Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID-19 outbreak: a cross-sectional study
Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID-19 outbreak: a cross-sectional study
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COVID-19 爆发期间武汉和重庆孕妇的产前焦虑和产科决策：一项横断面研究
DOI：
10.1111/1471-0528.16381
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发表时间：
2020-08-02
影响因子：
5.8
通讯作者：
Qi, H.
中科院分区：
文献类型：
--
作者：
Liu, X.;Chen, M.;Qi, H.
目的调查COVID-19疫情期间孕妇的心理状况，并确定其产科决策。设计横断面研究。中国的两个城市-武汉（震中）和重庆（受影响较小的城市）。共有1947名孕妇。方法我们收集了怀孕受试者的人口统计、怀孕和流行病信息，沿着他们对COVID-19的态度（使用自制的五分量表）。使用焦虑自评量表（SAS）评估焦虑状态。还对产科决策进行了评价。比较各城市间焦虑水平的差异，并通过多变量分析确定影响焦虑水平的因素。主要观察指标焦虑状态及其影响因素。产科决策。结果武汉市女性对COVID-19的态度在某些背景特征上存在城市间差异，武汉市女性对COVID-19的态度更为极端。武汉的女性感到焦虑的比例更高（24.5%比10.4%）。影响焦虑的因素还包括家庭收入、主观症状和态度。总体而言，产科决定也显示出城市差异;这些决定主要涉及医院偏好、产前护理或分娩时间、分娩方式和婴儿喂养。结论本次暴发加重了产前焦虑，相关因素可作为心理护理的目标。与此同时，关键的产科决策发生了变化，强调需要有针对性的专业咨询。在流行病期间，对孕妇的特别支助是必不可少的。2019冠状病毒病的爆发增加了孕妇的焦虑，影响了她们的决策。
Objectives To investigate the mental status of pregnant women and to determine their obstetric decisions during the COVID-19 outbreak. Design Cross-sectional study. Setting Two cities in China--Wuhan (epicentre) and Chongqing (a less affected city). Population A total of 1947 pregnant women. Methods We collected demographic, pregnancy and epidemic information from our pregnant subjects, along with their attitudes towards COVID-19 (using a self-constructed five-point scale). The Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Obstetric decision-making was also evaluated. The differences between cities in all of the above factors were compared and the factors that influenced anxiety levels were identified by multivariable analysis. Main outcome measures Anxiety status and its influencing factors. Obstetric decision-making. Results Differences were observed between cities in some background characteristics and women's attitudes towards COVID-19 in Wuhan were more extreme. More women in Wuhan felt anxious (24.5 versus 10.4%). Factors that influenced anxiety also included household income, subjective symptom and attitudes. Overall, obstetric decisions also revealed city-based differences; these decisions mainly concerned hospital preference, time of prenatal care or delivery, mode of delivery and infant feeding. Conclusions The outbreak aggravated prenatal anxiety and the associated factors could be targets for psychological care. In parallel, key obstetric decision-making changed, emphasising the need for pertinent professional advice. Special support is essential for pregnant mothers during epidemics. Tweetable abstract The COVID-19 outbreak increased pregnant women's anxiety and affected their decision-making.