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新冠疫情期间女性对怀孕和分娩的担忧。

Concerns of women regarding pregnancy and childbirth during the COVID-19 pandemic.

作者信息

Ahlers-Schmidt Carolyn R, Hervey Ashley M, Neil Tara, Kuhlmann Stephanie, Kuhlmann Zachary

机构信息

University of Kansas School of Medicine-Wichita, Center for Research for Infant Birth and Survival (CRIBS), 3243 E. Murdock, Suite 602, Wichita, KS, 67208, USA; University of Kansas School of Medicine-Wichita, Department of Pediatrics, 3243 E. Murdock, Suite 402, Wichita, KS, 67208, USA.

University of Kansas School of Medicine-Wichita, Center for Research for Infant Birth and Survival (CRIBS), 3243 E. Murdock, Suite 602, Wichita, KS, 67208, USA.

出版信息

Patient Educ Couns. 2020 Sep 24;103(12):2578-82. doi: 10.1016/j.pec.2020.09.031.

Abstract

OBJECTIVE

Better understand knowledge, attitudes and practices of pregnant women and mothers of infants around coronavirus disease 2019 (COVID-19).

METHODS

A 58-item electronic survey was distributed to pregnant and postpartum women (infants <12 months) who were >15 years, English-speaking and enrolled in prenatal programs. Data is summarized using central tendency, frequencies and nonparametric statistics.

RESULTS

Of 114 (51 % response rate) participants, 82.5 % reported negative changes in mental status measures (e.g. stress, anxious thoughts, changes in sleep patterns). All reported risk-reduction behavior changes (e.g. handwashing/use of sanitizer, social distancing). Significant changes were reported in employment and financial status due to the pandemic. Increases in alcohol consumption among postpartum women were also reported. Few reported changes in prenatal, infant or postpartum healthcare access.

CONCLUSION

This study provides initial insight into the knowledge, attitudes and practices of pregnant and postpartum women during the COVID-19 pandemic. This study is limited as participants represent a single Midwest community and social desirability response bias may have impacted responses. However, results may inform future interventions to support pregnant women and mothers of infants during pandemics.

PRACTICE IMPLICATIONS

Providers should consider the impact of such events on mental status, access to resources and changes in behaviors.

摘要

目的

更好地了解孕妇及婴儿母亲对2019冠状病毒病(COVID-19)的认知、态度和行为。

方法

向年龄大于15岁、讲英语且参加产前项目的孕妇和产后妇女(婴儿<12个月)发放一份包含58个条目的电子调查问卷。数据采用集中趋势、频率和非参数统计进行汇总。

结果

在114名参与者(回复率51%)中,82.5%报告心理状态指标出现负面变化(如压力、焦虑情绪、睡眠模式改变)。所有人都报告了降低风险的行为变化(如洗手/使用消毒剂、保持社交距离)。由于疫情,就业和财务状况出现显著变化。还报告了产后妇女饮酒量增加。很少有人报告产前、婴儿或产后医疗保健获取方面的变化。

结论

本研究初步洞察了COVID-19大流行期间孕妇和产后妇女的认知、态度和行为。本研究存在局限性,因为参与者仅代表中西部一个社区,社会期望性回应偏差可能影响了回复。然而,研究结果可为未来在大流行期间支持孕妇和婴儿母亲的干预措施提供参考。

实践意义

医疗服务提供者应考虑此类事件对心理状态、资源获取和行为变化的影响。

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