Department of Obstetrics and Gynecology, Zhongnan Hospital of Wuhan University, Wuhan Hubei, P.R. China.
Clinical Medicine Research Centre of Prenatal Diagnosis and Birth Health in Hubei Province, Wuhan, Hubei, P.R. China.
J Perinat Med. 2021 Apr 16;49(6):664-673. doi: 10.1515/jpm-2020-0541. Print 2021 Jul 27.
The outbreak of COVID-19 affects both physical and mental health of pregnant women. This study focuses on their psychological status, and analyzes the main factors affecting their emotions of pregnant women so as to provide guidance for psychological counseling and social intervention during epidemics.
Multiple researchers distributed a questionnaire online via the Internet. Pregnant women volunteered, and the questionnaire was automatically collected in the background.
The 298 valid questionnaires recovered showed that 82 cases of pregnant women were in states of anxiety, accounting for 27.51%, of which 78.05% were mild (82 cases), 19.51% were moderate (16 cases), and 2.44% were severe (2 cases). Moreover, 31.21% of pregnant women were in states of depression (93 cases), of which 52.69% were mild (49 cases), 40.86% were moderate (38 cases), and 6.45% were severe (6 cases). The risk factors for states of anxiety or depression were fear of fetal malformation or genetic disease, history of adverse pregnancy, can't do routine prenatal examination, and insufficient support and care from husbands and families. Besides, 16 cases had sought psychological help during the epidemic, among whom 62.50% (10 cases) experienced anxiety, 68.75% (11 cases) had depression.
During the outbreak of COVID-19, obstetricians may take use of the Internet, based on the advantages in epidemic prevention, controlling health education, and popularizing science. In addition, husbands and family members should provide greater care for pregnant women, to protect their mental health during public health incidents.
COVID-19 的爆发不仅影响了孕妇的身体健康，也对其心理健康产生了影响。本研究聚焦于孕妇的心理状态，并分析影响其情绪的主要因素，以期为疫情期间的心理咨询和社会干预提供指导。
多名研究人员通过互联网在线发放问卷，孕妇自愿参与，问卷结果自动在后台收集。
共回收 298 份有效问卷，其中 82 例孕妇处于焦虑状态，占 27.51%，其中轻度焦虑 78.05%（82 例）、中度焦虑 19.51%（16 例）、重度焦虑 2.44%（2 例）。此外，31.21%的孕妇有抑郁状态（93 例），其中轻度抑郁 52.69%（49 例）、中度抑郁 40.86%（38 例）、重度抑郁 6.45%（6 例）。焦虑或抑郁的风险因素包括担心胎儿畸形或遗传疾病、不良妊娠史、不能进行常规产前检查、以及来自丈夫和家庭的支持和关怀不足。此外，16 例孕妇在疫情期间寻求过心理帮助，其中 62.50%（10 例）有焦虑，68.75%（11 例）有抑郁。
在 COVID-19 疫情期间，妇产科医生可以利用互联网，基于其在疫情防控、健康教育、科学普及等方面的优势，为孕妇提供心理支持。此外，丈夫和家人应该给予孕妇更多的关怀，以保护其在突发公共卫生事件中的心理健康。
