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1.
Ann Afr Med ; 20(1): 24-30, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33727508

RESUMO

Background: Poor awareness remains a substantial limitation to harnessing the benefits of umbilical cord blood (UCB) in sub-Saharan Africa. The aim of this study was to determine the level of awareness and factors influencing intention to donate cord blood to blood bank among antenatal clinic attendees at a tertiary hospital in Nigeria. Methods: We conducted a questionnaire-based cross-sectional study of 400 women attending the antenatal clinic of a tertiary hospital in Lagos, Nigeria, between February and June 2018. The data were analyzed using Stata version 13; comparisons were conducted with Chi-square, Student's t-test, and Mann-Whitney U-test. Univariable and multivariable binary logistic regression was conducted with "willingness to donate" as the outcome variable. Results: Majority (n = 287/331 [86.2%, 95% confidence interval [CI]: 76.4-84.9]) of the participants had some knowledge of UCB, almost half intended future donation of UCB (n = 161/333, [48.3%, 95% CI: 42.9-53.6]). Based on our findings, factors such as religion (P = 0.001), education (P = 0.03), information from health-care provider (P < 0.001) appear to influence awareness, and the decision to donate UCB. Conclusion: Although the awareness of the clinical uses of UCB is very limited in Nigeria, the intent to participate in UCB donation is high. Factors such as religion, education, and prior information about UCB donation by health-care providers have been identified in this study to have an influence on the decision to donate UCB.


Assuntos
Doadores de Sangue/psicologia , Sangue Fetal , Conhecimentos, Atitudes e Prática em Saúde , Gestantes/psicologia , Adulto , Transplante de Células-Tronco de Sangue do Cordão Umbilical , Estudos Transversais , Tomada de Decisões , Escolaridade , Feminino , Humanos , Nigéria , Gravidez , Gestantes/etnologia , Inquéritos e Questionários , Obtenção de Tecidos e Órgãos
2.
Eur J Epidemiol ; 36(2): 197-211, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33649879

RESUMO

With the development of multiple effective vaccines, reducing the global morbidity and mortality of COVID-19 will depend on the distribution and acceptance of COVID-19 vaccination. Estimates of global vaccine acceptance among pregnant women and mothers of young children are yet unknown. An understanding of the challenges and correlates to vaccine acceptance will aid the acceleration of vaccine administration within these populations. Acceptance of COVID-19 vaccination among pregnant women and mothers of children younger than 18-years-old, as well as potential predictors, were assessed through an online survey, administered by Pregistry between October 28 and November 18, 2020. 17,871 total survey responses from 16 countries were obtained. Given a 90% COVID-19 vaccine efficacy, 52.0% of pregnant women (n = 2747/5282) and 73.4% of non-pregnant women (n = 9214/12,562) indicated an intention to receive the vaccine. 69.2% of women (n = 11,800/17,054), both pregnant and non-pregnant, indicated an intention to vaccinate their children. Vaccine acceptance was generally highest in India, the Philippines, and all sampled countries in Latin America; it was lowest in Russia, the United States and Australia. The strongest predictors of vaccine acceptance included confidence in vaccine safety or effectiveness, worrying about COVID-19, belief in the importance of vaccines to their own country, compliance to mask guidelines, trust of public health agencies/health science, as well as attitudes towards routine vaccines. COVID-19 vaccine acceptance and its predictors among women vary globally. Vaccination campaigns for women and children should be specific for each country in order to attain the largest impact.


Assuntos
/uso terapêutico , Conhecimentos, Atitudes e Prática em Saúde , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Complicações Infecciosas na Gravidez/prevenção & controle , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Intenção , Internacionalidade , Pessoa de Meia-Idade , Mães/psicologia , Mães/estatística & dados numéricos , Gravidez , Gestantes/psicologia , Adulto Jovem
3.
Glob Health Res Policy ; 6(1): 11, 2021 03 26.
Artigo em Inglês | MEDLINE | ID: mdl-33771230

RESUMO

BACKGROUND: Although more and more attention has been paid to the psychological consequences of the lockdown policy amongst pregnant women, the underlying mechanism linking the lockdown policy to maternal depression has not been studied in the context of China. This study aimed to explore the association between the lockdown policy and maternal depressive symptoms, and whether such association was mediated by internet use and/or family support. METHODS: This cross-sectional study used multi-stage sampling techniques in central and western China. Data were collected from 1266 pregnant women using a structtured questionnaire that measured internet use, family support, and depressive symptoms. The Patient Health Questionnaire-9 (PHQ-9) was used to measure depressive symptoms. Internet use was measured by length of usage and varierity of purpose for internet use. Family support was measureed by spousal support and parental support. The structural equation modelling was employed to conduct mediation analysis to test the specificity of the hypothetical paths. RESULTS: Overall, 527 respondents (41.63%) presented depressive symptoms. The lockdown policy was negatively associated with depressive symptoms in pregnant women (ß = - 0.925, 95% CI = -1.510, - 0.360). The impact of the lockdown policy on depressive symptoms was partially mediated by internet use (ß = 1.589, 95% CI = 0.730, 2.807) and family support (ß = - 0.162, 95% CI = - 0.341, - 0.017), accounting for 42.67% of the total effect. CONCLUSIONS: The lockdown policy was generally associated with fewer depressive symptoms in pregnant women. The lockdown policy increased maternal depressive symptoms through increased internet use, but decreased maternal depressive symptoms through enhanced family support. The findings suggest that the psychological consequence of the lockdown policy may vary across different populations, and warrant the need to take into consideration the features of subgroups.


Assuntos
Depressão/epidemiologia , Família/psicologia , Gestantes/psicologia , Sistemas de Apoio Psicossocial , Quarentena/psicologia , China/epidemiologia , Estudos Transversais , Depressão/psicologia , Política de Saúde , Prevalência
5.
BMC Pregnancy Childbirth ; 21(1): 193, 2021 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-33685398

RESUMO

BACKGROUND: With the onset of the COVID-19 epidemic, pregnancy and childbirth for women are taking place in unusual circumstances. We explored the lived experiences of pregnant women during the COVID-19 pandemic to better understand their experience of pregnancy so that better support could be provided. METHODS: We used a descriptive phenomenological approach to understand the lived experience of pregnant women in COVID-19 pandemic. We collected data using a purposive sampling method through in-depth interviews in cyberspace with a semi-structured questionnaire. We used Colaizzi's seven-step content analysis method to analyze the research data with the help of MAXQDA software version 2020. RESULTS: We conducted this descriptive phenomenology study on 19 pregnant women in a period between the 10th to the 20th of May, 2020. The participating women were already pregnant when the first signs of the epidemic appeared in the country and at the time of the interview. We acquired four themes including disruption of the tranquility and regular routines of daily life, new challenges caused by the epidemic, resilience and strength in facing the crisis, and adaptation with new conditions. CONCLUSIONS: The pregnant women were under intense stress during the COVID-19 outbreak. The general mobilization the health system is necessary for alleviating pregnant women's difficulties in situations like the COVID-19 epidemic. Virtual training classes and virtual counseling may enhance the peace and tranquility of pregnant women.


Assuntos
Surtos de Doenças , Complicações na Gravidez/psicologia , Gestantes/psicologia , Estresse Psicológico/psicologia , Adaptação Psicológica , Adulto , Feminino , Humanos , Gravidez , Pesquisa Qualitativa , Inquéritos e Questionários
6.
BMC Pregnancy Childbirth ; 21(1): 208, 2021 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-33722198

RESUMO

BACKGROUND: Pregnancy is a risk factor for coronavirus disease 2019 (COVID-19). Pregnant women suffer from varying levels of pregnancy-related anxiety (PRA) which can negatively affect pregnancy outcomes. The aim of this study was to assess PRA and its associated factors during the COVID-19 pandemic. METHODS: This web-based cross-sectional study was conducted in 2020 on 318 pregnant women purposively recruited from primary healthcare centers in Sari and Amol, Iran. Data were collected using questionnaires (PRAQ, Edinburg, KAP of COVID-19, CDA-Q and Demographic questionnaire), which were provided to participants through the social media or were completed for them over telephone. Data were analyzed with the linear regression and the logistic regression analysis, at the significance level of 0.05 using the SPSS software (v. 21). RESULTS: Around 21% of participants had PRA, 42.1% had depression, and 4.4% had COVID-19 anxiety. The significant predictors of PRA were number of pregnancies (P = 0.008), practice regarding COVID-19 (P < 0.001), COVID-19 anxiety (P < 0.001), depression (P < 0.001), and social support (P = 0.025) which explained 19% of the total variance. Depression and COVID-19 anxiety increased the odds of PRA by respectively four times and 13%, while good practice regarding COVID-19 decreased the odds by 62%. CONCLUSION: Around 21% of pregnant women suffer from PRA during the COVID-19 pandemic and the significant predictors of PRA during the pandemic include number of pregnancies, practice regarding COVID-19, COVID-19 anxiety, depression, and social support. These findings can be used to develop appropriate strategies for the management of mental health problems during pregnancy in the COVID-19 pandemic.


Assuntos
Ansiedade , Complicações na Gravidez , Atenção Primária à Saúde , Apoio Social , Adulto , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Ansiedade/prevenção & controle , /prevenção & controle , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Determinação de Necessidades de Cuidados de Saúde , Gravidez , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/prevenção & controle , Complicações na Gravidez/psicologia , Gestantes/psicologia , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/normas , Atenção Primária à Saúde/tendências , Fatores de Risco , Estresse Psicológico/diagnóstico , Estresse Psicológico/epidemiologia
7.
J Prim Care Community Health ; 12: 2150132721996892, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33660538

RESUMO

INTRODUCTION: Evidences suggest a significant decline in maternal health service uptake following the coronavirus disease 2019 (COVID-19) pandemic in Ethiopia. However, COVID-19 related factors impacting the service uptake are not sufficiently addressed. Hence, the current study was intended to explore COVID-19 related factors influencing antenatal care service uptake in rural Ethiopia. METHODS: A community-based qualitative study was conducted from September 25/2020 to November 25/2020 among selected pregnant women residing in rural districts of Bench-Sheko Zone, and healthcare providers working in the local health care facilities. Six focus group discussions and 9 in-depth interviews were made between pregnant women, and health care providers, respectively. Data was collected by health education and behavioral science professionals who also have experience in qualitative data collection procedure. Data were transcribed, translated, and analyzed thematically using Open Code 4.0 software. RESULT: The study revealed several COVID-19 related factors influencing the uptake of antenatal care service during the pandemic. Health facility related barriers, perceived poor quality of care during the pandemic, government measures against COVID-19, anxiety related to the pandemic, and risk minimization were the identified factors possibly influencing the current antenatal care service uptake among women in rural Bench-Sheko Zone. CONCLUSION: COVID-19 preventive measures, and health facility related factors and individual factors were responsible for the current decline in antenatal care service uptake. Preserving essential health care service is critical to prevent avoidable losses of maternal and child lives during the pandemic period. Hence, programs and strategies designed to maintain maternal health services particularly, antenatal care service have better take the above determinants into consideration.


Assuntos
Pandemias , Aceitação pelo Paciente de Cuidados de Saúde , Cuidado Pré-Natal , População Rural , Adulto , Ansiedade , /psicologia , Controle de Doenças Transmissíveis , Etiópia , Feminino , Grupos Focais , Instalações de Saúde , Pessoal de Saúde , Acesso aos Serviços de Saúde , Humanos , Motivação , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Gravidez , Gestantes/psicologia , Saúde Pública , Pesquisa Qualitativa , Qualidade da Assistência à Saúde
8.
BMC Public Health ; 21(1): 368, 2021 02 17.
Artigo em Inglês | MEDLINE | ID: mdl-33596889

RESUMO

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 .


Assuntos
/psicologia , Saúde Global/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Período Pós-Parto/psicologia , Gestantes/psicologia , Adulto , Europa (Continente)/epidemiologia , Feminino , Humanos , Gravidez , Estudos Prospectivos , Fatores de Proteção , Projetos de Pesquisa , Fatores de Risco
9.
PLoS One ; 16(2): e0246494, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33534854

RESUMO

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.


Assuntos
/patologia , Estilo de Vida , Gestantes , Aborto Espontâneo , Adulto , /virologia , Exercício Físico , Feminino , Finlândia , Frequência Cardíaca , Humanos , Estudos Longitudinais , Gravidez , Gestantes/psicologia , Nascimento Prematuro , Sono/fisiologia , Smartphone , Estresse Psicológico
10.
Environ Health Prev Med ; 26(1): 27, 2021 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-33637036

RESUMO

BACKGROUND: To examine changes in psychological distress prevalence among pregnant women in Miyagi Prefecture, which was directly affected by the Great East Japan Earthquake and tsunami, and compare it with the other, less damaged areas of Japan. METHODS: This study was conducted in conjunction with the Japan Environment and Children`s Study. We examined 76,152 pregnant women including 8270 in Miyagi Regional Center and 67,882 in 13 other regional centers from the all-birth fixed data of the Japan Environment and Children's Study. We then compared the prevalence and risk of distress in women in Miyagi Regional Center and women in the 13 regional centers for 3 years after the disaster. RESULTS: Women in the Miyagi Regional Center suffered more psychological distress than those in the 13 regional centers: OR 1.38 (95% CI, 1.03-1.87) to 1.92 (95% CI, 1.42-2.60). Additionally, women in the inland area had a consistently higher prevalence of psychological distress compared to those from the 13 regional centers: OR 1.67 (95% CI, 1.18-2.38) to 2.19 (95% CI, 1.60-2.99). CONCLUSIONS: The lack of pre-disaster data in the Japan Environment and Children's Study made it impossible to compare the incidence of psychological distress before and after the March 2011 Great East Japan Earthquake. However, 3 years after the Great East Japan Earthquake, the prevalence of pregnant women with psychological distress did not improve in Miyagi Regional Center. Further, the prevalence of mental illness in inland areas was consistently higher than that in the 13 regional centers after the disaster.


Assuntos
Desastres , Terremotos , Complicações na Gravidez/epidemiologia , Gestantes/psicologia , Angústia Psicológica , Tsunamis , Adolescente , Adulto , Feminino , Humanos , Japão/epidemiologia , Gravidez , Complicações na Gravidez/psicologia , Prevalência , Adulto Jovem
11.
Matern Child Health J ; 25(3): 349-352, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33543374

RESUMO

In the US, the COVID-19 pandemic adds a new source of stress for women in the perinatal period, a time when stress and anxiety are already heightened. The closures of physical mental health care spaces and lack of support could have devastating impacts on the health of postpartum women and their newborns. Yet, the pandemic creates an opportunity to innovate in the ways mental health care is delivered to pregnant and postpartum women. With the expanded capacity for video and telephone visits, researchers should continue to explore solutions for providing support networks to this vulnerable population.


Assuntos
/epidemiologia , Saúde Mental , Período Pós-Parto/psicologia , Adulto , Transtornos de Ansiedade/epidemiologia , Depressão/epidemiologia , Feminino , Humanos , Recém-Nascido , Pandemias , Gravidez , Complicações na Gravidez/epidemiologia , Gestantes/psicologia , Estresse Psicológico/epidemiologia , Populações Vulneráveis
12.
BMC Psychol ; 9(1): 2, 2021 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-33397501

RESUMO

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.


Assuntos
Nível de Saúde , Relações Materno-Fetais/psicologia , Saúde Mental , Gestantes/psicologia , Adulto , Dinamarca , Feminino , Medicina Geral , Humanos , Relações Mãe-Filho , Apego ao Objeto , Gravidez , Cuidado Pré-Natal , Estudos Prospectivos , Fatores de Risco , Apoio Social , Fatores Socioeconômicos
13.
BMC Pregnancy Childbirth ; 21(1): 59, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-33451292

RESUMO

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.


Assuntos
Ansiedade/psicologia , Idade Materna , Saúde Mental , Paridade , Gestantes/psicologia , Estresse Psicológico/psicologia , Adolescente , Adulto , Ansiedade/epidemiologia , Estudos Transversais , Escolaridade , Emprego/estatística & dados numéricos , Família , Feminino , Idade Gestacional , Humanos , Renda/estatística & dados numéricos , Internet , Irã (Geográfico)/epidemiologia , Modelos Logísticos , Pessoa de Meia-Idade , Análise Multivariada , Gravidez , Estresse Psicológico/epidemiologia , Inquéritos e Questionários , Adulto Jovem
14.
Int J Gynaecol Obstet ; 153(1): 71-75, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33403679

RESUMO

OBJECTIVE: To compare mental distress and COVID-19-related family environment changes among pregnant women before and during the pandemic. METHODS: In a survey-based study in Lishui City, Zhejiang, China, pregnant women were recruited before (March-December, 2019; n = 2657) and during (January-August, 2020; n = 689) the COVID-19 pandemic. They completed the Symptom Check List-90 Revised (SCL90-R) questionnaire and Pittsburgh Sleep Quality Index (PSQI), and were asked about their families via the Family Environment Scale (FES). RESULTS: Higher SCL90-R scores of somatization (P = 0.003), depression (P = 0.043), anxiety (P = 0.041), hostility (P = 0.009), and others (P = 0.025) were reported by women during the COVID-19 pandemic. Sleep disorder also occurred more frequently among pregnant women during the pandemic (P = 0.002). Social environmental characteristics of families showed impaired family cohesion, and increased levels of conflict and independence during the pandemic (all P < 0.05). The FES score for family cohesion was negatively related with obsessive-compulsive, depression, anxiety, and hostility symptoms, whereas that for conflict was positively related with these symptoms (all P < 0.001). CONCLUSION: The mental health, sleep, and family environment of pregnant women was impaired during the COVID-19 pandemic. Potential protective factors including increased social support might help to mitigate long-lasting negative consequences.


Assuntos
Ansiedade , Depressão , Saúde Mental , Complicações na Gravidez , Transtornos do Sono-Vigília , Adulto , Ansiedade/diagnóstico , Ansiedade/epidemiologia , /prevenção & controle , China/epidemiologia , Depressão/diagnóstico , Depressão/epidemiologia , Conflito Familiar , Feminino , Humanos , Relações Interpessoais , Saúde Mental/estatística & dados numéricos , Saúde Mental/tendências , Gravidez , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/psicologia , Gestantes/psicologia , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/epidemiologia , Meio Social , Inquéritos e Questionários
16.
MCN Am J Matern Child Nurs ; 46(2): 103-109, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33470613

RESUMO

ABSTRACT: The COVID-19 pandemic led to several states mandating social distancing and sheltering in place along with a shift in health care delivery, unprecedented unemployment rates, financial stress, and emotional concerns. For pregnant and postpartum women, limited social support and social isolation with social distancing and fear of COVID-19 exposure or infection for themselves, their fetus, or their newborn infants, have implications for maternal mental health. An overview of the potential impact of COVID-19 on mental health risk for pregnant and postpartum women is presented with implications for nursing practice to promote maternal-infant wellbeing.


Assuntos
/epidemiologia , Saúde Mental , Período Pós-Parto/psicologia , Gestantes/psicologia , Saúde da Mulher , Adulto , Feminino , Humanos , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/virologia , Apoio Social
17.
BMJ Open ; 11(1): e040649, 2021 01 17.
Artigo em Inglês | MEDLINE | ID: mdl-33455927

RESUMO

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.


Assuntos
/psicologia , Gestantes/psicologia , Cuidado Pré-Natal/métodos , Isolamento Social/psicologia , Mídias Sociais/estatística & dados numéricos , Feminino , Acesso aos Serviços de Saúde , Humanos , Motivação , Gravidez , Pesquisa Qualitativa , Inquéritos e Questionários , Reino Unido
18.
Artigo em Inglês | MEDLINE | ID: mdl-33419145

RESUMO

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.


Assuntos
/psicologia , Gestantes/psicologia , Sono , Isolamento Social , Mídias Sociais , Apoio Social , Análise de Dados , Feminino , Humanos , Pandemias , Gravidez
19.
Asian J Psychiatr ; 56: 102533, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33418283

RESUMO

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.


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Complicações na Gravidez/epidemiologia , Fatores Etários , Ansiedade/psicologia , Depressão/psicologia , Status Econômico , Exercício Físico/psicologia , Feminino , Humanos , Gravidez , Complicações na Gravidez/psicologia , Gestantes/psicologia , Apoio Social
20.
BMC Pregnancy Childbirth ; 21(1): 88, 2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33509103

RESUMO

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.


Assuntos
/psicologia , Violência Doméstica/psicologia , Gestantes/psicologia , Qualidade de Vida , Adulto , Estudos Transversais , Feminino , Humanos , Irã (Geográfico) , Saúde Mental , Abuso Físico/psicologia , Gravidez , Complicações na Gravidez/psicologia , Prevalência , Delitos Sexuais/psicologia , Inquéritos e Questionários , Adulto Jovem
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