Department of Obstetrics and Gynecology, KK Women's and Children's Hospital, Singapore, Singapore.
Ann Acad Med Singap. 2020 Aug;49(8):543-552.
To assess the level of anxiety and knowledge regarding COVID-19 amongst antenatal women.
This cross-sectional survey was conducted in the antenatal clinics of KK Women's and Children's Hospital, Singapore, from 31 March to 25 April 2020 to assess pregnant women's knowledge of COVID-19, their perceptions of its impact upon pregnancy and psychological impact using the validated Depression, Anxiety, and Stress Scales (DASS-21).
Of the 324 women who participated in the study, the mean age was 31.8 years (range, 20-45). The majority (53.7%) were multiparous with mean gestational age of 23.4 weeks (SD 10). The commonest sources of information were Internet-based social media platforms. A significant proportion were unaware, or associated COVID-19 infection during pregnancy with fetal distress (82.1%), intrauterine death (71.3%), fetal anomalies (69.8%), miscarriages (64.8%), preterm labour (67.9%) and rupture of membranes (61.4%). A total of 116 (35.8%) women screened positive for anxiety, 59 (18.2%) for depression, and 36 (11.1%) for stress. There was a significant association between household size and stress scores [B = 0.0454 (95% CI, 0.0035-0.0873)]. Women who associated COVID-19 infection with fetal anomalies and intrauterine fetal death had significantly higher anxiety scores [B = -0.395 (95% CI, -0.660 to -0.130) and B = -0.291 (95% CI, -0.562 to -0.021) respectively].
Our study highlights that a lack of timely and reliable information on the impact of COVID-19 on pregnancy and its outcomes results in increased levels of depression, anxiety and stress. The healthcare provider must address these issues urgently by providing evidence-based information using Internet-based resources and psychological support.
评估产前妇女对 COVID-19 的焦虑水平和知识。
这项横断面调查于 2020 年 3 月 31 日至 4 月 25 日在新加坡 KK 妇女儿童医院的产前诊所进行，以评估孕妇对 COVID-19 的了解程度、她们对其对怀孕影响的看法以及使用经过验证的抑郁、焦虑和压力量表（DASS-21）的心理影响。
在参加研究的 324 名妇女中，平均年龄为 31.8 岁（范围为 20-45 岁）。大多数（53.7%）是多产妇，平均孕周为 23.4 周（SD 10）。最常见的信息来源是基于互联网的社交媒体平台。相当一部分人不知道或认为 COVID-19 感染与胎儿窘迫（82.1%）、宫内死亡（71.3%）、胎儿畸形（69.8%）、流产（64.8%）、早产（67.9%）和胎膜早破（61.4%）有关。共有 116 名（35.8%）妇女筛查出焦虑阳性，59 名（18.2%）抑郁阳性，36 名（11.1%）压力阳性。家庭规模与压力评分之间存在显著关联[B=0.0454（95%CI，0.0035-0.0873）]。将 COVID-19 感染与胎儿畸形和宫内胎儿死亡相关联的妇女焦虑评分显著升高[B=-0.395（95%CI，-0.660 至-0.130）和 B=-0.291（95%CI，-0.562 至-0.021）]。
我们的研究表明，缺乏关于 COVID-19 对妊娠及其结局影响的及时和可靠信息会导致抑郁、焦虑和压力水平升高。医疗保健提供者必须通过使用基于互联网的资源和心理支持提供基于证据的信息来紧急解决这些问题。
