Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic

Corbett, Gillian A.; Milne, Sarah J.; Hehir, Mark P.; Lindow, Stephen W.; O’Connell, Michael P.

doi:10.1016/j.ejogrb.2020.04.022

Cited by 347 publications

(400 citation statements)

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“…Rates of pregnancy-related anxiety even in the non-COVID times have been high in low-income countries (Dennis et al, 2017). Limited studies done during the current pandemic reveal anxiety rates during pregnancy in the range of 63%-68% (Corbett et al, 2020;Lebel et al, 2020;Saccone et al, 2020). It is known that pregnancy-related anxiety escalates in the third trimester and our results re ect the same.…”

Section: Resultssupporting

confidence: 76%

COVID-19 Related Anxiety and Concerns Expressed by Pregnant and Postpartum Women- a Survey Among Obstetricians

Nanjundaswamy

Shiva

Desai

et al. 2020

Preprint

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Abstract This paper from India describes anxieties that pregnant and postpartum women reported to obstetricians during the COVID-19 pandemic. Of the 118 obstetricians who responded to an online survey, most had been contacted for concerns about hospital visits (72.65%), methods of protection (60.17%), the safety of the infant (52.14%); anxieties related to social media messages (40.68%), contracting the infection (39.83%). Obstetricians felt the need for resources such as videos, websites and counselling skills to handle COVID related anxiety among perinatal women.

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Section: Resultssupporting

confidence: 76%

COVID-19 Related Anxiety and Concerns Expressed by Pregnant and Postpartum Women- a Survey Among Obstetricians

Nanjundaswamy

Shiva

Desai

et al. 2020

Preprint

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“…Corbett GA et al assessed maternal anxiety related to COVID-19, adaptations in behaviour, and information sources in the second and third trimesters of pregnancy, and concluded that the prevalence of Covid-19 increased anxiety in pregnant women. It was reported that women are concerned about their older relatives, their children and their unborn children (18). In the present study, in addition to COVID-19related anxiety, mental health and marital satisfaction were also evaluated.…”

Section: Discussionmentioning

confidence: 87%

“…In the present study, both anxiety and COVID-19-related anxiety were measured, and the mean anxiety of pregnant and lactating women was higher than non-pregnant/lactating women. According to previous studies, the cause of increased anxiety may be due to issues related to pregnancy, lactating, or the additional burden of anxiety caused by the outbreaks of COVID-19 (14,15,17,18).…”

Section: Discussionmentioning

confidence: 99%

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Mental Health and Marital Satisfaction Changes of Pregnant and Lactating Women During the COVID-19 Pandemic

Gharagozloo

Sadatmahalleh

Khomami

et al. 2020

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Background: Women during pregnancy and in the first year after childbirth are vulnerable to mental disorders in the outbreaks of infectious diseases such as Coronavirus Disease (COVID-19). There is a relationship between mental health and marital satisfaction. This study aimed to assess mental health, anxiety, depression, and marital satisfaction among pregnant and lactating women and compared the results with non-pregnant/lactating (as control group) during the COVID-19 pandemic in Iran.Methods: A cross-sectional study among married women in range of 18 to 45 years via online questionnaires was conducted from 20 March to 25 April, 2020. A total of 604 valid questionnaires were analyzed, including 200 pregnant women, 203 lactating women, and 201 non-pregnant/lactating women. Mental health, COVID-19-related anxiety, and marital satisfaction were respectively assessed by the General Health Questionnaire (GHQ), the Corona Disease Anxiety Scale (CDAS), and ENRICH Marital Satisfaction Scale (EMS Scale). The data were analyzed using Statistical Package for Social Sciences (SPSS) software. Results: The scores of mental health problems in pregnant and lactating women were significantly higher than the control group (18.86±12.56 and 18.83±13.99 vs. 13.01±8.15, P<0.00). The total CDAS score in the control group was significantly less than pregnant women (30.87±10.56 vs. 26.05±6.12, P<0.001) and lactating women (30.80±11.37 vs. 26.05±6.12, P<0.001). The mean of marital satisfaction was significantly lower in the pregnant women (28.06±2.67 vs. 29.64±3.18, P < 0.001) and lactating women (28.74±3.58 vs. 29.64±3.18, p = 0.01) compared with the control group. There was no statistically significant difference in the depression among three groups (P < 0.05).Conclusions: Pregnant and lactating women had more mental health problems, more anxiety and less marital satisfaction in comparison to non-pregnant/lactating women in the course of COVID-19 outbreaks. Further study is needed to investigate the effect of COVID-19 prevalence on mental health and marital satisfaction of pregnant and lactating women, considering the socioeconomic status.

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“…During the initial stage or peak of the COVID-19 outbreak, studies from China [5,6], Turkey [7], Italy [8], Canada [9], and Israel [10] have found that the COVID-19 had adverse psychological impact on women during pregnancy, such as increasing anxiety and depression symptoms. Several studies reported the behavior responses of pregnant women during the COVID-19 epidemic, such as wearing masks, washing hands more frequently and stocking up behaviors [11][12][13]. Protective measures were adopted by most pregnant women in China [12], whereas practice of preventive measures was poor among pregnant women in Nigeria [13].…”

Section: Introductionmentioning

confidence: 99%

Pregnant Women’s Health-related Behavior Changes and Psychological Status After the Peak of COVID-19 Outbreak in China: A Cross-sectional Study

Tian

Zhang

Chen

et al. 2020

Preprint

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Background: Little is known about the relationship between health-related behavior and psychological status of pregnant women during the COVID-19 outbreak. We aimed to describe the health-related behavior changes and psychological status of Chinese pregnant women, and to explore the relationship between pregnant women’s characteristics, health-related behavior and different psychological status following the peak of COVID-19 outbreak.Methods: We conducted an online survey through social media (WeChat) from March 14 to April 7. A self-designed questionnaire was used to investigate Chinese pregnant women’s health-related behavior changes. Generalized Anxiety Disorder scale, Edinburgh Postnatal Depression Scale and Perceived Stress Scale were used to assess anxiety, depression and stress among pregnant women. Wilcoxon signed-rank test was used to compare health-related behavior changes before and during the COVID-19 outbreak and Spearman’s rank correlation analysis or logistic regression analysis were used to explore the relationships between variables.Results: A total of 113 pregnant women were included in this study. Most pregnant women wore masks (98.2%), changed location or tried to stay away from those who seem to have a cold or fever (99.1%) and washed hands more often than before (96.5%). Pregnant women washed hands with soap or hand sanitizer more often and went out less often than before the outbreak. There were 41.6% pregnant women who didn’t have antenatal visits or weren’t on time for antenatal visits. Majority (77.9%) pregnant women sought help when feeling panic or anxiety, whereas few turned to psychological workers. The rates of pregnant women with anxiety, depression and health risk stress were 64.6%, 58.4% and 54.9%, respectively. Analysis of relationship between variables showed that household income, gestational age, pregnancy complications, knowledge about COVID-19 and maternal and child protection, perception of the likelihood of infection, the frequency of going out, prenatal check-up behavior, help-seeking behavior were significantly associated or correlated with psychological status. Conclusions: Attention should be paid to the mental health of pregnant women with specific health-related behaviors changes. Screening for mental health problems and psychological interventions among pregnant women are needed.

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Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic

Cited by 347 publications

References 2 publications

COVID-19 Related Anxiety and Concerns Expressed by Pregnant and Postpartum Women- a Survey Among Obstetricians

COVID-19 Related Anxiety and Concerns Expressed by Pregnant and Postpartum Women- a Survey Among Obstetricians

Mental Health and Marital Satisfaction Changes of Pregnant and Lactating Women During the COVID-19 Pandemic

Pregnant Women’s Health-related Behavior Changes and Psychological Status After the Peak of COVID-19 Outbreak in China: A Cross-sectional Study

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