Marwah Sheeba, Sharma Poornima, Tripathi Shiwani, Arora Divya, Agarwal Ambika, Malik Abhigya, Gaikwad Harsha, Bajaj Bindu
Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Cureus. 2024 Jan 20;16(1):e52618. doi: 10.7759/cureus.52618. eCollection 2024 Jan.
Effect of the COVID-19 pandemic on knowledge, attitude, and practices toward antenatal care among antenatal women.
Prospective observational study.
After taking written and informed consent, 3000 term/near-term SARS CoV2-negative antenatal women admitted to the hospital for emergency were enrolled; excluding those in advance labour or critically ill. An interview was conducted and a knowledge, attitude, and practices (KAP) questionnaire was filled out based on verbatim answers. All women were then given individualized antenatal and postnatal care as per hospital protocols and discharged accordingly. The data obtained during the study was recorded on predesigned case proforma and analysed at the end of the study using the SPSS v. 23 software, after the application of appropriate statistical tests.
All women knew about the pandemic and its signs and symptoms along with precautions to be taken. Most of the women 2652 (88.4%) thought that they were at increased risk of contracting an infection during pregnancy and 2208 (73.6%) thought that coronavirus can harm the baby and will increase the risk of pregnancy. Awareness of nearby health facilities providing antenatal care was in 71.2% and 94% were aware of functional outpatient department services but only 1.4% were aware of teleconsultation services. About 2094 women have had any ANC visits. All of them knew that taking iron, Ca and vitamin supplements and getting an ultrasound and investigations were necessary but only 1524 (50.8%) took these supplements regularly, 1752 (58.4%) got their ultrasound done and 41.6% got investigations done. Two thousand four hundred thirty-six (81.2%) women had this fear that they would contract COVID-19 infection during their visit to the hospital. All the respondents of our study wanted to have hospital delivery and knew that it was necessary to have ANC registration and none of them wanted to have home delivery.
Mastering correct knowledge will foster a positive attitude among antenatal women and will not only prevent disease transmission but also improve pregnancy outcomes.
新型冠状病毒肺炎疫情对孕产妇女产前护理知识、态度及行为的影响。
前瞻性观察性研究。
在获得书面知情同意后，纳入3000名因急诊入院的足月/近足月新型严重急性呼吸综合征冠状病毒2阴性孕产妇女；排除已临产或病情危重者。进行访谈，并根据逐字记录的回答填写知识、态度及行为（KAP）问卷。然后根据医院规程为所有妇女提供个性化的产前和产后护理，并相应安排出院。研究期间获得的数据记录在预先设计的病例记录表上，并在研究结束时使用SPSS v. 23软件，在应用适当的统计检验后进行分析。
所有妇女都了解疫情及其体征和症状以及需采取的预防措施。大多数妇女2652名（88.4%）认为她们在孕期感染的风险增加，2208名（73.6%）认为冠状病毒会伤害胎儿并增加妊娠风险。71.2%的妇女知晓附近提供产前护理的医疗机构，94%的妇女知晓正常运转的门诊服务，但只有1.4%的妇女知晓远程会诊服务。约2094名妇女进行过产前检查。她们都知道服用铁、钙和维生素补充剂以及进行超声检查和其他检查是必要的，但只有1524名（50.8%）定期服用这些补充剂，1752名（58.4%）进行了超声检查，41.6%进行了其他检查。2436名（81.2%）妇女担心她们在医院就诊期间会感染新型冠状病毒肺炎。我们研究的所有受访者都希望在医院分娩，并且知道进行产前检查登记是必要的，没有人希望在家分娩。
掌握正确知识将促进孕产妇女形成积极态度，不仅能预防疾病传播，还能改善妊娠结局。
