Department of Obstetrics and Gynaecology, Faculty of Medicine, National University of Malaysia, Universiti Kebangsaan Malaysia Medical Center, Cheras 56000, Malaysia.
Department of Psychiatry, Faculty of Medicine, National University of Malaysia, Universiti Kebangsaan Malaysia Medical Center, Cheras 56000, Malaysia.
Int J Environ Res Public Health. 2021 May 27;18(11):5762. doi: 10.3390/ijerph18115762.
Pregnant women are susceptible to COVID-19 complications due to gestation-related physiological changes. We aimed to evaluate the level of maternal knowledge, perception, and practice during the pandemic. A cross-sectional study was conducted during the Malaysian Movement Control Order (MCO) between April and June 2020. A self-administered electronic questionnaire that included the knowledge and practice domains was distributed. A newly designed set of questions was used to evaluate (1) women's perception of MCO and (2) maternal experience, which was subdivided into clinical care provision and maternal anxiety. The survey response rate was 93% with the final number for analysis of 415. The majority of women (95%) demonstrated an adequate level of knowledge on COVID-19, whilst 99% had a good practice. We found that tertiary education ( < 0.001), employment status ( = 0.03), higher household income ( < 0.001), and multiple sources of information ( < 0.001) were independent predictors of adequate maternal knowledge on COVID-19. Women with adequate knowledge also reported a more positive perception of MCO ( < 0.001) and better obstetric care experience ( = 0.037), as did those of Malay ethnicity. Younger ( < 0.001) and nulliparous ( = 0.01) women demonstrated greater anxiety levels. The majority of our women reported good practice and adequate knowledge, which contributed to a positive perception of MCO and better maternal obstetric experience. First-time mothers may benefit from extra support and reassurance during the pandemic to alleviate maternal anxiety.
孕妇由于妊娠相关的生理变化而易感染 COVID-19 并发症。我们旨在评估疫情期间产妇的知识、认知和实践水平。本研究于 2020 年马来西亚行动管制令(MCO)期间 4 月至 6 月进行了一项横断面研究。采用自我管理的电子问卷,其中包括知识和实践领域。使用一组新设计的问题来评估(1)女性对 MCO 的认知,(2)产妇经历,其分为临床护理提供和产妇焦虑。调查的回复率为 93%,最终分析的数量为 415。大多数女性(95%)对 COVID-19 具有足够的知识水平,而 99%的女性有良好的实践水平。我们发现,高等教育(<0.001)、就业状况(=0.03)、较高的家庭收入(<0.001)和多种信息来源(<0.001)是产妇对 COVID-19 有足够知识的独立预测因素。有足够知识的女性还报告说对 MCO 的认知更积极(<0.001),以及更好的产科护理体验(=0.037),马来族裔的女性也是如此。年龄较小(<0.001)和未生育的(=0.01)女性表现出更高的焦虑水平。我们的大多数女性报告说实践良好且知识充足,这有助于对 MCO 有积极的认知和更好的产妇产科体验。初产妇可能受益于大流行期间的额外支持和保证,以减轻产妇的焦虑。