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新冠疫情对孕期孕产妇焦虑的影响:一项患病率研究。

Impact of the COVID-19 pandemic on maternal anxiety during pregnancy: A prevalence study.

作者信息

Bermúdez-González M, Álvarez-Silvares E, Santa-María-Ortiz J K, Castro-Vilar L, Vázquez-Rodriguez M

机构信息

Obstetrics and Gynecology Service, Complexo Hospitalario Universitario de Ourense, Galicia, Spain.

出版信息

Clin Invest Ginecol Obstet. 2022 Oct-Dec;49(4):100776. doi: 10.1016/j.gine.2022.100776. Epub 2022 Jun 8.

DOI:10.1016/j.gine.2022.100776
PMID:35693637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9174146/
Abstract

AIM

To assess the impact of the coronavirus SARS-CoV-2 pandemic on the level of anxiety in low-risk pregnant women.

MATERIAL AND METHOD

Epidemiological, descriptive, prevalence study. A total of 74 patients who underwent low risk antenatal controls during the state of alarm because of COVID-19, were included. They filled in the Hamilton Anxiety Rating Scale and a specific document about the pandemic. Clinical histories and different variables of clinical interest were reviewed and compiled, respectively.

RESULTS

Mean age was 34.05 years with average amenorrhoea of 28.17 weeks. A total of 77% of the sample presented symptoms and signs compatible with anxiety. Of these, 44.6% and 32.4% presented minor and major anxiety, respectively. Concern over the time of the birth and postpartum and fear of being at greater risk because of possible infection was present in 95.9% and 94.6% of the sample, respectively. A total of 93.2% of the sample was afraid of intrauterine virus transmission; 94.5% admitted fear over the neonatal consequences of infection.

CONCLUSIONS

The pregnant women assessed had three times more anxiety during the COVID-19 pandemic. This incidence is independent of most study variables.

摘要

目的

评估新型冠状病毒SARS-CoV-2大流行对低风险孕妇焦虑水平的影响。

材料与方法

流行病学、描述性、患病率研究。纳入了74名在因COVID-19实施警戒状态期间接受低风险产前检查的患者。她们填写了汉密尔顿焦虑评定量表以及一份关于该大流行的特定文件。分别查阅并整理了临床病史和不同的临床相关变量。

结果

平均年龄为34.05岁,平均闭经28.17周。共有77%的样本出现了与焦虑相符的症状和体征。其中,分别有44.6%和32.4%表现为轻度和重度焦虑。样本中分别有95.9%和94.6%的人担心分娩时间和产后情况,以及因可能感染而面临更大风险。共有93.2%的样本担心宫内病毒传播;94.5%承认担心感染对新生儿的影响。

结论

接受评估的孕妇在COVID-19大流行期间的焦虑程度高出三倍。这一发生率与大多数研究变量无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a5/9174146/b5c7f27a444e/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a5/9174146/b5c7f27a444e/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a5/9174146/b5c7f27a444e/gr1_lrg.jpg

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本文引用的文献

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Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID-19 outbreak: a cross-sectional study.新冠疫情期间武汉和重庆孕妇的产前焦虑与产科决策:一项横断面研究。
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Distress and anxiety associated with COVID-19 among Jewish and Arab pregnant women in Israel.
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Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic.在 2019 冠状病毒病大流行期间孕妇的痛苦和精神症状呈上升趋势。
Acta Obstet Gynecol Scand. 2020 Jul;99(7):848-855. doi: 10.1111/aogs.13925. Epub 2020 Jun 3.
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Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China.中国 2019 冠状病毒病疫情期间孕妇的围产期抑郁和焦虑症状。
Am J Obstet Gynecol. 2020 Aug;223(2):240.e1-240.e9. doi: 10.1016/j.ajog.2020.05.009. Epub 2020 May 11.
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