Roseli Nomura1, Isabela Tavares1, Ana Carla Ubinha1, Maria Laura Costa2, Maria Lucia Opperman3, Marianna Brock4, Alberto Trapani5, Lia Damasio6, Nadia Reis7, Vera Borges8, Alberto Zaconeta9, Ana Cristina Araujo10, Rodrigo Ruano11. 1. Department of Obstetrics, Escola Paulista de Medicina, Federal University of São Paulo, Rua Napoleão de Barros, 875, Sao Paulo, SP CEP 04024-002, Brazil. 2. Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP CEP 13083-881, Brazil. 3. Gynecology and Obstetrics Unit, Hospital de Clínicas de Porto Alegre, Department of Gynecology and Obstetrics, Faculdade de Medicina, Federal University of Rio Grande do Sul, Porto Alegre, RS CEP 90035-903, Brazil. 4. Department Obstetrics and Gynecology, University of Amazonas State, Manaus, AM CEP 69065-001, Brazil. 5. Women's Health Care Unit, Polydoro Ernani de São Thiago University Hospital, Federal University of Santa Catarina, Florianópolis, SC CEP 88036-800, Brazil. 6. Department Obstetrics and Gynecology, Federal University of Piaui, Teresina, PI CEP 64049-550, Brazil. 7. Gynecology and Obstetrics Unit, University Hospital Maria Aparecida Pedrossian of Medical School, Federal University of Mato Grosso do Sul, Campo Grande, MS CEP 79080-190, Brazil. 8. Department Obstetrics and Gynecology, Botucatu Medical School- Unesp, Botucatu, SP CEP 18618-687, Brazil. 9. Maternal and Child Unit, University Hospital of Brasília, Faculty of Medicine, University of Brasília, Brasília, DF CEP 70910-900, Brazil. 10. Department of Gynecology and Obstetrics, Maternidade Januário Cicco, Federal University of Rio Grande do Norte, Natal, RN CEP 59078-900, Brazil. 11. Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Abstract
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic may have an effect on maternal anxiety and influence postpartum experience. OBJECTIVE: To study the prevalence of maternal anxiety in late pregnancy in the context of the COVID-19 outbreak in Brazil and to analyze its association with maternal knowledge and concerns about the pandemic. METHODS: This was a national multicenter cross-sectional study performed in 10 different public university hospitals, between 1 June and 31 August 2020, in Brazil. The inclusion criteria were: maternal age more than 18 years; gestational age more than 36 weeks at childbirth; single alive newborn without malformations; and absence of mental disorders. We applied a structured questionnaire to explore the knowledge and concerns about COVID-19. Maternal anxiety was assessed using the Beck Anxiety Inventory (BAI). RESULTS: Of the 1662 women interviewed, the BAI score in late pregnancy indicated that 13.9% presented moderate and 9.6% severe maternal anxiety. Moderate or severe maternal anxiety was independently associated with the fear of being unaccompanied at childbirth (aOR1.12, 95% CI 1.10-1.35), and independent protective factors were confidence in knowing how to protect oneself from COVID-19 (aOR0.89, 95% CI 0.82-0.97) and how to safely breastfeed (aOR0.89, 95% CI 0.83-0.95). CONCLUSION: The COVID-19 pandemic has a significant impact on maternal anxiety.
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic may have an effect on maternal anxiety and influence postpartum experience. OBJECTIVE: To study the prevalence of maternal anxiety in late pregnancy in the context of the COVID-19 outbreak in Brazil and to analyze its association with maternal knowledge and concerns about the pandemic. METHODS: This was a national multicenter cross-sectional study performed in 10 different public university hospitals, between 1 June and 31 August 2020, in Brazil. The inclusion criteria were: maternal age more than 18 years; gestational age more than 36 weeks at childbirth; single alive newborn without malformations; and absence of mental disorders. We applied a structured questionnaire to explore the knowledge and concerns about COVID-19. Maternal anxiety was assessed using the Beck Anxiety Inventory (BAI). RESULTS: Of the 1662 women interviewed, the BAI score in late pregnancy indicated that 13.9% presented moderate and 9.6% severe maternal anxiety. Moderate or severe maternal anxiety was independently associated with the fear of being unaccompanied at childbirth (aOR1.12, 95% CI 1.10-1.35), and independent protective factors were confidence in knowing how to protect oneself from COVID-19 (aOR0.89, 95% CI 0.82-0.97) and how to safely breastfeed (aOR0.89, 95% CI 0.83-0.95). CONCLUSION: The COVID-19 pandemic has a significant impact on maternal anxiety.
Authors: Justin S Brandt; Jennifer Hill; Ajay Reddy; Meike Schuster; Haylea S Patrick; Todd Rosen; Mark V Sauer; Carla Boyle; Cande V Ananth Journal: Am J Obstet Gynecol Date: 2020-09-25 Impact factor: 8.661
Authors: Ljiljana Jeličić; Mirjana Sovilj; Ivana Bogavac; And Ela Drobnjak; Olga Gouni; Maria Kazmierczak; Miško Subotić Journal: Front Psychol Date: 2021-12-22
Authors: Daniela Morniroli; Alessandra Consales; Lorenzo Colombo; Elena Nicoletta Bezze; Lidia Zanotta; Laura Plevani; Monica Fumagalli; Fabio Mosca; Maria Lorella Giannì Journal: Int J Environ Res Public Health Date: 2021-06-11 Impact factor: 3.390