Examining The Impact of COVID-19 Pandemic on Pregnant Women’s Prenatal Care Demand: A Cross-Sectional Survey

Yıl 2021, , 275 - 283, 01.11.2021

Deniz Akyıldız

https://doi.org/10.30934/kusbed.945331

Öz

Objective: The study aimed to examine the impact of the COVID-19 pandemic on pregnant women’s prenatal care demand.
Methods: This cross-sectional study was conducted between July 2020 and November 2020. The sample included 370 pregnant women recruited using the convenience sample method. The research data were collected by face-to-face interview technique with the questionnaire form prepared by the researcher using the literature on the subject. The data were analyzed using the chi-square test, fisher’s exact test, student t-test, and one-way ANOVA test. A p<0.05 was considered statistically significant.
Results: The average number of prenatal care was 1.7 ± 1.4, the average prenatal care initiation time was 23.1 ± 8.5 weeks, and 69.6% got inadequate prenatal care during their pregnancy. The rate of having COVID-19 disease in pregnant women taking part in the study was 1.9%. Of women, 77.6% had fear of contracting COVID-19 disease, 70% fear of transmitting COVID-19 to her fetus, and 60.3% fear about carrying COVID-19 from hospital to home. It was determined that pregnant women who were worried about getting COVID-19 disease, their babies were infected with COVID-19 and carrying COVID-19 from hospital to home received less prenatal care than those who did not live, had lower rates of receiving adequate prenatal care, and delayed receiving prenatal care.
Conclusion: It was determined that the COVID-19 pandemic had adversely affected the prenatal care demand. The study has important strengths as it is one of the first studies on prenatal care that is one of the determinants of maternal and fetal health.

Anahtar Kelimeler

Coronavirus, COVID-19, midwifery care, pregnancy, prenatal care

Destekleyen Kurum

Kahramanmaras Sutcu Imam University

Proje Numarası

2020/6-18 M

Teşekkür

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COVID-19 Pandemisinin Gebelerin Doğum Öncesi Bakım Talepleri Üzerindeki Etkisinin İncelenmesi: Kesitsel Bir Araştırma

Öz

Amaç: Araştırmanın amacı COVID-19 pandemisinin gebe kadınların doğum öncesi bakım (DÖB) talepleri üzerindeki etkisini belirlemektir.
Yöntem: Temmuz 2020 ve Kasım 2020 tarihleri arasında kesitsel olarak yapılan araştırmaya olasılıksız örnekleme yöntemi ile 370 gebe alındı. Araştırma verileri araştırmacı tarafından konuya ilişkin literatürden yararlanılarak hazırlanan bilgi formu ile yüz yüze görüşme tekniğiyle toplandı. Elde edilen veriler ki-kare testi, fisher’s exact testi, student t-test ve one-way ANOVA testlerleri kullanılarak analiz edildi ve p<0,05 istatistiksel olarak anlamlı kabul edildi.
Bulgular: Araştırma kapsamındaki gebelerin aldıkları DÖB sayı ortalaması 1,7 ± 1,4 ve doğum öncesi bakıma başladıkları zaman ortalaması 23,1 ± 8,5 gestasyonel hafta idi. Gebelerin %69,6'sının gebelikleri süresince yetersiz doğum öncesi bakım aldıkları belirlendi. Kadınların %77,6'sı COVID-19 hastalığına yakalanma korkusu, %70’i COVID-19'u bebeğine bulaştırma korkusu ve %60,3'ü hastaneden eve COVID-19 taşıma korkusu yaşadıklarını bildirdi. COVID-19 hastalığına yakalanma endişesi, bebeğine COVID-19 bulaşır endişesi ve hastaneden eve COVID-19 taşıma endişesi yaşayan gebelerin yaşamayanlara göre daha az sayıda doğum öncesi bakım aldıkları, yeterli doğum öncesi bakım alma oranları daha düşük olduğu ve doğum öncesi bakım alma sürelerinin geciktiği saptandı.
Sonuç: COVID-19 pandemisinin doğum öncesi bakım talebini olumsuz etkilediği belirlendi. Bu bulgu, pandeminin anne ve fetüs sağlığı üzerinde önemli bir yere sahip olan doğum öncesi bakım talebine etkisini ortaya koyan ilk çalışma olması açısından önemlidir.

Anahtar Kelimeler

Koronavirüs, COVID-19, ebelik bakımı, gebelik, doğum öncesi bakım

Proje Numarası

2020/6-18 M

Kaynakça

• Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: A retrospective review of medical records. Lancet. 2020;395:809-815. doi:10.1016/S01406736(20)30360-3.
• Di Mascio D, Khalil A, Saccone G, et al. Outcome of Coronavirus spectrum infections (SARS, MERS, COVID-19) during pregnancy: A systematic review and meta-analysis. AJOG MFM. 2020;2(2):100107. doi:10.1016/j.ajogmf.2020.100107.
• World Health Organization Coronavirus Disease (COVID-19) Dashboard. URL: https://covid19.who.int/ (Accessed on: February 10, 2021).
• Masjoudi M, Aslani A, Khazaeian S, Fathnezhad-Kazemi A. Explaining the experience of prenatal care and investigating the association between psychological factors with self-care in pregnant women during COVID-19 pandemic: A mixed method study protocol. Reprod Health. 2020;17(1):1-7. doi:10.1186/s12978-020-00949-0
• Larki M, Sharifi F, Roudsari RL. Models of maternity care for pregnant women during the COVID-19 pandemic. East Mediterr Health J. 2020;26(9):994-998. doi:10.26719/emhj.20.097.
• Roberton T, Carter ED, Chou VB, et al. Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study. The Lancet Global Health. 2020;8(7):e901-e908. doi:10.1016/S2214-109X(20)30229-1
• Du L, Gu YB, Cui MQ, et al. Investigation on demands for antenatal care services among 2002 pregnant women during the epidemic of COVID-19 in Shanghai. Zhonghua fu Chan ke za zhi. 2020;55(3):160-165. doi:10.3760/cma.j.cn112141-20200218-00112.
• Poon LC, Yang H, Kapur A, et al. Global interim guidance on coronavirus disease 2019 (COVID 19) during pregnancy and puerperium from FIGO and allied partners: Information for healthcare professionals. Int J Gynecol Obstet. 2020;149(3):273-286. doi:10.1002/ijgo.13156.
• Sahin BM, Kabakci EN. The experiences of pregnant women during the COVID-19 pandemic in Turkey: A qualitative study. Women and Birth. 2020;34(2):162-169. doi:1016/j.wombi.2020.09.022.
• Ozer EZ, Aksoy M. The impact of fear appeals on the fear of food. Journal of Tourism and Gastronomy Studies. 2018;6(3):359-369. doi:10.21325/jotags.2018.260.
• Catak B, Oner C, Gulay M, Basturk S, Oguz I, Ozbek R. Prenatal care services in Bursa. Turkish Journal of Family Practice. 2014;18(2):63-69. doi:10.2399/tahd.14.00063.
• Liu L, Johnson HL, Cousens S, et al. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet. 2012;379:2151-61. doi:10.1016/S0140-6736(12)60560-1.
• Bbaale E. Factors influencing the utilisation of antenatal care content in Uganda. Australas Med J, 2011;4(9):516-526. doi:10.4066/AMJ.2011.849.
• Liang YW, Chang HP, Lin YH, Lin LY, Chen WY. Factors affecting adequate prenatal care and the prenatal care visits of immigrant women to Taiwan. J Immigr Minor Health. 2014;16:44-52. doi:10.1007/s10903-012-9734-z.
• Berde AS, Uner S. Adequacy of antenatal care received by Nigerian women and some related factors. TAF Preventive Medicine Bulletin. 2016;15(3):190-198. doi:10.1093/eurpub/cku166.173.
• Joshi C, Torvaldsen S, Hodgson R, Hayen A. Factors associated with the use and quality of antenatal care in Nepal: A population-based study using the demographic and health survey data. BMC Pregnancy and Childbirth. 2014;14(1):94. doi:10.1186/1471-2393-14-94.
• Pervin J, Moran A, Rahman M, et al. Association of antenatal care with facility delivery and perinatal survival-a population based study in Bangladesh. BMC Pregnancy and Childbirth. 2012;12:111. doi:10.1186/1471-2393-12-111.
• T.R. Ministry of Health Public Health Agency of Turkey. URL: https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/dogumonubakim.pdf (Accessed on: February 12, 2021).
• World Health Organization (WHO)-United Nations Population Fund. COVID-19 technical brief for maternity services. URL: https://www.unfpa.org/resources/covid-19-technical-brief-maternity-services (Accessed on: February 10, 2021).
• Domingues RMSM, Leal MC, Hartz ZMA, Dias MAB, Vettore MV. Access to and utilizaton of prenatal care services in the Unified Health Sysytem of the city of Rio de Janeiro, Brazil. Revista Brasileira de Epidemiologia. 2013;16(4):953-965. doi:10.1590/S1415-790X2013000400015.
• Yılmaz L, Koruk F, Koruk I. The status of receiving antenatal care services for women who have delivered in a state hospital in Şanlıurfa, the quality of these services and related factors. Mersin University Journal of Health Sciences. 2018;11(2):209-218. doi:10.26559/mersinsbd.424153.
• Aksu S, Akgun T. Prenatal care status and factors of pregnant women in Balıkesir province center. Balıkesir Journal of Health Sciences. 2020;9(3):179-188. https://dergipark.org.tr/tr/pub/balikesirsbd. Accessed February 20, 2021.
• Jafari F, Eftekhar H, Mohammad K, Fotouhi A. Does group prenatal care affect satisfaction and prenatal care utilization in Iranian pregnant women?. Iran J Public Health.2010;39(2):52-62. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481751/. Accessed February 20, 2021.
• Gregory PA, Heaman MI, Mignone J, Moffatt ME. Predictors of women’s satisfaction with prenatal care in a Canadian setting. Matern Child Health J. 2020;24(2):186-195. doi:10.1002/uog.906.
• Kıssal A, Kartal B. The evaluation of prenatal care content of women who gave birth in a university hospital. Journal of Health Sciences of Kocaeli University. 2019;5(1):35-41. doi:10.30934/kusbed.481681.
• Yucel U, Ciceklioglu M, Ocek ZA, Taner S. Prenatal care utilization level of pregnant women living in three different neighborhoods of Izmir’s Bornova district. TAF Preventive Medicine Bulletin. 2015;14(5):370-377. doi:10.5455/pmb.1-1428673248.
• Durusoy R, Davas A, Ergin I, Hassoy H, Tanık FA. Prenatal care utilization from family physicians: A study among pregnant women applying to secondary and tertiary care hospitals in Izmir. Turkish Journal of Public Health. 2011;9(1):1-15. doi:10.20518/tjph.173051.
• Turkey Demographic and Health Survey (TDHS). Population and health survey. URL: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf (Accessed on: February 26, 2020).
• Tas F, Gülpak M, Oktay AA, Demir N. Receiving care prior to giving birth for women who gave birth at the maternity and children’s hospital. KSU Medical Journal. 2019;14(1):24-30. doi:10.17517/ksutfd.487188.
• Sochas L, Channon AA, Nam S. Counting indirect crisis-related deaths in the context of a low-resilience health system: the case of maternal and neonatal health during the Ebola epidemic in Sierra Leone. Health Policy Plan. 2017;32(3):32-9. doi:10.1093/heapol/czx108.
• Catak B, Aksan AD, Zincir M. Quantity and quality of antenatal care services in Karabük community health center. TAF Preventive Medicine Bulletin. 2012;11(2):153-161. doi:10.5455/pmb.20110725054246.
• Fakari FR, Simbar M. Coronavirus pandemic and worries during pregnancy; A letter to editor. Arch Acad Emerg Med. 2020;(1):e21-e21. http://journals.sbmu.ac.ir/aaem. Accessed February 20, 2021.
• Ravaldi C, Wilson A, Ricca V, Homer C, Vannacci A. Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy. Women Birth. 2020;1147:9-18. doi:10.1016/j.wombi.2020.07.002.
• Hawley NL, Brown C, Nu’usolia O, Ah-Ching J, Muasau-Howard B, McGarvey ST. Barriers to adequate prenatal care utilization in American Samoa. Matern Child Health J. 2014;18(10):2284-2292. doi:10.1007/s10995-013-1368-9.
• Partridge S, Balayla J, Holcroft CA, Abenhaim HA. Inadequate prenatal care utilization and risks of infant mortality and poor birth outcome: A retrospective analysis of 28,729,765 US deliveries over 8 years. Am J Perinatol. 2012;29:787-794. doi:10.1055/s-0032-1316439.