Relationships between anxiety induced by COVID-19 and perceived social support among Iranian pregnant women.

BACKGROUND: The rapid spread of COVID-19 and the time needed to develop a vaccine or definitive treatment for the disease have caused great anxiety in communities, especially in pregnant women whose high levels of distress may have short and/or long-term maternal and fetal consequence. This study was conducted to investigate the relationship between anxiety induced by COVID-19 and perceived social support in Iranian pregnant women. METHODS: This online cross-sectional study was conducted on 801 pregnant women from all over Iran in 2020. The data were collected using a demographic questionnaire, the multidimensional scale of perceived social support, and the coronavirus disease anxiety scale. A standard multiple linear regression model was used to identify the association between perceived social support and anxiety, controlling for possible confounding variables. Partial r was used as an estimate of effect size. RESULTS: The mean anxiety score was 10.7 ± 8.0, in which its level was moderate in 122 (15.2%; 95% confidence interval (CI): 12.8-17.9%)) of the participants, and severe in 28 (3.4%; 95% CI: 2.3-5.0%) of them. The mean score of perceived social support was 48.2 ± 7.6. 6.9% (95% CI: 5.2-8.8%) and 93.1% (95% CI: 91.2-94.8%) of the participants reported mild and moderate levels of perceived social support, respectively. The results of the multiple linear model showed a significant negative correlation between perceived social support and anxiety levels in a way that for every 10 units increase in the perceived social support score, the anxiety level of pregnant women was decreased by 0.8 units (B= -0.08, t= -2.08, p = 0.037), which was a small effect size (partial r = -0.07). CONCLUSION: There was a small significant relationship between the perceived social support and COVID-19 anxiety. Further studies are required to identify associated factors of anxiety level during COVID-19 in pregnant women.

Educational intervention to improve oral health beliefs and behaviors during pregnancy: a randomized-controlled trial.

BACKGROUND: Oral and dental health is one of the most important aspects of public health, which becomes more important during pregnancy. Health education may effectively prevent a considerable percent of oral and dental diseases. OBJECTIVE: This study was designed to evaluate the effects of an oral and dental health educational intervention during pregnancy on the beliefs and behaviors of pregnant women on oral and dental health. PARTICIPANTS AND METHODS: In this randomized-controlled clinical trial, 160 pregnant women were allocated randomly to intervention and control groups (80 in each group). The intervention group received six education sessions over 3 weeks on oral health issues, whereas the control group received no education. Beliefs and behaviors of pregnant women on oral health were evaluated before, immediately, and 2 months after the educational intervention using a self-administered questionnaire containing 13 Likert scale belief statements and nine practice items. RESULTS: There were no significant differences in the scores of behaviors between the two groups, whereas the scores of beliefs of the educated group were lower than the controls at baseline. The scores of beliefs and behaviors were significantly higher in the educated group than the controls immediately and 2 months after the education program (P<0.05). CONCLUSION AND RECOMMENDATIONS: The results of the present study indicated the positive effects of oral health training during pregnancy in promoting the beliefs and behaviors of pregnant women on oral health. More attention to oral and dental education programs is recommended during pregnancy.