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1.
BMC Public Health ; 21(1): 368, 2021 02 17.
Artículo en Inglés | MEDLINE | ID: mdl-33596889

RESUMEN

BACKGROUND: Corona Virus Disease 19 (COVID-19) is a new pandemic, declared a public health emergency by the World Health Organization, which could have negative consequences for pregnant and postpartum women. The scarce evidence published to date suggests that perinatal mental health has deteriorated since the COVID-19 outbreak. However, the few studies published so far have some limitations, such as a cross-sectional design and the omission of important factors for the understanding of perinatal mental health, including governmental restriction measures and healthcare practices implemented at the maternity hospitals. Within the Riseup-PPD COST Action, a study is underway to assess the impact of COVID-19 in perinatal mental health. The primary objectives are to (1) evaluate changes in perinatal mental health outcomes; and (2) determine the risk and protective factors for perinatal mental health during the COVID-19 pandemic. Additionally, we will compare the results between the countries participating in the study. METHODS: This is an international prospective cohort study, with a baseline and three follow-up assessments over a six-month period. It is being carried out in 11 European countries (Albania, Bulgaria, Cyprus, France, Greece, Israel, Malta, Portugal, Spain, Turkey, and the United Kingdom), Argentina, Brazil and Chile. The sample consists of adult pregnant and postpartum women (with infants up to 6 months of age). The assessment includes measures on COVID-19 epidemiology and public health measures (Oxford COVID-19 Government Response Tracker dataset), Coronavirus Perinatal Experiences (COPE questionnaires), psychological distress (BSI-18), depression (EPDS), anxiety (GAD-7) and post-traumatic stress symptoms (PTSD checklist for DSM-V). DISCUSSION: This study will provide important information for understanding the impact of the COVID-19 pandemic on perinatal mental health and well-being, including the identification of potential risk and protective factors by implementing predictive models using machine learning techniques. The findings will help policymakers develop suitable guidelines and prevention strategies for perinatal mental health and contribute to designing tailored mental health interventions. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04595123 .


Asunto(s)
/psicología , Salud Global/estadística & datos numéricos , Trastornos Mentales/epidemiología , Periodo Posparto/psicología , Mujeres Embarazadas/psicología , Adulto , Europa (Continente)/epidemiología , Femenino , Humanos , Embarazo , Estudios Prospectivos , Factores Protectores , Proyectos de Investigación , Factores de Riesgo
2.
PLoS One ; 16(2): e0246494, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33534854

RESUMEN

BACKGROUND: Technology enables the continuous monitoring of personal health parameter data during pregnancy regardless of the disruption of normal daily life patterns. Our research group has established a project investigating the usefulness of an Internet of Things-based system and smartwatch technology for monitoring women during pregnancy to explore variations in stress, physical activity and sleep. The aim of this study was to examine daily patterns of well-being in pregnant women before and during the national stay-at-home restrictions related to the COVID-19 pandemic in Finland. METHODS: A longitudinal cohort study design was used to monitor pregnant women in their everyday settings. Two cohorts of pregnant women were recruited. In the first wave in January-December 2019, pregnant women with histories of preterm births (gestational weeks 22-36) or late miscarriages (gestational weeks 12-21); and in the second wave between October 2019 and March 2020, pregnant women with histories of full-term births (gestational weeks 37-42) and no pregnancy losses were recruited. The final sample size for this study was 38 pregnant women. The participants continuously used the Samsung Gear Sport smartwatch and their heart rate variability, and physical activity and sleep data were collected. Subjective stress, activity and sleep reports were collected using a smartphone application developed for this study. Data between February 12 to April 8, 2020 were included to cover four-week periods before and during the national stay-at-home restrictions. Hierarchical linear mixed models were exploited to analyze the trends in the outcome variables. RESULTS: The pandemic-related restrictions were associated with changes in heart rate variability: the standard deviation of all normal inter-beat intervals (p = 0.034), low-frequency power (p = 0.040) and the low-frequency/high-frequency ratio (p = 0.013) increased compared with the weeks before the restrictions. Women's subjectively evaluated stress levels also increased significantly. Physical activity decreased when the restrictions were set and as pregnancy proceeded. The total sleep time also decreased as pregnancy proceeded, but pandemic-related restrictions were not associated with sleep. Daily rhythms changed in that the participants overall started to sleep later and woke up later. CONCLUSIONS: The findings showed that Finnish pregnant women coped well with the pandemic-related restrictions and lockdown environment in terms of stress, physical activity and sleep.


Asunto(s)
/patología , Estilo de Vida , Mujeres Embarazadas , Aborto Espontáneo , Adulto , /virología , Ejercicio Físico , Femenino , Finlandia , Frecuencia Cardíaca , Humanos , Estudios Longitudinales , Embarazo , Mujeres Embarazadas/psicología , Nacimiento Prematuro , Sueño/fisiología , Teléfono Inteligente , Estrés Psicológico
3.
BMC Psychol ; 9(1): 2, 2021 Jan 04.
Artículo en Inglés | MEDLINE | ID: mdl-33397501

RESUMEN

BACKGROUND: Development of the maternal antenatal attachment (MAA) constitutes an important aspect of the transition into motherhood. Early identification of women at risk of developing a poor MAA provides possibilities for preventive interventions targeting maternal mental health and the emerging mother-infant relationship. In this study, we investigate the relative importance of an extensive set of psychosocial, pregnancy-related, and physiological factors measured in the first trimester of pregnancy for MAA measured in third trimester. METHODS: A prospective study was conducted among pregnant women in Danish general practice (GP). Data were obtained in the first and the third trimester from pregnancy health records and electronic questionnaires associated with routine GP antenatal care visits. The Maternal Antenatal Attachment Scale (MAAS) was used to assess maternal antenatal attachment. The relative importance of potential determinants of maternal antenatal attachment was assessed by the relative contribution of each factor to the fit (R2) calculated from multivariable regression models. RESULTS: The sample consisted of 1328 women. Low antenatal attachment (Total MAAS ≤ 75) was observed for 513 (38.6%) women. Perceived social support (having someone to talk to and having access to practical help when needed) emerged as the most important determinant. Furthermore, scores on the MAAS decreased with worse self-rated health, poor physical fitness, depression, increasing age, having given birth previously, and higher education. CONCLUSION: Pregnant women reporting lack of social support and general low physical and mental well-being early in pregnancy may be at risk for developing a poor MAA. An approach targeting both psychosocial and physiological well-being may positively influence expectant mothers' successful adaptation to motherhood.


Asunto(s)
Estado de Salud , Relaciones Materno-Fetales/psicología , Salud Mental , Mujeres Embarazadas/psicología , Adulto , Dinamarca , Femenino , Medicina General , Humanos , Relaciones Madre-Hijo , Apego a Objetos , Embarazo , Atención Prenatal , Estudios Prospectivos , Factores de Riesgo , Apoyo Social , Factores Socioeconómicos
4.
Am J Public Health ; 111(3): 498-503, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33476239

RESUMEN

The increased risk of harm from COVID-19 infection in pregnancy highlights the importance of including pregnant people in COVID-19 vaccine development and deployment. Promising vaccines being developed include replication-competent platforms, which are typically contraindicated during pregnancy because of theoretical risk. However, replicating vaccines are administered in and around pregnancy, either inadvertently because of unknown pregnancy status or when recommended.The historical cases of Ebola virus, yellow fever, and rubella demonstrate that contradictory messages around the safety of live vaccines in pregnancy have critical public health costs. First, restricting study or use of replicating vaccines in pregnancy may delay or deny access to the only available protection against deadly diseases. Additionally, not vaccinating pregnant people may slow epidemic control. Finally, uncertainty and worry around the safety of live vaccines may lead to terminations of otherwise desired pregnancies after inadvertent vaccination in pregnancy.If one of the vaccines deployed to combat the current global COVID-19 pandemic is replication competent, historical cases offer important lessons for ethical and effective protection for pregnant populations.


Asunto(s)
/efectos adversos , Desarrollo de Medicamentos/organización & administración , Complicaciones Infecciosas del Embarazo/prevención & control , Mujeres Embarazadas/psicología , /prevención & control , Desarrollo de Medicamentos/normas , Femenino , Humanos , Pandemias , Embarazo , Vacunas Vivas no Atenuadas/efectos adversos
5.
Artículo en Inglés | MEDLINE | ID: mdl-33419145

RESUMEN

Pregnant women face many physical and psychological changes during their pregnancy. It is known that stress, caused by many factors and life events such as the COVID-19 pandemic, can negatively impact the health of mothers and offspring. It is the first time social media, such as Twitter, are available and commonly used during a global pandemic; this allows access to a rich set of data. The objective of this study was to characterize the content of an international sample of tweets related to pregnancy and mental health during the first wave of COVID-19, from March to June 2020. Tweets were collected using GetOldTweets3. Sentiment analysis was performed using the VADER sentiment analysis tool, and a thematic analysis was performed. In total, 192 tweets were analyzed: 51 were from individuals, 37 from companies, 56 from non-profit organizations, and 48 from health professionals/researchers. Findings showed discrepancies between individual and non-individual tweets. Women expressed anxiety, depressive symptoms, sleeping problems, and distress related to isolation. Alarmingly, there was a discrepancy between distress expressed by women with isolation and sleep difficulties compared to support offered by non-individuals. Concrete efforts should be made to acknowledge these issues on Twitter while maintaining the current support offered.


Asunto(s)
/psicología , Mujeres Embarazadas/psicología , Sueño , Aislamiento Social , Medios de Comunicación Sociales , Apoyo Social , Análisis de Datos , Femenino , Humanos , Pandemias , Embarazo
6.
BMC Pregnancy Childbirth ; 21(1): 59, 2021 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-33451292

RESUMEN

BACKGROUND: COVID-19 caused some worries among pregnant women. Worries during pregnancy can affect women's well-being. We investigated worry and well-being and associated factors among pregnant women during the COVID-19 pandemic. METHODS: This descriptive cross-sectional study was conducted on 484 pregnant women using an online questionnaire. Sampling was performed in a period between May 5 and Aug 5, 2020. Inclusion criteria were having a single healthy fetus and having no significant psychological disorder. We collected the data using the Persian versions of the World Health Organization's Well-Being Index (WHO-5 Well-Being Index) and the Cambridge Worry Scale. We used univariate and multivariate logistic regression analyses to identify predictors of women's worry and well-being. RESULTS: The mean total scores of the WHO-5 Well-Being Index and the percentage of WHO-5 score < 50 were 64.9 ± 29.0 and 24.4%, respectively. Predictors of women's worry are the increased level of fear of COVID-19 (OR = 6.40, p <  0.001), a low family income (OR = 3.41, p <  0.001), employment status (OR = 1.86, p = 0.019), nulliparity (OR = 1.68, p = 0.024), having a COVID-19 infected person among relatives (OR = 2.45, p = 0.036), having a history of abortion (OR = 1.86, p = 0.012), having participated in the study after the first wave of COVID-19 outbreak (OR = 2.328, p = 0.003), and women's age < 30 year (OR = 2.11, p = 0.002). Predictors of low level of well-being in pregnant women are worry about their own health and relationships (OR = 1.789, p = .017), worry about fetus health (OR = 1.946, p = 0.009), and having at least one infected person with COVID-19 among relatives (OR = 2.135, p = 0.036). CONCLUSIONS: The percentage of women experiencing a low well-being state was relatively high. This result is worthy of attention by health care providers and policy makers. Providing care and support to pregnant women should have high priority during the COVID-19 pandemic.


Asunto(s)
Ansiedad/psicología , Edad Materna , Salud Mental , Paridad , Mujeres Embarazadas/psicología , Estrés Psicológico/psicología , Adolescente , Adulto , Ansiedad/epidemiología , Estudios Transversales , Escolaridad , Empleo/estadística & datos numéricos , Familia , Femenino , Edad Gestacional , Humanos , Renta/estadística & datos numéricos , Internet , Irán/epidemiología , Modelos Logísticos , Persona de Mediana Edad , Análisis Multivariante , Embarazo , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios , Adulto Joven
8.
Asian J Psychiatr ; 56: 102533, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33418283

RESUMEN

AIM: This study aimed to investigate and monitor the mental health status of pregnant women during the COVID-19 pandemic. MATERIALS AND METHODS: The meta-analysis was used to study the literatures on the psychology of pregnant women in four databases until Sep 27, 2020. RESULTS: A total of 19 articles were included in the final meta-analysis. The overall prevalence of anxiety was 42 % (95 %CI 26 %-57 %) with substantial heterogeneity (I2 = 99.6 %). The overall prevalence of depression was 25 % (95 %CI 20 %-31 %) with substantial heterogeneity (I2 = 97.9 %). Age, family economic status, social support, and physical activity seem to correlate with the mental health status of pregnant women. CONCLUSION: The prevalence of anxiety and depression among pregnant women increased significantly during the COVID-19 epidemic. Pregnant women are more concerned about others than themselves during COVID-19, and younger pregnant women seem to be more prone to anxiety, while social support and physical activity can reduce the likelihood of anxiety and depression. It is necessary to take some psychological intervention measures for pregnant women to help them go through this special period safely and smoothly.


Asunto(s)
Ansiedad/epidemiología , Depresión/epidemiología , Complicaciones del Embarazo/epidemiología , Factores de Edad , Ansiedad/psicología , Depresión/psicología , Estatus Económico , Ejercicio Físico/psicología , Femenino , Humanos , Embarazo , Complicaciones del Embarazo/psicología , Mujeres Embarazadas/psicología , Apoyo Social
9.
BMC Pregnancy Childbirth ; 21(1): 88, 2021 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-33509103

RESUMEN

BACKGROUND: During the COVID-19 pandemic, pregnant women bear considerable physical and psychological stress because of their special conditions, which combined with other stress factors such as violence, makes their situation even more critical. This study aimed to investigate the prevalence of domestic violence and its relationship with quality of life in pregnant women during the COVID-19 pandemic. METHODS: This cross-sectional study was performed with the participation of 250 pregnant women in the obstetrics clinic of 29-Bahman Hospital, Tabriz city. Using a three-part questionnaire consisting of the socio-demographic and obstetrics information, the domestic violence questionnaire developed by WHO, and the SF-12 quality of life questionnaire, the required information was collected. A general linear model was then used to determine the relationship between domestic violence and quality of life, while adjusting the socio-demographic and obstetrics information. RESULTS: According to the data, more than one-third of pregnant women (35.2 %) had experienced domestic violence. The most common type of violence experienced was emotional violence (32.8 %), followed by sexual violence (12.4 %), and physical violence (4.8 %). The mean score of the physical health department of quality of life in the group of women exposed to violence (50.21) was lower compared to the unexposed group (53.45), though there was no significant difference between them (P = 0.25). However, the mean score of the mental health department of quality of life in women exposed to violence (46.27) was significantly lower compared to unexposed women (61.17) (P < 0.001). Based on the general linear model, the mean score for quality of life in the mental health dimension was significantly higher among unexposed women compared to those exposed to violence (ß = 9.3, 95 %CI: 3.5 to 15.0, P = 0.002). CONCLUSIONS: The findings of this study indicate a high prevalence of domestic violence and its relationship with a low quality of life during the COVID-19 pandemic. Therefore, the findings signify the importance of screening pregnant women in terms of domestic violence in respective centers as well as the necessity of conducting proper interventions to address domestic violence to improve the quality of life in women.


Asunto(s)
/psicología , Violencia Doméstica/psicología , Mujeres Embarazadas/psicología , Calidad de Vida , Adulto , Estudios Transversales , Femenino , Humanos , Irán , Salud Mental , Abuso Físico/psicología , Embarazo , Complicaciones del Embarazo/psicología , Prevalencia , Delitos Sexuales/psicología , Encuestas y Cuestionarios , Adulto Joven
10.
BMJ Open ; 11(1): e040649, 2021 01 17.
Artículo en Inglés | MEDLINE | ID: mdl-33455927

RESUMEN

OBJECTIVES: The COVID-19 pandemic has seen unprecedented restrictions on face-to-face healthcare encounters. This has led to an increase in the use of online healthcare resources by service users. Pregnant women have always been a group particularly motivated to seek out information online. The objective of this study was to explore the experiences of mothers who were using an existing National Health Service social media based antenatal support service during the early stages of the UK COVID-19 lockdown. DESIGN: A short online survey with four closed questions (scale response) and one open-ended free-text question was given to pregnant women who were using the online service 3 weeks after the start of the UK lockdown. Descriptive statistics are used to present the closed question data. Thematic analysis was applied to the free-text responses. RESULTS: 320 women were sent the survey. 156 completed it (49% response rate). Participants provided information relating to frequency of use, information access, relative level of antenatal care and ease of contact. 105 (66%) participants completed the open-ended free-text question. Key themes to emerge related to: (1) information provision and verification; (2) managing and reducing feelings of isolation; (3) service specific issues, including crisis adaptations; and (4) impact on routine care. CONCLUSIONS: The study suggests that that pregnant mothers found a social media based approach well positioned to provide antenatal care and support during the COVID-19 pandemic.


Asunto(s)
/psicología , Mujeres Embarazadas/psicología , Atención Prenatal/métodos , Aislamiento Social/psicología , Medios de Comunicación Sociales/estadística & datos numéricos , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Motivación , Embarazo , Investigación Cualitativa , Encuestas y Cuestionarios , Reino Unido
12.
Midwifery ; 92: 102877, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33157497

RESUMEN

AIM: This study aims to examine pregnancy and birth planning during COVID-19 and the effects of a tele-education offered to pregnant women for this planning process on prenatal distress and pregnancy-related anxiety. METHOD: The population of this quasi-experimental study was composed of pregnant women who applied for the antenatal education class of a public hospital in the east of Turkey during their past prenatal follow-ups and wrote their contact details in the registration book to participate in group trainings. The sample of the study consisted of a total of 96 pregnant women, including 48 in the experiment and 48 in the control groups, who were selected using power analysis and non-probability random sampling method. The data were collected between April 22 and May 13, 2020 using a "Personal Information Form", the "Revised Prenatal Distress Questionnaire (NuPDQ)" and the "Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2)". An individual tele-education (interactive education and consultancy provided by phone calls, text message and digital education booklet) was provided to the pregnant women in the experiment group for one week. No intervention was administered to those in the control group. The data were statistically analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, min-max values) and t-test in dependent and independent groups. RESULTS: The posttest NuPDQ total mean scores of pregnant women in the experiment and control groups were 8.75±5.10 and 11.50±4.91, respectively, whereby the difference between the groups was statistically significant (t=-2.689, p=0.008). Additionally, the difference between their mean scores on both PRAQ-R2 and its subscales of "fear of giving birth" and "worries of bearing a physically or mentally handicapped child" was statistically significant (p<0.05), where those in the experiment group had lower anxiety, fear of giving birth and worries of bearing a physically or mentally handicapped child. CONCLUSION: The tele-education offered to the pregnant women for pregnancy and birth planning during COVID-19 decreased their prenatal distress and pregnancy-related anxiety.


Asunto(s)
Ansiedad/psicología , Parto/psicología , Complicaciones del Embarazo/psicología , Mujeres Embarazadas/psicología , Telemedicina/métodos , Adulto , Ansiedad/prevención & control , Estudios de Casos y Controles , Femenino , Humanos , Embarazo , Complicaciones del Embarazo/prevención & control , Encuestas y Cuestionarios , Turquia
13.
Artículo en Inglés | MEDLINE | ID: mdl-33348568

RESUMEN

The aim of this study was to analyze stress and anxiety levels experienced by pregnant and post-partum women during the COVID-19 pandemic, as well as to indicate the social and medical factors that could contribute to stress and anxiety. A total of 210 patients were enrolled in the study. Two well-established test-tools were applied: State-Trait Anxiety Inventory (STAI) and Perceived Stress Scale (PSS-10). The study revealed that the levels of stress and anxiety experienced by the surveyed patients were moderate to high. We demonstrated that women with mental treatment history, those in the first trimester of pregnancy and the ones that are single or in an informal relationship tend to experience higher levels of psychological distress and anxiety. Such factors as age, education, parity, eventful obstetric history, comorbidities, and the number of hospital stays proved to be statistically insignificant in the analysis. Our findings could be used to identify patients at greater risk of experiencing adverse mental effects and to provide them with adequate psychological support. Further multi-center studies are warranted in order to draw final conclusions.


Asunto(s)
Ansiedad/epidemiología , Pandemias , Periodo Posparto/psicología , Mujeres Embarazadas/psicología , Estrés Psicológico/epidemiología , Depresión , Femenino , Humanos , Embarazo
14.
PLoS One ; 15(12): e0242604, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33347448

RESUMEN

BACKGROUND: There are few data on the on the care experiences of pregnant women with rifampicin-resistant TB. OBJECTIVE: To describe the treatment journeys of pregnant women with RR-TB-including how their care experiences shape their identities-and identify areas in which tailored interventions are needed. METHODS: In this qualitative study in-depth interviews were conducted among a convenience sample from a population of pregnant women receiving treatment for RR-TB. This paper follows COREQ guidelines. A thematic network analysis using an inductive approach was performed to analyze the interview transcripts and notes. The analysis was iterative and a coding system developed which focused on the care experiences of the women and how these experiences affected their perceptions of themselves, their children, and the health care system in which treatment was received. RESULTS: Seventeen women were interviewed. The women described multiple challenges in their treatment journeys which required them to demonstrate sustained resilience (i.e. to "be brave"). Care experiences required them to negotiate seemingly contradictory identities as both new mothers-"givers of life"-and RR-TB patients facing a complicated and potentially deadly disease. In terms of their "pregnancy identity" and "RR-TB patient identity" that emerged as part of their care experiences, four key themes were identified that appeared to have elements that were contradictory to one another (contradictory areas). These included: 1) the experience of physical symptoms or changes; 2) the experience of the "mothering" and "patient" roles; 3) the experience of the care they received for their pregnancy and their RR-TB; and 4) the experience of community engagement. There were also three areas that overlapped with both roles and during which identity was negotiated/reinforced and they included: 1) faith; 2) socioeconomic issues; and 3) long-term concerns over the child's health. At times, the health care system exacerbated these challenges as the women were not given the support they needed by health care providers who were ill-informed or angry and treated the women in a discriminatory fashion. Left to negotiate this confusing time period, the women turned to faith, their own mothers, and the fathers of their unborn children. CONCLUSION: The care experiences of the women who participated in this study highlight several gaps in the current health care system that must be better addressed in both TB and perinatal services in order to improve the therapeutic journeys for pregnant women with RR-TB and their children. Suggestions for optimizing care include the provision of integrated services, including specialized counseling as well as training for health care providers; engagement of peer support networks; provision of socioeconomic support; long-term medical care/follow-up for children born to women who were treated for RR-TB; and inclusion of faith-based services in the provision of care.


Asunto(s)
Madres/psicología , Mujeres Embarazadas/psicología , Apoyo Social , Tuberculosis Resistente a Múltiples Medicamentos/psicología , Tuberculosis Pulmonar/psicología , Adulto , Antituberculosos/uso terapéutico , Coraje , Femenino , Humanos , Lactante , Mycobacterium tuberculosis/patogenicidad , Satisfacción del Paciente/estadística & datos numéricos , Embarazo , Investigación Cualitativa , Rifampin/uso terapéutico , Identificación Social , Sudáfrica , Encuestas y Cuestionarios , Tuberculosis Resistente a Múltiples Medicamentos/tratamiento farmacológico , Tuberculosis Resistente a Múltiples Medicamentos/microbiología , Tuberculosis Resistente a Múltiples Medicamentos/patología , Tuberculosis Pulmonar/tratamiento farmacológico , Tuberculosis Pulmonar/microbiología , Tuberculosis Pulmonar/patología
15.
Rev. enferm. UERJ ; 28: e43407, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1119599

RESUMEN

Objetivo: analisar as representações sociais da presença do genitor no pré-natal para as mulheres gestantes. Método: estudo descritivo e qualitativo, fundamentado na Teoria da Representações Sociais. Contribuíram com o estudo 28 gestantes que realizavam as consultas do pré-natal e responderam a um roteiro de entrevista em profundidade contendo três questões abertas, cujas respostas foram submetidas à Análise de Conteúdo Lexical, possibilitada pelo software IRAMUTEQ. Resultados: a análise aponta a palavra 'não" como a mais latente no sistema cognitivo das gestantes, sendo percebida a alta frequência no Dendograma de Classes, presença no eixo de intersecção entre as ordenadas e abscissas no Mapa Fatorial de Correspondência, além de ser central e fazer as maiores forças de conexidade com as demais palavras na árvore máxima de similitude. Conclusão: as representações sociais das gestantes sobre a presença do genitor durante as consultas de pré-natal foram elaboradas a partir da negação, evidenciadas nos discursos do grupo no termo "não".


Objective: to examine social representations held by pregnant women of the fathers' presence in prenatal care. Method: this qualitative, descriptive study, based on Social Representations Theory, involved 28 pregnant women undergoing prenatal consultations, who answered an in-depth, scripted interview containing three open questions. Their responses were analyzed using Lexical Content Analysis, made possible by IRAMUTEQ software. Results: the analysis pointed to the word "no" as the most latent in the pregnant women's cognitive system: it was found at high frequency in the Dendrogram of Classes, was present at the axis of intersection between ordinates and abscissas on the Factorial Correspondence Map, besides being central and showing strongest connectedness with the other words in the similarity tree. Conclusion: the pregnant women's social representations of the fathers' presence at prenatal appointments were elaborated on the basis of denial, evidenced in the group's discourse in the term "no".


Objetivo: analizar las representaciones sociales que tienen las mujeres embarazadas sobre la presencia del padre en la atención prenatal. Método: este estudio cualitativo, descriptivo, basado en la Teoría de las Representaciones Sociales, involucró a 28 gestantes en consulta prenatal, quienes respondieron una entrevista en profundidad y guionizada que contenía tres preguntas abiertas. Sus respuestas se analizaron mediante el análisis de contenido léxico, posible gracias al software IRAMUTEQ. Resultados: el análisis apuntó a la palabra "no" como la más latente en el sistema cognitivo de la gestante: se encontró con alta frecuencia en el Dendrograma de Clases, estuvo presente en el eje de intersección entre ordenadas y abscisas en el Mapa de Correspondencia Factorial , además de ser central y mostrar una conexión más fuerte con las otras palabras en el árbol de similitudes. Conclusión: las representaciones sociales de las mujeres embarazadas sobre la presencia de los padres en las citas prenatales se elaboraron sobre la base de la negación, evidenciada en el discurso del grupo en el término "no".


Asunto(s)
Humanos , Femenino , Embarazo , Adolescente , Adulto , Adulto Joven , Atención Prenatal/psicología , Mujeres Embarazadas/psicología , Relaciones Padre-Hijo , Padre/psicología , Brasil , Epidemiología Descriptiva , Investigación Cualitativa , Teoría Social , Enfermería Obstétrica
16.
Artículo en Inglés | MEDLINE | ID: mdl-33374611

RESUMEN

BACKGROUND: The rate of cesarean section (CS) is growing in the United Arab Emirates (UAE). Pregnant women's knowledge on the mode of delivery, factors associated with lack of adequate knowledge, and preference towards CS delivery were investigated. METHODS: Baseline cross-sectional data from 1617 pregnant women who participated in the Mutaba'ah Study between September 2018 and March 2020 were analyzed. A self-administered questionnaire inquiring about demographic and maternal characteristics, ten knowledge-based statements about mode of delivery, and one question about preference towards mode of delivery was used. Knowledge on the mode of delivery was categorized into "adequate (total score 6-10)" or "lack of adequate (total score 0-5)" knowledge. Crude and multivariable models were used to identify factors associated with "lack of adequate" knowledge on the mode of delivery and factors associated with CS preference. RESULTS: A total of 1303 (80.6%) pregnant women (mean age 30.6 ± 5.8 years) completed the questionnaire. The majority (57.1%) were ≥30 years old, in their third trimester (54.5%), and had at least one child (76.6%). In total, 20.8% underwent CS delivery in the previous pregnancy, and 9.4% preferred CS delivery for the current pregnancy. A total of 78.4% of pregnant women lacked adequate knowledge on the mode of delivery. The level of those who lacked adequate knowledge was similar across women in different pregnancy trimesters. Young women (18-24 years) (adjusted odds ratios (aOR), 3.07, 95% confidence interval (CI), 1.07-8.86) and women who had CS delivery in the previous pregnancy (aOR, 1.90, 95% CI, 1.06-3.40) were more likely to be classified with a lack of adequate knowledge. Age (aOR, 1.08, 95% CI, 1.02-1.14), employment (aOR, 1.96, 95% CI, 1.13-3.40), or previous CS delivery (aOR, 31.10, 95% CI, 17.71-55.73) were associated with a preference towards CS delivery. CONCLUSION: This study showed that pregnant women may not fully appreciate the health risks associated with different modes of delivery. Therefore, antenatal care appointments should include a balanced discussion on the potential benefits and harms associated with different delivery modes.


Asunto(s)
Parto Obstétrico/métodos , Conocimientos, Actitudes y Práctica en Salud , Prioridad del Paciente , Mujeres Embarazadas/psicología , Adolescente , Adulto , Cesárea , Estudios Transversales , Femenino , Humanos , Embarazo , Emiratos Árabes Unidos , Adulto Joven
17.
PLoS One ; 15(12): e0243898, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33326465

RESUMEN

The widespread accessibility and use of the internet provides numerous opportunities for women to independently seek out pregnancy-related information and social and emotional support during the antenatal period. Given the heightened psychological vulnerability of the pregnancy period there is a critical need to examine digital media use within the context of the feelings that women have about themselves and towards their fetus. The current study examined the relationship between digital media use during pregnancy, psychological wellbeing and their maternal-fetal attachment using an online survey. Forty-eight pregnant women completed a self-report questionnaire on their reasons for using digital media, and standardised measures of self-criticism, negative affect, social quality of life (QOL), and maternal-fetal attachment. The mean age of participants was 29.4 years (SD = 5.26), with a mean of 24.3 weeks gestation (SD = 9.95). Information seeking, emotional support and social support were highly endorsed reasons for digital media use (85.42%, 66.67%, 62.5% respectively). However, digital media use was positively correlated with negative affect (p = .003) and self-criticism (p < .001). Digital media use was also negatively correlated with QOL (p = .007). There was no evidence of a relationship between digital media use and maternal-fetal attachment (p = .330). Digital environments may be an important social context within which a pregnant woman develops her own maternal identity and knowledge. There are a number of benefits and limitations of this medium for providing information and support for women during pregnancy. Enhancing the opportunities to promote pregnant women's wellbeing in this context is an important avenue for further research and practice.


Asunto(s)
Internet , Relaciones Materno-Fetales/psicología , Complicaciones del Embarazo/psicología , Mujeres Embarazadas/psicología , Adulto , Femenino , Humanos , Medios de Comunicación de Masas , Salud Mental , Embarazo , Calidad de Vida/psicología , Autoinforme
18.
PLoS One ; 15(12): e0243188, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33347484

RESUMEN

BACKGROUND: The COVID-19 pandemic has negatively affected physical and mental health worldwide. Pregnant women already exhibit an elevated risk for depression compared to the general public, a pattern expected to be exacerbated by the pandemic. Certain lifestyle factors, including moderate exercise, may help support mental health during pregnancy, but it is unclear how the pandemic may impact these associations across different locations. Here, we test whether: (i) reported exercise routine alterations during the pandemic are associated with depression scores; and, (ii) the likelihood of reporting pandemic-related exercise changes varies between women living in metro areas and those in non-metro areas. METHODS: This cross-sectional study used data from the COVID-19 And Reproductive Effects (CARE) study, an online survey of pregnant women in the United States. Participants were recruited April-June 2020 (n = 1,856). Linear regression analyses assessed whether reported COVID-19-related exercise change was associated with depression score as measured by the Edinburgh Postnatal Depression Survey. Logistic regression analyses tested whether a participant's Rural-Urban Continuum Code classification of "metro" was linked with higher odds of reporting exercise changes compared to a "non-metro" classification. RESULTS: Women who reported exercise changes during the pandemic exhibited significantly higher depression scores compared to those reporting no changes. Moreover, individuals living in metro areas of all sizes were significantly more likely to report exercise changes compared to women living in non-metro areas. CONCLUSIONS: These results suggest that the ability to maintain an exercise routine during the pandemic may help support maternal mental health. It may therefore be prudent for providers to explicitly ask patients how the pandemic has impacted their exercise routines and consider altered exercise routines a potential risk factor for depression. An effort should also be made to recommend exercises that are tailored to individual space restrictions and physical health.


Asunto(s)
Depresión/psicología , Ejercicio Físico/psicología , Complicaciones del Embarazo/psicología , Mujeres Embarazadas/psicología , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Salud Mental , Persona de Mediana Edad , Pandemias , Embarazo , Estrés Psicológico/psicología , Adulto Joven
20.
Artículo en Inglés | MEDLINE | ID: mdl-33339240

RESUMEN

Background: Depressive symptoms during pregnancy may cause unfavorable consequences for both the mother and the infant's physiological and psychological health. Recent evidence indicates that body image plays an important role in prenatal depression. The present study's main purpose was to investigate the level of acceptance of physical appearance in pregnant women, their attitudes toward pregnancy and maternity, and some obstetric characteristics as significant predictors in the development of depression. Methods: A sample of 150 Polish pregnant women completed a set of self-report questionnaires, including the Edinburgh Postnatal Depression Scale (EPDS), Attitudes toward Maternity and Pregnancy Questionnaire (PRE-MAMA), and the Body-Self Questionnaire (EA-BSQ). All participants also answered a brief sociodemographic and obstetric information questionnaire. Results: A hierarchical binary logistic regression was conducted to predict prenatal depression from selected obstetric variables (unplanned pregnancy, multiparity, and miscarriages) and psychological variables (appearance evaluation and positive or anxious attitudes toward pregnancy and maternity). It was found that higher levels of negative evaluation of appearance increased chances of depression in pregnant women by almost one-and-a-half. The analysis revealed that positive attitudes toward pregnancy and maternity were the most important protective factor for depression. Conclusions: The results confirmed the importance of dissatisfaction with body image during pregnancy as a predictor of the onset of prenatal depression. However, in clinical practice, this risk factor should be considered in combination with positive maternal attitudes, not separately. The implications for future studies and interventions in the field of prenatal depression are discussed in this work.


Asunto(s)
Imagen Corporal , Depresión Posparto , Complicaciones del Embarazo , Mujeres Embarazadas , Adulto , Ansiedad , Actitud , Actitud Frente a la Salud , Depresión/epidemiología , Femenino , Humanos , Embarazo , Mujeres Embarazadas/psicología , Encuestas y Cuestionarios , Adulto Joven
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