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Knowledge, attitudes, practices, and influencing factors of anxiety among pregnant women in Wuhan during the outbreak of COVID-19: a cross-sectional study.
Ding, Wenping; Lu, Jianmei; Zhou, Yan; Wei, Weizhong; Zhou, Zhihong; Chen, Min.
  • Ding W; Department of diagnostic ultrasound, Wuhan Women and Children Medical Care Center, Wuhan, 430030, China.
  • Lu J; Department of diagnostic ultrasound, Wuhan Women and Children Medical Care Center, Wuhan, 430030, China.
  • Zhou Y; Department of Obstetrics, Wuhan Women and Children Medical Care Center, Wuhan, 430030, China.
  • Wei W; Department of diagnostic ultrasound, Wuhan Women and Children Medical Care Center, Wuhan, 430030, China.
  • Zhou Z; Department of diagnostic ultrasound, Maternal and Children's Hospital of Jiangxia District, Wuhan, 430100, China.
  • Chen M; Department of Fetal Medicine and Prenatal Diagnosis, the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510150, China. edchen99@gmail.com.
BMC Pregnancy Childbirth ; 21(1): 80, 2021 Jan 25.
Article in English | MEDLINE | ID: covidwho-1067204
ABSTRACT

BACKGROUND:

Prenatal anxiety has been a significant public health issue globally, leading to adverse health outcomes for mothers and children. The study aimed to evaluate the sociodemographic characteristics, knowledge, attitudes, and practices (KAP), and anxiety level of pregnant women during the coronavirus disease 2019 (COVID-19) epidemic in Wuhan and investigate the influencing factors for prenatal anxiety in this specific context.

METHODS:

Pregnant subjects' KAP towards COVID-19 and their sociodemographics and pregnancy information were collected using questionnaires. The Zung Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Factors associated with the level of prenatal anxiety were analyzed by Pearson's chi-square test and multivariable logistic regression analyses.

RESULTS:

The prenatal anxiety prevalence in this population was 20.8%. The mean score of knowledge was 13.2 ± 1.1 on a 0 ~ 14 scale. The attitudes and practices data showed that 580/ 817 (71.0%) were very concerned about the news of COVID-19, 455/817 (55.7%) considered the official media to be the most reliable information source for COVID-19, and 681/817 (83.4%) were anxious about the possibility of being infected by COVID-19. However, only 83/817 (10.2%) worried about contracting COVID-19 infection through the ultrasound transducer during a routing morphology scan. About two-thirds 528/817 (64.6%) delayed or canceled the antenatal visits. Approximately half of them 410/817 (50.2%) used two kinds of personal protection equipments (PPEs) during hospital visits. Logistic regression analysis revealed that the influential factors for prenatal anxiety included previous children in the family, knowledge score, media trust, worry of contracting the COVID-19 infection and worry about getting infected with COVID-19 from the ultrasound probe antenatal care (ANC) schedule.

CONCLUSION:

Prenatal anxiety was prevalent among pregnant women in Wuhan during the outbreak of COVID-19. The current findings identified factors associated with the level of prenatal anxiety that could be targeted for psychological care.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pregnancy Complications, Infectious / Health Knowledge, Attitudes, Practice / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Pregnancy Country/Region as subject: Asia Language: English Journal: BMC Pregnancy Childbirth Journal subject: Obstetrics Year: 2021 Document Type: Article Affiliation country: S12884-021-03561-7

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pregnancy Complications, Infectious / Health Knowledge, Attitudes, Practice / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Pregnancy Country/Region as subject: Asia Language: English Journal: BMC Pregnancy Childbirth Journal subject: Obstetrics Year: 2021 Document Type: Article Affiliation country: S12884-021-03561-7