Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy
Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy
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DOI：
10.1016/j.wombi.2020.07.002
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发表时间：
2021-06-11
期刊：
影响因子：
3.8
通讯作者：
Vannacci, Alfredo
中科院分区：
文献类型：
--
作者：
Ravaldi, Claudia;Wilson, Alyce;Vannacci, Alfredo
背景：2020年3月，新冠肺炎被宣布为大流行。虽然数据表明，新冠肺炎与孕妇和新生儿的重大不良健康结局无关，但对孕妇的心理影响可能很高。目的：旨在探讨新冠肺炎疫情对意大利孕妇的心理影响，特别是在担忧和生育预期方面。方法：对意大利孕妇进行横断面在线调查。对所有妇女的反应进行了分析，并根据以前的流产经历将其分为两组。对公开文本答复的分析审查了大流行爆发前后的预期和关切。调查结果：200名孕妇对第一波调查做出了回应。大多数(n=157，78.5%)有其他孩子，100(50.0%)有围产期缺失史。在新冠肺炎之前，最常表达的情绪是“快乐”(126vs63.0%，p<；0.05后是34.0%，p<；0.05之后是17.0%)；恐惧是最普遍的情绪，之后(15%，7.5%，vs98，49.0%)。新冠肺炎之前以正向构念为主，后以负向构念为主(p<；0.05)。在全国范围内，女性担心新冠肺炎，有心理障碍史与更高的担忧显著相关(p<；0.05)。之前的怀孕失败并没有影响女性的担忧。结论：由于意大利新冠肺炎大流行，女性对分娩的期望和担忧发生了显著变化。有心理障碍史的女性需要特别关注，因为她们似乎经历了更高水平的担忧。(C)2020作者。爱思唯尔有限公司代表澳大利亚助产士学院出版。这是CC BY-NC-ND License(http://creativecommons.org/licenses/by-nc-nd/4.0/).下的一篇开放获取文章
Background: In March 2020, COVID-19 was declared to be a pandemic. While data suggests that COVID-19 is not associated with significant adverse health outcomes for pregnant women and newborns, the psychological impact on pregnant women is likely to be high. Aim: The aim was to explore the psychological impact of the COVID-19 pandemic on Italian pregnant women, especially regarding concerns and birth expectations. Methods: A cross-sectional online survey of pregnant women in Italy was conducted. Responses were analysed for all women and segregated into two groups depending on previous experience of pregnancy loss. Analysis of open text responses examined expectations and concerns before and after the onset of the pandemic. Findings: Two hundred pregnant women responded to the first wave of the survey. Most (n = 157, 78.5%) had other children and 100 (50.0%) had a previous history of perinatal loss. 'Joy' was the most prevalent emotion expressed before COVID-19 (126, 63.0% before vs 34, 17.0% after; p < 0.05); fear was the most prevalent after (15, 7.5% before vs 98, 49.0% after; p < 0.05). Positive constructs were prevalent before COVID-19, while negative ones were dominant after (p < 0.05). Across the country, women were concerned about COVID-19 and a history of psychological disorders was significantly associated with higher concerns (p < 0.05). A previous pregnancy loss did not influence women's concerns. Conclusions: Women's expectations and concerns regarding childbirth changed significantly as a result of the COVID-19 pandemic in Italy. Women with a history of psychological disorders need particular attention as they seem to experience higher levels of concern. (c) 2020 The Authors. Published by Elsevier Ltd on behalf of Australian College of Midwives. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).