Obstet Gynecol. 2020;S0002-9378(20)30534-2. Doi:10.1016/J.Ajog.2020.05.009
29. 29. Ferit Durankuş & Erson Aksu (2020) Effects Of The Covıd-19 Pandemic On Anxiety And Depressive Symptoms İn Pregnant Women: A Preliminary Study, The Journal Of Maternal-Fetal & Neonatal Medicine, Doı: 10.1080/14767058.2020.1763946