Perceived risk of COVID-19 acquisition and maternal mental distress

2021 ◽  
Vol 29 (3) ◽  
pp. 140-149
Author(s):  
Zahra Sharifi-Heris ◽  
Sedigheh Moghasemi ◽  
Mark Ghamsary ◽  
Saba Moodi ◽  
Zainab Ghprbani ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Perceived Risk ◽  
Mental Distress ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Additional Stress ◽  
High Risk Population ◽  
Cross Sectional ◽  
Mental Health Effects ◽  
Protective Behaviours

Background Pregnant women are a high-risk population for mental health effects during a pandemic. Objective This study aims to examine the association of perceived risk toward COVID-19 viral infection acquisition and maternal mental distress. Methods In a cross-sectional study, a total of 392 pregnant women were recruited. Data gathered using the perceived stress scale, State-Trait anxiety inventory, Beck depression inventory, and protective behaviour were assessed. Linear regression analysis was applied in both unadjusted and adjusted models to assess the association between the exposure and outcome variables. Results In all five unadjusted and adjusted models, the perceived risk of COVID-19 acquisition remained a highly significant predictor for stress, anxiety factor 1 and 2, depression, and protective behaviours (P<0.001). Conclusion COVID-19 may be an important additional stress source for pregnant women.

scholarly journals Mid upper arm circumference in pregnant women and its relationship with birth weight

2021 ◽  
Vol 11 (2) ◽  
pp. 331-335
Author(s):  
Surendra Nath Soren ◽  
Partha Sarathi Sahu
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Linear Regression Analysis ◽  
Care Facility ◽  
Health Care Facility ◽  
Cross Sectional Study ◽  
Upper Arm ◽  
Cross Sectional ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

: Mid upper arm circumference (MUAC) is considered as a good indicator of maternal nutritional status in pregnant women. Very few studies have been done to establish a relationship between MUAC and birth weight of newborn. This study was carried out to analyze the relationship between MUAC and birth weight of newborn in a tertiary health care facility.This cross sectional study was conducted in 240term pregnant women. MUAC was measured to the nearest millimeters using a non-stretchable tape at the midpoint between acromian process and olecranon process. Newborn baby weight was measured within 24 hrs of birth. The association between MUAC and birth weight was established by linear regression analysis.The mean of MUAC among pregnant women delivering LBW was 21.68±2.27 cm which was significantly low (p&#60;0.001) compared to women delivering normal babies (23.47±2.56 cm). There wasa positive correlation(r=0.32;p&#60;0.05)between MUAC and birth weight of newborn.The cut off value of MUAC for the prediction of LBW in our study was found to be 22.59 cm with 62.77% sensitivity and 71.55% specificity.Among the various maternal factors for the prediction of LBW, mid-upper arm circumference (MUAC) can be correlated with birth weight outcome effectively.

scholarly journals Awareness, perceived risk and protective behaviours of Myanmar adults on COVID-19

2020 ◽  
Vol 7 (5) ◽  
pp. 1627 ◽  
Author(s):  
Kyaw S. Mya ◽  
Aye S. M. ◽  
Win A. Hlaing ◽  
Su S. Hlaing ◽  
Thida Aung ◽  
...  
Keyword(s):  
Social Media ◽  
Perceived Risk ◽  
Multivariable Analysis ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Binary Logistic Regression Analysis ◽  
Local Health Authority ◽  
Local Health ◽  
Cross Sectional ◽  
Protective Behaviours

Background: COVID-19 was originated from Wuhan city, China in December 2019 and spread very fast to all over the world. This study was carried out to assess the awareness, perceived risk and protective behaviours of Myanmar adults on COVID-19.Methods: The cross-sectional study was conducted using face to face interview method among 597 adults from Yangon and Bago regions. Binary logistic regression analysis was done to determine the factors influencing on practicing protective behaviours and the results were described by adjusted odds ratios (aOR) with 95% confidence intervals (CI).Results: Almost all, 584 (98%) of 597 respondents, have heard about COVID-19. Among those 584 respondents, 87% had low knowledge level. Risk perception level towards COVID-19 was moderate to high. Regarding perception to information in social media, about 36% of the respondents agreed on sharing news from social media without verifying the sources. Only 22% reported good protective behaviours. Multivariable analysis revealed that knowledge score (aOR=1.19, 95% CI- 1.08-1.30) was significantly and positively influenced the protective behaviours. The odds of protective behaviour of participants from Ayeyarwaddy (aOR=0.41, 95% CI- 0.19-0.91) and other states and regions (aOR=0.49, 95% CI- 0.24-0.99) were significantly less than those of participants from Yangon.Conclusions: The study concluded that community has no enough knowledge and inadequate protective behaviours to prevent COVID-19. The awareness raising activities and mass media health education should urgently be conducted focusing on hand washing, cough etiquette, social distancing behaviours and responsibility to inform suspected cases to local health authority to prevent COVID-19. Further research using nationally represented sample are warranted.

scholarly journals Prescribing antidepressants and anxiolytic medications to pregnant women: Comparing perception of risk of foetal teratogenicity between Australian Obstetricians and Gynaecologists, Speciality trainees and upskilled General Practitioners

2020 ◽  
Author(s):  
Summer Williams ◽  
George Bruxner ◽  
Emma Ballard ◽  
Alka Kothari
Keyword(s):  
Pregnant Women ◽  
General Practitioners ◽  
Perceived Risk ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Sectional Study ◽  
Patient Anxiety ◽  
Cross Sectional ◽  
Clinician Training

Abstract Background: The decision of whether to prescribe antidepressants (AD) and anxiolytics (AX) to pregnant women is complex, with serious potential ramifications. Clinicians’ perception of the risk of teratogenicity significantly influences their prescribing decisions and in turn impacts maternal decision making. Our cross-sectional study sought to discern differences in perceived risk between Obstetricians and Gynaecologists (O&Gs) and General Practitioners (GPs) when prescribing these medications in pregnancy. Furthermore, we investigated factors impacting perception, clinicians’ willingness to prescribe and their approach to provision of patient information. Methods: This cross-sectional study was conducted via a nation-wide online SurveyMonkey extended to Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) database-derived affiliates: GP diplomates, fellows and trainees (5409 survey invitations: 545 respondents). O&Gs and GPs were compared using Pearson Chi-squared test for categorical variables and the Student t-test for continuous variables. Results: GPs reported higher rates of being aware of up-to-date medication prescription recommendations (57.6%) compared with O&Gs (44.2%). GPs also reported higher rates of training adequacy in psychotropic prescription (56.1% versus 29.0%). There was evidence to suggest GPs level of confidence in knowledge base, initiation and prescription of AD and AX was higher than those of O&Gs. The mean perception of patient non-compliance was similar between clinician groups (approximately 35%), but GPs perceived the extent of patient anxiety as higher compared to O&Gs (mean 73.7% (SD 21.3) versus 63.1% (SD 24.1), p<0.001). Both groups showed a strong preference for improved training rather than patient-focused technology (above 70% for both groups). Conclusion: Further development of clinician training in perinatal psychotropic prescription is warranted.

scholarly journals Alcohol use and associated factors among women attending antenatal care in Southern Ethiopia: a facility based cross sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Birhanie Mekuriaw ◽  
Zelalem Belayneh ◽  
Tinsae Shemelise ◽  
Robel Hussen
Keyword(s):  
Alcohol Use ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Mental Distress ◽  
Unplanned Pregnancy ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional

Abstract Objectives The aim of this study was to assess the prevalence and associated factors of alcohol use among women attending Antenatal Care in Gedeo zone rural health centers (Southern Ethiopia). This was a cross-sectional study conducted among randomly selected 718 pregnant women attending Antenatal Care. Alcohol Use Disorder Identification Test-C was used to assess alcohol consumption. Variables with p-values of < 0.05 in the multivariable logistic regression were considered as having a statistically significant association with alcohol use. Results The prevalence of alcohol use among pregnant women attending antenatal care service was 8.1% with 95% CI (6.3–10.0). Unplanned pregnancy [AOR = 2.12, 95% CI (1.20, 3.73)], abortion history [AOR = 2.40, 95% CI (1.16, 4.96)], pre pregnancy alcohol use [AOR 2.17, 95% CI (1.18, 4.00)] and mental distress [AOR = 3.50, 95% CI (1.99, 6.15)] were variables found to have a statistically significant association with alcohol use. This calls a holistic and multi modal approach for the prevention, early identification and intervention of alcohol use during pregnancy. More emphasis should also be given for pregnant women with unplanned pregnancy, history of abortion, pre pregnancy alcohol use and mental distress.

scholarly journals Association of Sleep Duration and Screen Time With Anxiety of Pregnant Women During the COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Yuan Zhang ◽  
Yuge Zhang ◽  
Renli Deng ◽  
Min Chen ◽  
Rong Cao ◽  
...  
Keyword(s):  
Mental Health ◽  
Regression Analysis ◽  
Pregnant Women ◽  
Sleep Duration ◽  
Screen Time ◽  
Large Scale ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional

The COVID-19 pandemic has dramatically changed the patterns of lifestyle and posed psychological stress on pregnant women. However, the association of sleep duration and screen time with anxiety among pregnant women under the backdrop of the COVID-19 pandemic scenario has been poorly addressed. We conducted one large-scale, multicenter cross-sectional study which recruited 1794 pregnant women across middle and west China. Self-reported demographic characteristics, lifestyle, and mental health status were collected from 6th February to 8th May 2020. We investigated the association of sleep duration and screen time with the risk of anxiety by multivariable logistic regression analysis and linear regression analysis after adjusting potential confounders. The dose-response relationship of sleep duration and screen time with anxiety was visualized using a cubic spline plot. Our data revealed that almost 35% of pregnant women suffered from anxiety during the COVID-19 pandemic. Sleep duration was dose-dependently associated with a lower risk of anxiety among pregnant women (OR = 0.41, 95% CI: 0.27–0.63), while screen time exhibited a conversed effect (OR = 2.01, 95% CI:1.00–4.39). Notably, sleep duration (≥8 h/day) synergistically combined with screen time (3–7 h/day) to diminish the risk of anxiety (OR = 0.70, 95% CI: 0.50–0.99). Taken together, sleep duration and screen time were independently and jointly associated with anxiety (P &lt; 0.05). Therefore, promoting a more active lifestyle and maintaining higher sleep quality could improve the mental health of pregnant women, especially under public health emergency.

scholarly journals Perceived risk, anxiety and protective health behaviours during the early phase of coronavirus (COVID-19) pandemic in Nigeria

2020 ◽  
Author(s):  
Tosin Philip Oyetunji ◽  
Oyelakin ◽  
Olusegun Ayomikun Ogunmola ◽  
Olorunyomi Felix Olorunsogbon ◽  
Foluso O. Ajayi
Keyword(s):  
Risk Perception ◽  
High Risk ◽  
Perceived Risk ◽  
Early Phase ◽  
Health Behaviours ◽  
Cross Sectional Study ◽  
Protective Measure ◽  
Cross Sectional ◽  
Protective Behaviour ◽  
Protective Behaviours

Abstract Background: Pandemics such as the current COVID-19 pandemic are often associated with heightened fears and significant adjustments in health behaviours. Aim: This study was aimed to assess perceived risk, anxiety and protective health behaviours of the general public during the early phase of the coronavirus (COVID-19) pandemic in NigeriaMethods: A cross-sectional study among 1197 respondents aged 18 years and above between April 27th to May 16th, 2020. Result: More than half (61.9%) of the respondents have high risk perception towards COVID-19. Using the seven-item Generalized Anxiety Disorder (GAD-7) scale, high anxiety level was found in 37.2% of the study respondents. Male gender (OR=1.38,CI=1.09-1.74), being employed (OR=1.53,CI = 1.21- 1.95) and high risk perception (OR=1.33, CI = 1.05-1.69) were positively associated with observance of more than one protective measure against COVID-19. Having not more than 12 years of education (OR=0.51, CI=0.32-0.81) was negatively associated with observance of more than one protective behaviour. High risk perception (OR=1.82; CI=1.42-2.34), having not more than 12 years of education (OR=1.73; CI= 1.13-2.64), and being employed (OR =1.29; CI=1.01-1.64) were positively associated with anxiety. Being aged 25-34 years (OR=0.34; CI =0.12-0.94) and being aged 35-54 years (OR=0.30; CI=0.10-0.85) were found to be protective against developing COVID-19- related anxiety.Conclusions: This study showed that risk perception has influence on both anxiety and observance of protective behaviours. Being a novel experience, this research has implications to support current and future response to a pandemic experience.

scholarly journals Prescribing antidepressants and anxiolytic medications to pregnant women: Comparing perception of risk of foetal teratogenicity between Australian Obstetricians and Gynaecologists, Speciality trainees and upskilled General Practitioners

2020 ◽  
Author(s):  
Summer Williams ◽  
George Bruxner ◽  
Emma Ballard ◽  
Alka Kothari
Keyword(s):  
Pregnant Women ◽  
General Practitioners ◽  
Perceived Risk ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Sectional Study ◽  
Patient Anxiety ◽  
Cross Sectional ◽  
Clinician Training

Abstract Background: The decision of whether to prescribe antidepressants (AD) and anxiolytics (AX) to pregnant women is complex, with serious potential ramifications. Clinicians’ perception of the risk of teratogenicity significantly influences their prescribing decisions and in turn impacts maternal decision making. Our cross-sectional study sought to discern differences in perceived risk between Obstetricians and Gynaecologists (O&Gs) and General Practitioners (GPs) when prescribing these medications in pregnancy. Furthermore, we investigated factors impacting perception, clinicians’ willingness to prescribe and their approach to provision of patient information. Methods: This cross-sectional study was conducted via a nation-wide online SurveyMonkey extended to Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) database-derived affiliates: GP diplomates, fellows and trainees (5409 survey invitations: 545 respondents). O&Gs and GPs were compared using Pearson Chi-squared test for categorical variables and the Student t-test for continuous variables. Results: GPs reported higher rates of being aware of up-to-date medication prescription recommendations (57.6%) compared with O&Gs (44.2%). GPs also reported higher rates of training adequacy in psychotropic prescription (56.1% versus 29.0%). There was evidence to suggest GPs level of confidence in knowledge base, initiation and prescription of AD and AX was higher than those of O&Gs. The mean perception of patient non-compliance was similar between clinician groups (approximately 35%), but GPs perceived the extent of patient anxiety as higher compared to O&Gs (mean 73.7% (SD 21.3) versus 63.1% (SD 24.1), p<0.001). Both groups showed a strong preference for improved training rather than patient-focused technology (above 70% for both groups). Conclusion: Further development of clinician training in perinatal psychotropic prescription is warranted. Keywords : psychotropics, teratogenicity, pregnant, prescribing, foetal, perception

Predictors of Antenatal Depression in Pregnant Couples

2021 ◽  
pp. 105477382110652
Author(s):  
Jiwon Oh ◽  
Sukhee Ahn
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Perceived Stress ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Depression Risk ◽  
Increased Risk

Pregnant women and their partners are at an increased risk of antenatal depression. Therefore, this cross-sectional study of data from 116 couples investigated predictors of maternal and paternal antenatal depression using sociodemographic data, women’s risk factors for depression during the antenatal period, women’s perceived stress, and antenatal depression in the other partner. Pregnant women had higher depression scores (7.4 ± 4.7) and a higher frequency of being at high risk for depression (25.9%) than their spouses (4.6 ± 3.5, 9.5%). Multiple linear regression analysis revealed that the statistically significant predictors of antenatal depression in pregnant women were perceived stress (β = .45, p < .001) and antenatal depression risk factors (β = .30, p = .002) and in spouses, women’s antenatal depression risk factors (β = .29, p = .013). The present findings suggest that nurses should intervene to mitigate the risk of maternal antenatal depression and perceived stress to prevent depression in pregnant couples.

Sign in / Sign up

Export Citation Format

Share Document