Department of Obstetrics and Gynecology, Kütahya Health Sciences University, Kutahya, Turkey.
Department of Obstetrics and Gynecology, Faculty of Medicine, Kutahya Health Sciences University, Evliya Çelebi Campus on Tavşanlı Road 10. km, Kutahya, 43020, Turkey.
Sci Rep. 2024 May 14;14(1):11067. doi: 10.1038/s41598-024-61307-9.
We aimed to investigate how factors such as age, education level, planned delivery method and fear of childbirth were affected in pregnant women before and during the pandemic. This cross-sectional study compared a pre-pandemic pregnant group (July 2019 and December 2019) and a pandemic group (November 2020 and May 2021) of patients at Kütahya Health Sciences University Evliya Çelebi Training and Research Hospital. A total of 696 pregnant women in their second trimester were included in the study. All of them were literate and voluntarily agreed to participate in the study. Data were collected with the Wijma delivery expectancy/experience questionnaire (WDEQ-A), and the outpatient doctor asked the questions face-to-face. The mean age of the pregnant women participating in the study was 31.6 ± 6.8 years. While the total Wijma score was 62.1 ± 25.1 in the pre-pandemic group, it was 61.3 ± 26.4 in the pandemic group, and there was no significant difference between the two groups (p = 0.738). Upon analyzing the fear of childbirth among groups based on education level, no statistically significant differences were observed between the pre-pandemic and pandemic periods within any of the groups. While 25.7% (n = 179) of all participants had a normal fear of childbirth, 22% (n = 153) had a mild fear of childbirth, 27% (n = 188) had a moderate fear of childbirth, and 25.3% (n = 176) had a severe fear of childbirth (Wijma score of 85 and above). When the pre-pandemic and the pandemic period were compared, the fear of childbirth was unchanged in pregnant women at all education levels (p = 0.079, p = 0.957, p = 0.626, p = 0.539, p = 0.202). When comparing fear of childbirth before and after the pandemic, it was found that patients with a high school education level have a significantly higher fear of childbirth. To alleviate the fear of childbirth in pregnant women who have completed high school, training or psychosocial support interventions may be prioritized.
我们旨在研究年龄、教育水平、分娩计划和对分娩的恐惧等因素在疫情前后如何影响孕妇。这项横断面研究比较了库塔亚健康科学大学埃夫利亚切莱比培训与研究医院的一个疫情前孕妇组（2019 年 7 月和 12 月）和一个疫情孕妇组（2020 年 11 月和 2021 年 5 月）。共有 696 名孕中期孕妇参与了这项研究。她们都有文化程度并自愿参加研究。数据是通过 Wijma 分娩期望/体验问卷（WDEQ-A）收集的，门诊医生面对面地询问了这些问题。参与研究的孕妇的平均年龄为 31.6±6.8 岁。在疫情前组，总 Wijma 评分为 62.1±25.1，而在疫情组为 61.3±26.4，两组之间无显著差异（p=0.738）。根据教育水平分析各组之间的分娩恐惧，在任何一组中，疫情前和疫情期间都没有观察到统计学上的显著差异。所有参与者中，25.7%（n=179）有正常的分娩恐惧，22%（n=153）有轻度的分娩恐惧，27%（n=188）有中度的分娩恐惧，25.3%（n=176）有严重的分娩恐惧（Wijma 评分 85 分及以上）。当比较疫情前和疫情期间时，所有教育水平的孕妇的分娩恐惧都没有变化（p=0.079，p=0.957，p=0.626，p=0.539，p=0.202）。在比较疫情前后的分娩恐惧时，发现具有高中学历的患者分娩恐惧明显更高。为了减轻完成高中学业的孕妇的分娩恐惧，可以优先考虑培训或社会心理支持干预。
