Universidad de Antioquia, Medellín (Colombia).
Clínica de la Mujer, Bogotá (Colombia).
Rev Colomb Obstet Ginecol. 2022 Jun 30;73(2):194-202. doi: 10.18597/rcog.3821.
To describe the prevalence of symptoms of depression and worry affecting pregnant women during the COVID-19 pandemic.
Descriptive crosssectional study that included pregnant women with access to a technological device (mobile phone, computer or tablet) and Internet connection, living in Antioquia, Colombia. Women with literary and technological illiteracy were excluded. An online survey was conducted to gather information about sociodemographic and baseline clinical conditions and the main concerns caused by the pandemic. Additionally, the Edinburg Depression Scale (EPDS) was applied in order to measure the risk of depression. The Jamovi software was used for data processing and statistical analysis.
Overall, 345 pregnant women between 15 and 44 years of age were surveyed, with the finding of a 30.4 % prevalence of the risk of depression. Domestic violence and absence of a support network were identified in 4.9 % and 8.4 % of cases. The major sources of worry were the fear of being separated from their babies on the day of birth, the possibility of having to be alone during childbirth, and the fear of contagion due to potential effects on the fetus or the newborn.
Depression symptoms have been frequent among pregnant women during the COVID-19 pandemic. It is important to inquire about stress factors and depression symptoms during prenatal visits, childbirth and the postpartum period. Additional local studies are needed to assess other mental health disorders that may have increased during the COVID-19 pandemic.
描述 COVID-19 大流行期间影响孕妇的抑郁和担忧症状的流行情况。
这是一项描述性的横断面研究，纳入了能够使用手机、电脑或平板电脑等技术设备并能上网的、居住在哥伦比亚安蒂奥基亚的孕妇。研究排除了有读写和技术障碍的孕妇。通过在线调查收集了有关社会人口学和基线临床情况以及大流行引起的主要担忧的信息。此外，还应用爱丁堡抑郁量表（EPDS）来评估抑郁风险。使用 Jamovi 软件进行数据处理和统计分析。
总共调查了 345 名 15 至 44 岁的孕妇，发现有 30.4%的孕妇有抑郁风险。4.9%的孕妇存在家庭暴力问题，8.4%的孕妇缺乏支持网络。主要的担忧来源是害怕在分娩当天与婴儿分离、害怕分娩时独自一人以及担心因对胎儿或新生儿的潜在影响而感染。
在 COVID-19 大流行期间，孕妇中出现抑郁症状的情况较为常见。在产前检查、分娩和产后期间，询问压力因素和抑郁症状非常重要。需要开展更多的本地研究来评估 COVID-19 大流行期间可能增加的其他心理健康障碍。
