Ravaldi Claudia, Wilson Alyce, Ricca Valdo, Homer Caroline, Vannacci Alfredo
PeaRL Perinatal Research Laboratory, University of Florence; CiaoLapo Foundation for Perinatal Health, Prato, Italy; Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy; Department of Health Sciences, University of Florence, Florence, Italy.
Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.
Women Birth. 2021 Jul;34(4):335-343. doi: 10.1016/j.wombi.2020.07.002. Epub 2020 Jul 13.
In March 2020, COVID-19 was declared to be a pandemic. While data suggests that COVID-19 is not associated with significant adverse health outcomes for pregnant women and newborns, the psychological impact on pregnant women is likely to be high.
The aim was to explore the psychological impact of the COVID-19 pandemic on Italian pregnant women, especially regarding concerns and birth expectations.
A cross-sectional online survey of pregnant women in Italy was conducted. Responses were analysed for all women and segregated into two groups depending on previous experience of pregnancy loss. Analysis of open text responses examined expectations and concerns before and after the onset of the pandemic.
Two hundred pregnant women responded to the first wave of the survey. Most (n=157, 78.5%) had other children and 100 (50.0%) had a previous history of perinatal loss. 'Joy' was the most prevalent emotion expressed before COVID-19 (126, 63.0% before vs 34, 17.0% after; p<0.05); fear was the most prevalent after (15, 7.5% before vs 98, 49.0% after; p<0.05). Positive constructs were prevalent before COVID-19, while negative ones were dominant after (p<0.05). Across the country, women were concerned about COVID-19 and a history of psychological disorders was significantly associated with higher concerns (p<0.05). A previous pregnancy loss did not influence women's concerns.
Women's expectations and concerns regarding childbirth changed significantly as a result of the COVID-19 pandemic in Italy. Women with a history of psychological disorders need particular attention as they seem to experience higher levels of concern.
2020年3月，新型冠状病毒肺炎（COVID-19）被宣布为大流行病。虽然数据表明COVID-19与孕妇和新生儿的重大不良健康结局无关，但对孕妇的心理影响可能很大。
旨在探讨COVID-19大流行对意大利孕妇的心理影响，特别是在担忧和分娩期望方面。
对意大利孕妇进行了一项横断面在线调查。分析了所有女性的回复，并根据既往流产经历分为两组。对开放式文本回复的分析考察了大流行开始前后的期望和担忧。
200名孕妇回复了第一波调查。大多数（n = 157，78.5%）有其他孩子，100名（50.0%）有围产期损失史。“喜悦”是COVID-19之前表达最普遍的情绪（之前126例，63.0%；之后34例，17.0%；p<0.05）；恐惧是之后最普遍的情绪（之前15例，7.5%；之后98例，49.0%；p<0.05）。积极的观念在COVID-19之前普遍存在，而消极的观念在之后占主导地位（p<0.05）。在全国范围内，女性担心COVID-19，心理障碍史与更高的担忧显著相关（p<0.05）。既往流产史并未影响女性的担忧。
由于意大利的COVID-19大流行，女性对分娩的期望和担忧发生了显著变化。有心理障碍史的女性需要特别关注，因为她们似乎经历了更高程度的担忧。
