scholarly journals Pregnant women’s well-being and worry during the COVID-19 pandemic: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Forough Mortazavi ◽  
Maryam Mehrabadi ◽  
Roya KiaeeTabar
Keyword(s):  
Pregnant Women ◽  
Health Care Providers ◽  
Well Being ◽  
Cross Sectional Study ◽  
Psychological Disorder ◽  
World Health ◽  
Infected Person ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background COVID-19 caused some worries among pregnant women. Worries during pregnancy can affect women’s well-being. We investigated worry and well-being and associated factors among pregnant women during the COVID-19 pandemic. Methods This descriptive cross-sectional study was conducted on 484 pregnant women using an online questionnaire. Sampling was performed in a period between May 5 and Aug 5, 2020. Inclusion criteria were having a single healthy fetus and having no significant psychological disorder. We collected the data using the Persian versions of the World Health Organization’s Well-Being Index (WHO-5 Well-Being Index) and the Cambridge Worry Scale. We used univariate and multivariate logistic regression analyses to identify predictors of women’s worry and well-being. Results The mean total scores of the WHO-5 Well-Being Index and the percentage of WHO-5 score < 50 were 64.9 ± 29.0 and 24.4%, respectively. Predictors of women’s worry are the increased level of fear of COVID-19 (OR = 6.40, p <  0.001), a low family income (OR = 3.41, p <  0.001), employment status (OR = 1.86, p = 0.019), nulliparity (OR = 1.68, p = 0.024), having a COVID-19 infected person among relatives (OR = 2.45, p = 0.036), having a history of abortion (OR = 1.86, p = 0.012), having participated in the study after the first wave of COVID-19 outbreak (OR = 2.328, p = 0.003), and women’s age < 30 year (OR = 2.11, p = 0.002). Predictors of low level of well-being in pregnant women are worry about their own health and relationships (OR = 1.789, p = .017), worry about fetus health (OR = 1.946, p = 0.009), and having at least one infected person with COVID-19 among relatives (OR = 2.135, p = 0.036). Conclusions The percentage of women experiencing a low well-being state was relatively high. This result is worthy of attention by health care providers and policy makers. Providing care and support to pregnant women should have high priority during the COVID-19 pandemic.

scholarly journals Pregnant Women’s Well-being and Worry During the COVID-19 Pandemic: A Comparative Study

2020 ◽  
Author(s):  
Forough Mortazavi ◽  
Maryam Mehrabadi ◽  
Roya KiaeeTabar
Keyword(s):  
Pregnant Women ◽  
Well Being ◽  
Cross Sectional Study ◽  
Psychological Disorder ◽  
World Health ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Close Family Member ◽  
The Mean

Abstract Background: COVID-19 caused some worries among pregnant women. Worries during pregnancy can affect women’s well-being. We investigated worry and well-being and associated factors among pregnant women during the COVID-19 epidemic.Methods: This descriptive cross-sectional study was conducted on 484 pregnant women using an online questionnaire. Sampling was performed in a period between May 5 and Aug 5, 2020. Inclusion criteria were having a single healthy fetus and having no significant psychological disorder. We collected the data using the Persian versions of the World Health Organization's well-being Index (WHO-5 well-being index) and the Cambridge worry scale.Results: The mean total scores of the WHO-5 well-being index and the rate of WHO-5 score < 50 were 64.9 ± 29.0 and 24.4%, respectively. Predictors of women’s worry are the increased level of fear of COVID-19, a low family income, employment situation, nulliparity, and having no close family member with chronic disease (p < 0.05). The results of logistic regression analysis on well-being scores showed that the worry about fetus health (OR = 1.081, p = 0.005), women’s own health and relationships (OR = 1.055, p = 0.047), and having an infected person with COVID-19 among relatives (OR = 2.095, p = 0.039) could predict the well-being in pregnant women. The mean score of worry about fetus health in the current study was lower than that of the previous study (p = 0.024). The mean score of socio-economic worry in the current study was higher than that of the previous cross-sectional study (p = 0.025). The result indicates that the percentage of participants with a low level of well-being did not differ by the two periods under study (chi-square = 0.099, p = 0.753) (table 7). Conclusions: The percentage of women experiencing a low well-being state was relatively high. This result is worthy of attention by health care providers and policy makers. To decrease women’s socio economic concerns, governments and charities should expand programs providing financial support to pregnant women in low-income families. Providing care and support to pregnant women should have high priority during the COVID-19 pandemic.

scholarly journals Health anxiety and related factors among pregnant women during the COVID-19 pandemic: a cross-sectional study from Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Care Providers ◽  
Health Anxiety ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Third Trimester ◽  
Related Factors ◽  
Cross Sectional ◽  
The Third

Abstract Background The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods In this cross-sectional study, 300 pregnant women in different trimesters (n = 100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of < 27, 27–34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results Mean (SD) total anxiety scores were 22.3 ± 9.5, 24.6 ± 9.3 and 25.4 ± 10.6 in the first, second and third trimesters of pregnancy, respectively. 9, 13 and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p = 0.045). Conclusion At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.

scholarly journals Disclosure of herbal medicine use to health care providers among pregnant women in Nepal: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mansoor Ahmed ◽  
Hyea Bin Im ◽  
Jung Hye Hwang ◽  
Dongwoon Han
Keyword(s):  
Health Care ◽  
Herbal Medicine ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Pregnant women’s disclosure of herbal medicine (HM) use to their health care providers during pregnancy is crucial, as misuse of HM can have a detrimental effect on both pregnant woman and the fetus. However, the lack of disclosure of HM use to physicians remains a public health concern in developing countries such as Nepal. Methods A cross-sectional study was conducted among 400 postpartum women admitted at Maternity and Women’s Hospital located in Kathmandu, Nepal. The survey instrument included 30 questions on the use of HM during pregnancy, sociodemographic and health characteristics, and pregnancy outcomes. Chi-square test and logistic regression were conducted for data analysis using SPSS ver. 21.0., and a p-value of less than 0.05 was considered statistically significant for all analyses. Results 60.3% of respondents used at least one herbal remedy during their previous pregnancy, and the overall disclosure rate of HM use to healthcare providers was 54.6%. Women with secondary education level and four or more antenatal care visits were more likely to disclose their HM use to healthcare providers. Conclusions This study highlights that despite the popular use of HM among pregnant women in Nepal, most women obtained HM-related information from informal sources and did not disclose their HM use to physicians. To ensure the safe use of HM, physicians should integrate questions regarding patients’ HM use into their routine patient assessments to facilitate active communication and improve the quality of care.

scholarly journals Health anxiety and related factors among pregnant women during the COVID-19 pandemic: A cross-sectional study from Iran

2020 ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Care Providers ◽  
Health Anxiety ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Third Trimester ◽  
Related Factors ◽  
Cross Sectional ◽  
The Third

Abstract Background: The pandemic of COVID-19 affected many countries around the world and Iran was no exception. The aim of this study was to evaluate the health anxiety of the Iranian pregnant women during the pandemic of the COVID-19. Methods: In this cross-sectional study, 300 pregnant women in different trimesters (n=100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety questionnaire were used to collect the data. The total score < 27 of means low health anxiety, scores between 27-34 mean moderate health anxiety, and scores more than 35 means high health anxiety. Due to nationwide restrictions, data were collected through social media groups. The chi-square, ANOVA and multiple linear regression were used to analyze the data. Results: The total score of anxiety was 22.3±9.5, 24.6±9.3 and 25.4±10.6 in the first, second and third trimester of pregnancy, respectively. Particularly, 9%, 13% and 21% of the women had severe anxiety or scores≥35 in the first, second and third trimester of pregnancy respectively. Pregnant women in the third trimester had significantly higher health anxiety score and higher scores of “total health anxiety” than did those in the first trimester (p=0.045). Conclusion: At the time of the pandemic of COVID-19, women in the second and third trimester of pregnancy were more worried about consequences of disease, but the total score of health anxiety was significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as Corona pandemic.

scholarly journals Women's Expectations of Health Care Providers' Communication and Behavior in the Delivery Room: a Cross-sectional Study in the Kurdistan Region of Iraq

2021 ◽  
Author(s):  
Hamdia Mirkhan Ahmed
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Environmental Control ◽  
Cross Sectional Study ◽  
Delivery Room ◽  
World Health ◽  
Care Providers ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional

Abstract Background: Having a positive childbirth experience is highlighted as being important by the World Health Organization (WHO). One way of achieving this goal is to fulfill the expectations of women. This study aimed to find out women’s expectations in the delivery room and to determine the association between their overall level of expectation and sociodemographic and obstetrical characteristics. Methods: A cross-sectional study was conducted with 1196 women who agreed to participate and who met the inclusion criteria through convenient sampling. Data were collected through direct interviews after receiving informed consent. Sociodemographic and obstetric data, along with expectations items, were summarized by frequency and percentage. A chi-square test was used to find the association between overall expectation and sociodemographic and obstetric variables, general satisfaction with birth care, and communication of health care providers. Results: A majority of the study sample expected the following from health care providers in the delivery room: presence (78.6%), positive and calming verbal (76.3%) and nonverbal expressions (72.3%), environmental control (74.6%), encouragement of different positions and mobilization (75.9%), hygiene (77.5%), promotion of urinary elimination (75.8%), and instruction on breathing and relaxation (71.9%). The overall expectation level was divided into “high expectations” (68.6), “slight expectation” (29.9), and “no expectation” (1.4). Conclusion: Knowing the women’s expectations in the delivery room and how to effectuate them helps to inform plans of care and may also increase women’s satisfaction level, providing them with a more positive birth experience.

scholarly journals Health anxiety and related factors among pregnant women during the COVID-19 pandemic: A cross-sectional study from Iran

2021 ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Care Providers ◽  
Health Anxiety ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Third Trimester ◽  
Related Factors ◽  
Cross Sectional ◽  
The Third

Abstract Background: The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods: In this cross-sectional study, 300 pregnant women in different trimesters (n=100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of <27, 27-34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results: Mean (SD) total anxiety scores were 22.3±9.5, 24.6±9.3 and 25.4±10.6 in the first, second and third trimesters of pregnancy, respectively. 9%, 13% and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p=0.045). Conclusion: At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.

scholarly journals Protective Behaviour against COVID 19 and Telemedicine Use among the Pregnant Women during Pandemic Period: A Cross Sectional Study

2020 ◽  
pp. 44-52
Author(s):  
S. Anil Bindu Sukumaran ◽  
L. Manju ◽  
Divija Vijith ◽  
Regi Jose ◽  
Meghana Narendran ◽  
...  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Antenatal Visit ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Protective Measures ◽  
Protective Behaviour

Even though pregnant women are more prone to have severe COVID 19, few studies have been conducted on their protective behaviours against this disease in our country during the COVID-19 pandemic. Fear of getting COVID infection may prevent antenatal women from visiting hospitals for routine antenatal checkups and utilization of telemedicine may be an alternative to get connected with their health care providers during the pandemic. Aims: To evaluate the protective behaviour adopted by pregnant women during the COVID pandemic and their utilization of teleconsultation for antenatal care. Methods: A cross- sectional study was conducted among pregnant women attending three selected hospitals in Trivandrum District in Kerala during May to August 2020. The data was collected from a random sample of 252 pregnant women registered in these hospitals using a self-administered semi-structured questionnaire. Results: Around 89% of pregnant women had adopted good practice to protect themselves against the COVID 19. About 94% wore a mask whenever they went outside. About 72% completely avoided crowded place. About 72% had rated themselves to have good or very good knowledge regarding protective measures of COVID 19. Among the pregnant women, 61(24.2%) missed their scheduled antenatal visit once, 32(12.7%) missed twice and 8(3.2% missed three or more times during the pandemic period. Half of the pregnant women utilized telemedicine facility during the pandemic to stay connected with their doctors. But 31% were not aware of telemedicine facility in hospitals, while 1.6% does not have an internet access. Higher age group, current employment status and area of residence was found to be associated with poor practice. Conclusions: Nearly 89% pregnant women adopted good protective measures against COVID19. Measures need to be taken to improve the availability of telemedicine facility in hospitals for antenatal women and to improve awareness about it among public which may help the antenatal women to stay connected with their health care providers during this pandemic.

scholarly journals Health anxiety and related factors among pregnant women during the COVID-19 pandemic: a cross-sectional study from Iran

2020 ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Care Providers ◽  
Health Anxiety ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Third Trimester ◽  
Related Factors ◽  
Cross Sectional ◽  
The Third

Abstract Background: The pandemic of COVID-19 affected many countries as well as Iran. The aim of this study was to evaluate the health anxiety of the Iranian pregnant women in time of the pandemic of the COVID-19. Methods: In this cross-sectional study 300 pregnant women in different trimesters (n=100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety questionnaire were used to collect data. Because of quarantine data were collected through social media groups. The chi-square, ANOVA and multiple linear regression were used to analyze data. Results: The total score of anxiety was 22.3±9.5, 24.6±9.3 and 25.4±10.6 in the first, second and third trimester of pregnancy. In total, 9%, 13% and 21% of the women had severe anxiety or scores≥35 in the first, second and third trimester of pregnancy respectively. Pregnant women in the third trimester significantly had more health anxiety score and higher scores of “total health anxiety” than the first trimester ones(p=0.045). Conclusion: At the time of the pandemic of COVID-19, women in the second and third trimester of pregnancy were more worry about consequences of disease, but the total score of health anxiety was significantly more in the women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as Corona pandemic.

scholarly journals HUBUNGAN PENGETAHUAN IBU HAMIL DENGAN KEINGINAN IBU HAMIL DALAM MEMILIH METODE VAGINAL BIRTH AFTER CAESAREAN (VBAC)

2020 ◽  
Vol 4 (1) ◽  
pp. 26
Author(s):  
Made Diaris ◽  
Purwaningtyas Kusumaningsih
Keyword(s):  
Pregnant Women ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Sectio Caesarea ◽  
Care Providers ◽  
Sectional Study ◽  
Delivery Method ◽  
Cross Sectional ◽  
History Of ◽  
Vaginal Birth After Caesarean

ABSTRAK                                       Latar Belakang: ibu yang melahirkan dengan persalinan Sectio Caesarea (SC) terbukti secara bermakna meningkatkan kematian ibu. Risiko banyak terjadi pada persalinan SC yang direncanakan elektif(Villar, 2006). Beberapa tahun terakhir angka kejadian tindakan persalinan melalui SC meningkat melebihi target WHO. Upaya Vaginl Birth After Caesarean (VBAC) masih sedikit peminatnya (ACOG, 2010). Ibu yang takut menjalani proses persalinan secara normal disebabkan oleh banyak faktor salah satunya adalah masalah kecemasan dan ketidaktahuan mereka. Tujuan penelitian ini adalah untuk mengetahi apakah pengetahuan ibu hamil berhubungan dengan keinginan ibu untuk memilih metode VBAC.Metode: metode yang digunakan dalam penelitian ini adalah analitik observasional dengan Rancangan Cross Sectional Study. Sampel dalam penelitian ini adalah ibu dengan riwayat SC non indikasi mutlak sebanyak 1 kali. Pada penelitian ini instrumen yang akan digunakan adalah lembar kuesioner. Analisis data menggunakan Chi Square.Hasil: hasil penelitian menunjukan bahwa terdapat hubungan antara pengetahuan ibu dengan keinginan ibu dalam memilih metode persalinan VBAC dengan nilai p= 0.01.Kesimpulan: dapat disimpulkan bahwa pengetahuan berhubungan dengan keinginan ibu dalam memilih metode persalinan VBAC sehingga disarankan bagi penyedia layanan kesehatan dapat membantu ibu dan memotivasi ibu dengan memberikan kelas ibu hamil sebelum ibu melalui proses persalinan.Kata kunci: pengetahuan, ibu hamil, VBACABSTRACTBackground: mother who was giving the birth a child with Sectio Caesarea (SC) is proved significant to improve mother’s death. Many risks occur to childbirth SC that has been planned effectively (Villar, 2006). In recent years the case of childbirth through the SC has increased beyond WHO targets. The efforts to Vaginl Birth After Caesarean (VBAC) are still relatively small in demand (ACOG, 2010). Mothers who are afraid to process childbirth normally are caused by many factors, one of which is their anxiety and ignorance. The aim of this study was to determine whether the knowledge of pregnant women is related to the motivation of mothers to choose the VBAC method.Methods: the method used in this research is observational analytic with Cross Sectional Study Design. The sample in this study was mothers with a history of non-absolute indication as much as 1 time. In this study the instrument to be used was a questionnaire sheet. Data analysis is used Chie Square.Results: the results showed that there was a relationship between mother's knowledge and mother's in choosing the VBAC delivery method with p = 0.01.Conclusion: It can be concluded that knowledge is related to the motivation of mothers by selected the VBAC childbirth method so that it is recommended for health care providers to help mothers and motivate mothers by giving grades of pregnant women before mothers to process through childbirth.Keywords: knowledge, pregnant women, VBAC

Portuguese Patient Dignity Question: A cross-sectional study of palliative patients cared for in primary care

2020 ◽  
Vol 18 (6) ◽  
pp. 658-661
Author(s):  
Mafalda Lemos Caldas ◽  
Miguel Julião ◽  
Ana João Santos ◽  
Harvey Max Chochinov
Keyword(s):  
Primary Care ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Clinical Tool ◽  
Cross Sectional ◽  
Old Patients ◽  
Promising Tool ◽  
Palliative Patients

AbstractIntroductionThe Patient Dignity Question (PDQ) is a clinical tool developed with the aim of reinforcing the sense of personhood and dignity, enabling health care providers (HCPs) to see patients as people and not solely based on their illness.ObjectiveTo study the acceptability and feasibility of the Portuguese version of the PDQ (PDQ-PT) in a sample of palliative care patients cared for in primary care (PC).MethodA cross-sectional study using 20 palliative patients cared for in a PC unit. A post-PDQ satisfaction questionnaire was developed.ResultsTwenty participants were included, 75% were male; average age was 70 years old. Patients found the summary accurate, precise, and complete; all said that they would recommend the PDQ to others and want a copy of the summary placed on their family physician's medical chart. They felt the summary heightened their sense of dignity, considered it important that HCPs have access to the summary and indicated that this information could affect the way HCPs see and care for them. The PDQ-PT's took 7 min on average to answer, and 10 min to complete the summary.Significance of resultsThe PDQ-PT is well accepted and feasible to use with palliative patients in the context of PC and seems to be a promising tool to be implemented. Future trials are now warranted.

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