Lessons Learned From Covid-19 Pandemia: Pregnancy Anxiety Level Increases During A Life Threatening Period

Year 2023, , 232 - 237, 31.12.2023

Emre Köle , Lale Aksoy , Gökşen Görgülü , Hakan Demir , Merve Çakır Köle , Erdoğan Aslan

https://doi.org/10.30565/medalanya.1384162

Abstract

Aim: We aimed to highlight the psychological effects of the disease in the pandemic process along with the epidemiological data in pregnant women with COVID 19 infection, and the effects of increased anxiety in pandemic on pregnancy outcomes.

Material and methods: This study was performed in 100 women of 15 to 49 years of reproductive age who applied to the Gynecology and Obstetrics Outpatient Clinic, Pandemic Outpatient Clinic and the Pregnant Outpatient Clinic. Fourty-six pregnant women with positive COVID 19 PCR test were compared with negative COVID 19 PCR test as control group. Patients were administered a questionnaire and Beck Anxiety Inventory.

Results: An evaluation using the Beck Anxiety Scale revealed that anxiety levels were significantly higher in the COVID-19 positive pregnant group compared to the COVID-19 negative pregnant group (p=0.001). When comparing the groups in terms of becoming pregnant and giving birth during the pandemic, it was found that "severe anxiety" significantly increased in the COVID-19 negative pregnant group (p=0.032)

Conclusion: We found that being COVID-19 positive, based on the Beck Anxiety Inventory, significantly increased the anxiety levels during pregnancy when compared to negative groups.

Keywords

anxiety, pandemia, pregnancy, COVID19, mental health

Kovid-19 Pandemisinden Öğrenilen Dersler: Hayatı Tehdit Eden Bir Dönemde Gebelik Kaygı Düzeyi Artıyor

Abstract

Amaç: Bu çalışmada, COVID-19 enfeksiyonlu hamile kadınlardaki epidemiyolojik verilerle birlikte, pandemi sürecinde hastalığın oluşturduğu psikolojik etkileri ve pandemide artan anksiyetenin gebelik sonuçlarına etkilerini vurgulamayı amaçladık.

Materyal ve Yöntemler: Bu çalışma,15 ila 49 yaşlarındaki 100 kadında gerçekleştirildi ve katılımcılar, Kadın Hastalıkları ve Doğum Polikliniği, Pandemi Polikliniği ve Gebelik Polikliniği'ne başvuranlardan seçildi. Kırk altı COVID-19 pozitif gebe kadın, kontrol grubu olarak negatif COVID-19 PCR testi olanlarla karşılaştırıldı. Katılımcılara bir anket ve Beck Anksiyete Envanteri uygulandı.

Bulgular: Beck Anksiyete Envanteri kullanılarak yapılan bu çalışmada COVID-19 pozitif gebe grubunda anksiyete düzeylerinin COVID-19 negatif gebe grubuyla karşılaştırıldığında anlamlı derecede yüksek olduğunu gösterildi (p=0.001). Gruplar, pandemi sırasında gebe kalma ve doğum yapma açısından karşılaştırıldığında, "şiddetli anksiyete" nin COVID-19 negatif hamile grubunda anlamlı derecede arttığı bulundu (p=0.032).

Sonuç: Beck Anksiyete Envanterine dayalı olarak, COVID-19 pozitif olanların negatif gruplarla karşılaştırıldığında gebelik sırasında anksiyete düzeylerini anlamlı derecede artırdığını tespit ettik.

Keywords

anksiyete, pandemi, gebelik, COVID-19, mental sağlık

References

• 1. WHO Coronavirus disease 2019 (COVID-19) situation report 116. May 16,2020, https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200515-covid-19-sitrep-116.pdf?sfvrsn=8dd60956_2 (accessed May 16, 2020)
• 2. Keskek SO, Erdogan H. COVID-19: A Current Brief Review. Acta Med. Alanya 2020;4(2):197-202. doi:10.30565/medalanya.747238
• 3. Yu N, Li W, Kang Q, Xiong Z, Wang S, Lin X et al. Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study. Lancet Infect Dis. 2020;20(5):559-564. doi: 10.1016/S1473-3099(20)30176-6.
• 4. Lu H, Stratton CW, Tang Y-W. Outbreak of pneumonia of unknown etiology in Wuhan, China: the mystery and the miracle. J Med Virol. 2020; published online Jan 16. doi: 10.1002/jmv.25678.
• 5. WHO. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected: interim guidance. Jan 28, 2020. https://www.who.int/docs/default-source/ coronaviruse/clinical-management-of-novel-cov.pdf (accessed Jan 28, 2020).
• 6. Öncel CR, Aslan A. Trend topics in prestigious and popular medical journals: The effect of Covid-19. Acta Med. Alanya 2020;4(3):207-208. doi:10.30565/medalanya.809103
• 7. Ayele TA, Azale T, Alemu K, Abdissa Z, Mulat H, Fekadu A. Prevalence and Associated Factors of Antenatal Depression among Women Attending Antenatal Care Service at Gondar University Hospital, Northwest Ethiopia. PLoS One. 2016;11(5):e0155125. doi: 10.1371/journal.pone.0155125. 
• 8. Tunç S, Yenicesu O, Çakar E, Özcan H, Pekçetin S, Danışman N. Anxiety and depression frequency and related factors during pregnancy. The Journal of Gynecology-Obstetrics and Neonatology 2012;9(35):1431-5
• 9. Fairbrother N, Janssen P, Antony MM, Tucker E, Young AH. Perinatal anxiety disorder prevalence and incidence. J Affect Disord. 2016;200:148-55. doi: 10.1016/j.jad.2015.12.082.
• 10. Daglar G, Bilgic D, Koc S, Yörük B, Coskun Pl. Anxiety and depression levels of women’s pre and post-labor stage and influencing factors. Innovative Journal of Medical and Health Science 2016;6(4):114-20 doi: 10.15520/ijmhs.2016.vol6.iss4.127.
• 11. Rubertsson C, Hellström J, Cross M, Sydsjö G, Anxiety in early pregnancy: prevalence and contributing factors. Arch Womens Ment Health. 2014;17(3):221-8. doi: 10.1007/s00737-013-0409-0.
• 12. Xiu-Xiu Ding , Yi-Le Wu, Shao-Jun Xu , Ruo-Ping Zhu, Xiao-Min Jia, Shi-Fen Zhang, et al. Maternal anxiety during pregnancy and adverse birth outcomes: a systematic review and meta-analysis of prospective cohort studies. J Affect Disord. 2014;159:103-10. doi: 10.1016/j.jad.2014.02.027.
• 13. Rose MS, Pana G, Premji S. Prenatal maternal anxiety as a risk factor for preterm birth and the effects of heterogeneity on this relationship: a systematic review and meta-analysis. Biomed Res Int. 2016;2016:8312158. doi: 10.1155/2016/8312158.
• 14. Grigoriadis S, Graves L, Peer M, Mamisashvili L, Tomlinson G, Vigod SN, et al. Maternal Anxiety During Pregnancy and the Association With Adverse Perinatal Outcomes: Systematic Review and Meta-Analysis. J Clin Psychiatry. 2018;79(5):17r12011. doi: 10.4088/JCP.17r12011
• 15. Taylor S. The psychology of pandemics: Preparing for the next global outbreak of infectious disease., Cambridge Scholars Publishing; Newcastle upon Tyne: 2019.
• 16. Asmundson GJG, Taylor S. Coronaphobia: Fear and the 2019-nCoV outbreak. J Anxiety Disord. 2020;70:102196. doi: 10.1016/j.janxdis.2020.102196. 
• 17. Beck AT, Epstein Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56:893- 7. doi: 10.1037//0022-006x.56.6.893.
• 18. Ulusoy M, Şahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cogn Psychother 1998;12:163-72.
• 19. Yuan K, Zheng YB, Wang YJ, Sun YK, Gong YM, Huang YT, et al. A systematic review and meta-analysis on prevalence of and risk factors associated with depression, anxiety and insomnia in infectious diseases, including COVID-19: a call to action. Mol Psychiatry. 2022 Aug;27(8):3214-3222. doi: 10.1038/s41380-022-01638-z.
• 20. Zilver SJM, Hendrix YMGA, Broekman BFP, de Leeuw RA, de Groot CJM, van Pampus MG. Fear of childbirth in pregnancy was not increased during the COVID-19 pandemic in the Netherlands: a cross-sectional study. Acta Obstet Gynecol Scand. 2022 Oct;101(10):1129-1134. doi: 10.1111/aogs.14409. Epub 2022 Jun 27.
• 21. Ayaz R, Hocaoğlu M, Günay T, Yardımcı OD, Turgut A, Karateke A. Anxiety and depression symptoms in the same pregnant women before and during the COVID-19 pandemic. J Perinat Med. 2020 Nov 26;48(9):965-970. doi: 10.1515/jpm-2020-0380.