Nomura Roseli, Tavares Isabela, Ubinha Ana Carla, Costa Maria Laura, Opperman Maria Lucia, Brock Marianna, Trapani Alberto, Damasio Lia, Reis Nadia, Borges Vera, Zaconeta Alberto, Araujo Ana Cristina, Ruano Rodrigo
Department of Obstetrics, Escola Paulista de Medicina, Federal University of São Paulo, Rua Napoleão de Barros, 875, Sao Paulo, SP CEP 04024-002, Brazil.
Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP CEP 13083-881, Brazil.
J Clin Med. 2021 Feb 6;10(4):620. doi: 10.3390/jcm10040620.
The coronavirus disease 2019 (COVID-19) pandemic may have an effect on maternal anxiety and influence postpartum experience.
To study the prevalence of maternal anxiety in late pregnancy in the context of the COVID-19 outbreak in Brazil and to analyze its association with maternal knowledge and concerns about the pandemic.
This was a national multicenter cross-sectional study performed in 10 different public university hospitals, between 1 June and 31 August 2020, in Brazil. The inclusion criteria were: maternal age more than 18 years; gestational age more than 36 weeks at childbirth; single alive newborn without malformations; and absence of mental disorders. We applied a structured questionnaire to explore the knowledge and concerns about COVID-19. Maternal anxiety was assessed using the Beck Anxiety Inventory (BAI).
Of the 1662 women interviewed, the BAI score in late pregnancy indicated that 13.9% presented moderate and 9.6% severe maternal anxiety. Moderate or severe maternal anxiety was independently associated with the fear of being unaccompanied at childbirth (aOR1.12, 95% CI 1.10-1.35), and independent protective factors were confidence in knowing how to protect oneself from COVID-19 (aOR0.89, 95% CI 0.82-0.97) and how to safely breastfeed (aOR0.89, 95% CI 0.83-0.95).
The COVID-19 pandemic has a significant impact on maternal anxiety.
2019年冠状病毒病（COVID-19）大流行可能会影响孕产妇焦虑情绪并影响产后体验。
研究在巴西COVID-19疫情背景下晚期妊娠孕产妇焦虑的患病率，并分析其与孕产妇对该大流行的认知和担忧之间的关联。
这是一项于2020年6月1日至8月31日在巴西10家不同的公立大学医院进行的全国多中心横断面研究。纳入标准为：产妇年龄超过18岁；分娩时孕周超过36周；单胎存活新生儿无畸形；且无精神障碍。我们应用一份结构化问卷来探究对COVID-19的认知和担忧。使用贝克焦虑量表（BAI）评估孕产妇焦虑。
在1662名接受访谈的女性中，晚期妊娠的BAI评分表明，13.9%存在中度孕产妇焦虑，9.6%存在重度孕产妇焦虑。中度或重度孕产妇焦虑与分娩时无人陪伴的恐惧独立相关（调整后比值比1.12，95%置信区间1.10 - 1.35），而独立保护因素为对知道如何预防COVID-19（调整后比值比0.89，95%置信区间0.82 - 0.97）以及如何安全母乳喂养（调整后比值比0.89，95%置信区间0.83 - 0.95）有信心。
COVID-19大流行对孕产妇焦虑有重大影响。
