Department of Perinatology, Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey.
Department of Obstetrics and Gynecology, Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey.
J Perinat Med. 2020 Nov 26;48(9):965-970. doi: 10.1515/jpm-2020-0380.
Objectives With clinical experience from previous coronavirus infections, public health measures and fear of infection may have negative psychological effects on pregnant women. This study aimed to compare the level of anxiety and depression in the same pregnant women before and during the COVID-19 pandemic. Methods The pregnant women continuing pregnancy who participated in the first study which was undertaken to clarify the factors associated with mental health of pregnant women before the COVID-19 pandemic, were included for the current study during the outbreak. Anxiety and depression symptoms of the same pregnant women were evaluated by using the Inventory of Depression and Anxiety Symptoms II and Beck Anxiety Inventory twice before and during the pandemic. Results A total of 63 pregnant women completed questionnaires. The mean age of the women and the mean gestational age was 30.35±5.27 years and 32.5±7 weeks, respectively. The mean total IDAS II score was found to increase from 184.78±49.67 (min: 109, max: 308) to 202.57±52.90 (min: 104, max: 329) before and during the SARS-CoV-2 pandemic. According to the BAI scores the number of patients without anxiety (from 10 to 6) and with mild anxiety (from 31 to 24) decreased and patients with moderate (from 20 to 25) and severe anxiety (from 2 to 8) increased after SARS-CoV-2 infection. Multivariate linear regression analysis revealed that obesity and relationship with her husband are the best predictors of IDAS II scores. Conclusions This study indicated that COVID-19 outbreak affects the mental health of pregnant women negatively which leads to adverse birth outcomes. The level of anxiety and depression symptoms of pregnant women during the COVID-19 infection significantly increased. Healthcare professionals should establish comprehensive treatment plans for pregnant women who are highly vulnerable population to prevent mental trauma during the infectious disease outbreaks.
有了之前冠状病毒感染的临床经验，公共卫生措施和对感染的恐惧可能会对孕妇产生负面影响。本研究旨在比较同一批孕妇在 COVID-19 大流行前后的焦虑和抑郁水平。
本研究纳入了在 COVID-19 大流行期间参加了之前一项旨在阐明与孕妇心理健康相关因素的研究的继续妊娠的孕妇。在大流行前后两次使用抑郁和焦虑症状清单 II 量表和贝克焦虑量表评估同一批孕妇的焦虑和抑郁症状。
共有 63 名孕妇完成了问卷。这些女性的平均年龄和平均妊娠龄分别为 30.35±5.27 岁和 32.5±7 周。IDAS II 总分从 184.78±49.67（最小值：109，最大值：308）增加到 202.57±52.90（最小值：104，最大值：329）。根据 BAI 评分，无焦虑（从 10 到 6）和轻度焦虑（从 31 到 24）的患者减少，中度焦虑（从 20 到 25）和重度焦虑（从 2 到 8）的患者增加。多元线性回归分析表明，肥胖和与丈夫的关系是 IDAS II 评分的最佳预测因子。
本研究表明，COVID-19 大流行对孕妇的心理健康产生负面影响，导致不良的分娩结局。COVID-19 感染期间孕妇的焦虑和抑郁症状水平显著增加。医疗保健专业人员应为处于高风险人群的孕妇制定全面的治疗计划，以防止传染病暴发期间的心理创伤。
