Obstetrical Department, School of Medicine, Women's Hospital, Zhejiang University, Hangzhou, 310006, China.
Ninghai Maternal and Child Health Hospital, Ningbo, China.
BMC Womens Health. 2024 Jun 7;24(1):333. doi: 10.1186/s12905-024-03087-y.
Pregnant women faced great challenges and psychological and physiological changes of varying degrees during the omicron epidemic outbreak. It is important to recognize the potential impact of these challenges on the mental health of pregnant women and to provide appropriate resources and support to mitigate their effects.
By using the convenience sampling approach, a total of 401 pregnant women from two hospitals of different grades in two cities were included in the survey. The cross-sectional survey was conducted by basic characteristics, Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9), Insomnia Severity Index (ISI) and self-made questionnaire.
Insomnia affected 207 participants (51.6%), depression affected 160 participants (39.9%) and anxiety affected 151 participants (37.7%). Moreover, pregnant women in provincial capital city were more likely to experience anxiety, depression and insomnia than those in county-level city (P < 0.01). Pregnant women's anxiety, depression and insomnia were positively correlated with the severity of COVID-19 infection (P < 0.05). However, COVID-19 infection had no appreciable impact on maternal demand for termination of pregnancy and cesarean section (P > 0.05).
Pregnant women frequently suffer from anxiety disorder, depression and insomnia as a result of the omicron pandemic in China. During this period, the community and medical professionals should provide more psychological counseling, conduct health education and offer virtual prenatal care to pregnant women (particularly in the provincial capital city).
在奥密克戎疫情爆发期间,孕妇面临着巨大的挑战和不同程度的心理和生理变化。认识到这些挑战对孕妇心理健康的潜在影响,并提供适当的资源和支持以减轻其影响非常重要。
采用便利抽样法,选取两个城市两所不同级别医院的 401 名孕妇进行横断面调查。通过基本特征、广泛性焦虑障碍量表(GAD-7)、患者健康问卷(PHQ-9)、失眠严重程度指数(ISI)和自制问卷进行调查。
207 名孕妇(51.6%)存在失眠,160 名孕妇(39.9%)存在抑郁,151 名孕妇(37.7%)存在焦虑。省会城市孕妇焦虑、抑郁、失眠的发生率高于县级城市(P < 0.01)。孕妇的焦虑、抑郁、失眠与新冠感染严重程度呈正相关(P < 0.05)。然而,新冠感染对孕妇终止妊娠和剖宫产的需求没有明显影响(P > 0.05)。
在中国奥密克戎疫情期间,孕妇经常出现焦虑障碍、抑郁和失眠。在此期间,社区和医疗专业人员应为孕妇提供更多的心理咨询、健康教育和虚拟产前护理(特别是在省会城市)。