Bogler Tali, Hussain-Shamsy Neesha, Schuler Andrée, Pirmohamed Jenna, Shore Eliane M, Wijayasinghe Sheila, Dennis Cindy-Lee, Vigod Simone N, Barker Lucy C
Family physician and Chair of Family Medicine Obstetrics at St Michael's Hospital (SMH) Academic Family Health Team in Toronto, Ont, Investigator at the Li Ka Shing Knowledge Institute at SMH, and Assistant Professor in the Department o Family and Community Medicine at the University of Toronto (UofT).
PhD Candidate in Health Services Research at the Institute for Health Policy, Management and Evaluation (IHPME) at UofT.
Can Fam Physician. 2021 Sep;67(9):e257-e268. doi: 10.46747/cfp.6709e257. Epub 2021 Sep 14.
To determine common sources of concern among pregnant individuals during the coronavirus disease 2019 (COVID-19) pandemic.
A cross-sectional, open, online electronic survey from May 9, 2020, to June 14, 2020.
Electronic survey open internationally and advertised through Canadian-based social media platforms.
Eligible participants understood English and had been pregnant during the COVID-19 pandemic (ie, were pregnant at the time of survey completion or had delivered an infant on or after March 11, 2020).
Potential sources of concern related to the pandemic, calculated as the proportion of participants who endorsed each concern among those for whom the concern was relevant. Differences in the proportion of individuals endorsing each concern were compared by parity using modified Poisson regression. Frequency of concerns was examined in terms of level of distress, as per the Kessler Psychological Distress Scale (K6), using multivariable linear regression.
Out of 1477 participants, 87.3% were Canadian. Top concerns included the following: hospital policies related to support persons during labour (80.9%), not being able to introduce the baby to family and friends (80.1%), and developing COVID-19 while pregnant (79.2%). Primiparous participants were more likely than multiparous participants to be concerned about accessing in-person prenatal classes (51.5% vs 13.3%; relative risk = 3.88; 95% CI 2.02 to 4.98) and cancellation of hospital tours (35.0% vs 5.6%, relative risk = 6.26; 95% CI 4.25 to 9.20), among other concerns. The mean (SD) K6 score was 6.7 (3.8) within the moderate to high distress range. Number of concerns reported was associated with K6 score in both primiparous (β = 0.24; 95% CI 0.20 to 0.29; < .0001) and multiparous (β = 0.30; 95% CI 0.24 to 0.36; < .0001) individuals.
Pregnant individuals have unique concerns during the COVID-19 pandemic and the findings indicate the importance of targeted support strategies to meet the particular needs of both primiparous and multiparous pregnant individuals.
确定2019年冠状病毒病（COVID-19）大流行期间孕妇共同关注的问题来源。
2020年5月9日至2020年6月14日进行的一项横断面、开放式在线电子调查。
电子调查在国际范围内开放，并通过加拿大的社交媒体平台进行宣传。
符合条件的参与者懂英语，且在COVID-19大流行期间怀孕（即调查完成时怀孕或在2020年3月11日及以后分娩）。
与大流行相关的潜在关注问题来源，以认可每个问题的参与者在该问题相关人群中所占比例计算。使用修正泊松回归按胎次比较认可每个问题的个体比例差异。根据凯斯勒心理困扰量表（K6），使用多变量线性回归按困扰程度检查关注问题的频率。
在1477名参与者中，87.3%为加拿大人。最主要的担忧包括：分娩时医院关于陪产人员的政策（80.9%）、无法将婴儿介绍给家人和朋友（80.1%）以及怀孕期间感染COVID-19（79.2%）。初产妇比经产妇更可能担心参加面对面产前课程（51.5%对13.3%；相对风险=3.88；95%置信区间2.02至4.98）以及取消医院参观（35.0%对5.6%，相对风险=6.26；95%置信区间4.25至9.20）等问题。K6评分的平均值（标准差）为6.7（3.8），处于中度至高度困扰范围内。报告的担忧问题数量在初产妇（β=0.24；95%置信区间0.20至0.29；P<.0001）和经产妇（β=0.30；95%置信区间0.24至0.36；P<.0001）中均与K6评分相关。
在COVID-19大流行期间，孕妇有独特的担忧，研究结果表明制定针对性支持策略以满足初产妇和经产妇孕妇特殊需求的重要性。
