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2019冠状病毒病大流行期间怀孕对分娩期望和产前情感联结的影响。

The influence of being pregnant during the COVID-19 pandemic on birth expectations and antenatal bonding.

作者信息

Schaal Nora K, Hagenbeck Carsten, Helbig Martina, Wulff Verena, Märthesheimer Sarah, Fehm Tanja, Hepp Philip

机构信息

Department of Experimental Psychology, Heinrich-Heine-University, Düsseldorf, Germany.

Clinic for Gynecology and Obstetrics, Heinrich-Heine-University, Düsseldorf, Germany.

出版信息

J Reprod Infant Psychol. 2023 Feb;41(1):15-25. doi: 10.1080/02646838.2021.1962825. Epub 2021 Aug 18.

Abstract

PURPOSE

The aim of the present study was to compare birth expectations and antenatal bonding of women pregnant prior to and during the COVID-19 pandemic.

MATERIALS AND METHODS

In total, 74 pregnant women (mean age: 33.9 ± 4.1 years, gestational age: 36 ± 2 weeks) participated in the study, who were pregnant either during the the COVID-19 pandemic (, N = 35, April-July 2020) or before the pandemic (, N = 39, October 2017-January 2019). Birth expectations were measured using the Wijma Delivery Expectancy Questionnaire (WDEQ) and Salmon's Item List (SIL) and antenatal bonding with the Maternal Antenatal Attachment Scale (MAAS). Additionally, the indicated their level of worry regarding different pandemic-related aspects using visual analogue scales.

RESULTS

The displayed significantly elevated fear of childbirth measured by the WDEQ and lower antenatal bonding quality compared to the . The additional items regarding COVID-19 burdens highlighted that the aspects that the partner may not be present during labour and that no visitors will be allowed in hospital were associated with the highest worries.

CONCLUSIONS

Midwives and gynaecologists should be aware of the negative impact of the COVID-19 pandemic on fear of childbirth and antenatal bonding .

摘要

目的

本研究旨在比较在新冠疫情之前及疫情期间怀孕的女性的分娩期望和产前情感联结。

材料与方法

共有74名孕妇(平均年龄:33.9 ± 4.1岁,孕周:36 ± 2周)参与了本研究,她们要么在新冠疫情期间怀孕(N = 35,2020年4月至7月),要么在疫情之前怀孕(N = 39,2017年10月至2019年1月)。使用维伊玛分娩期望问卷(WDEQ)和萨尔蒙项目清单(SIL)来测量分娩期望,并使用母亲产前依恋量表(MAAS)来测量产前情感联结。此外,她们使用视觉模拟量表表明了对不同疫情相关方面的担忧程度。

结果

与疫情之前怀孕的女性相比,疫情期间怀孕的女性通过WDEQ测量出的分娩恐惧显著升高,且产前情感联结质量较低。关于新冠疫情负担的其他项目突出表明,伴侣可能在分娩期间不在场以及医院不允许访客探视这些方面与最高的担忧相关。

结论

助产士和妇科医生应意识到新冠疫情对分娩恐惧和产前情感联结的负面影响。

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