Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil

Detalhes bibliográficos
Autor(a) principal: Nomura, Roseli
Data de Publicação: 2021
Outros Autores: Tavares, Isabela, Ubinha, Ana Carla, Costa, Maria Laura, Opperman, Maria Lucia, Brock, Marianna, Trapani, Alberto, Damasio, Lia, Reis, Nadia, Borges, Vera [UNESP], Zaconeta, Alberto, Araujo, Ana Cristina, Ruano, Rodrigo, BrAPS-COVID Brazilian Anxiety Duri
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.3390/jcm10040620
http://hdl.handle.net/11449/210082
Resumo: Background: The coronavirus disease 2019 (COVID-19) pandemic may have an effect on maternal anxiety and influence postpartum experience. Objective: To study the prevalence of maternal anxiety in late pregnancy in the context of the COVID-19 outbreak in Brazil and to analyze its association with maternal knowledge and concerns about the pandemic. Methods: This was a national multicenter cross-sectional study performed in 10 different public university hospitals, between 1 June and 31 August 2020, in Brazil. The inclusion criteria were: maternal age more than 18 years; gestational age more than 36 weeks at childbirth; single alive newborn without malformations; and absence of mental disorders. We applied a structured questionnaire to explore the knowledge and concerns about COVID-19. Maternal anxiety was assessed using the Beck Anxiety Inventory (BAI). Results: Of the 1662 women interviewed, the BAI score in late pregnancy indicated that 13.9% presented moderate and 9.6% severe maternal anxiety. Moderate or severe maternal anxiety was independently associated with the fear of being unaccompanied at childbirth (aOR1.12, 95% CI 1.10-1.35), and independent protective factors were confidence in knowing how to protect oneself from COVID-19 (aOR0.89, 95% CI 0.82-0.97) and how to safely breastfeed (aOR0.89, 95% CI 0.83-0.95). Conclusion: The COVID-19 pandemic has a significant impact on maternal anxiety.
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spelling Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazilpregnancymaternal anxietychildbirthpostpartumquestionnairesbreastfeedingcoronavirus disease 2019pandemicBackground: The coronavirus disease 2019 (COVID-19) pandemic may have an effect on maternal anxiety and influence postpartum experience. Objective: To study the prevalence of maternal anxiety in late pregnancy in the context of the COVID-19 outbreak in Brazil and to analyze its association with maternal knowledge and concerns about the pandemic. Methods: This was a national multicenter cross-sectional study performed in 10 different public university hospitals, between 1 June and 31 August 2020, in Brazil. The inclusion criteria were: maternal age more than 18 years; gestational age more than 36 weeks at childbirth; single alive newborn without malformations; and absence of mental disorders. We applied a structured questionnaire to explore the knowledge and concerns about COVID-19. Maternal anxiety was assessed using the Beck Anxiety Inventory (BAI). Results: Of the 1662 women interviewed, the BAI score in late pregnancy indicated that 13.9% presented moderate and 9.6% severe maternal anxiety. Moderate or severe maternal anxiety was independently associated with the fear of being unaccompanied at childbirth (aOR1.12, 95% CI 1.10-1.35), and independent protective factors were confidence in knowing how to protect oneself from COVID-19 (aOR0.89, 95% CI 0.82-0.97) and how to safely breastfeed (aOR0.89, 95% CI 0.83-0.95). Conclusion: The COVID-19 pandemic has a significant impact on maternal anxiety.Univ Fed Sao Paulo, Dept Obstet, Escola Paulista Med, Rua Napoleao Barros, BR-04024002 Sao Paulo, SP, BrazilUniv Estadual Campinas, Dept Obstet & Gynecol, BR-13083881 Campinas, SP, BrazilUniv Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Dept Gynecol & Obstet, Fac Med,Gynecol & Obstet Unit, BR-90035903 Porto Alegre, RS, BrazilUniv Amazonas State, Dept Obstet & Gynecol, BR-69065001 Manaus, AM, BrazilUniv Fed Santa Catarina, Polydoro Ernani de Sao Thiago Univ Hosp, Womens Hlth Care Unit, BR-88036800 Florianopolis, SC, BrazilUniv Fed Piaui, Dept Obstet & Gynecol, BR-64049550 Teresina, PI, BrazilUniv Fed Mato Grosso do Sul, Univ Hosp Maria Aparecida Pedrossian, Med Sch, Gynecol & Obstet Unit, BR-79080190 Campo Grande, MS, BrazilUnesp, Botucatu Med Sch, Dept Obstet & Gynecol, BR-18618687 Botucatu, SP, BrazilUniv Brasilia, Univ Hosp Brasilia, Fac Med, Maternal & Child Unit, BR-70910900 Brasilia, DF, BrazilUniv Fed Rio Grande do Norte, Maternidade Januario Cicco, Dept Gynecol & Obstet, BR-59078900 Natal, RN, BrazilMayo Clin, Coll Med, Dept Obstet & Gynecol, Maternal Fetal Med Div, Rochester, MN 55905 USAUnesp, Botucatu Med Sch, Dept Obstet & Gynecol, BR-18618687 Botucatu, SP, BrazilMdpiUniversidade Federal de São Paulo (UNIFESP)Universidade Estadual de Campinas (UNICAMP)Univ Fed Rio Grande do SulUniv Amazonas StateUniversidade Federal de Santa Catarina (UFSC)Univ Fed PiauiUniversidade Federal de Mato Grosso do Sul (UFMS)Universidade Estadual Paulista (Unesp)Universidade de Brasília (UnB)Univ Fed Rio Grande do NorteMayo ClinNomura, RoseliTavares, IsabelaUbinha, Ana CarlaCosta, Maria LauraOpperman, Maria LuciaBrock, MariannaTrapani, AlbertoDamasio, LiaReis, NadiaBorges, Vera [UNESP]Zaconeta, AlbertoAraujo, Ana CristinaRuano, RodrigoBrAPS-COVID Brazilian Anxiety Duri2021-06-25T12:39:09Z2021-06-25T12:39:09Z2021-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article14http://dx.doi.org/10.3390/jcm10040620Journal Of Clinical Medicine. Basel: Mdpi, v. 10, n. 4, 14 p., 2021.http://hdl.handle.net/11449/21008210.3390/jcm10040620WOS:000624001800001Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal Of Clinical Medicineinfo:eu-repo/semantics/openAccess2024-08-16T14:06:54Zoai:repositorio.unesp.br:11449/210082Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T14:06:54Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil
title Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil
spellingShingle Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil
Nomura, Roseli
pregnancy
maternal anxiety
childbirth
postpartum
questionnaires
breastfeeding
coronavirus disease 2019
pandemic
title_short Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil
title_full Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil
title_fullStr Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil
title_full_unstemmed Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil
title_sort Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil
author Nomura, Roseli
author_facet Nomura, Roseli
Tavares, Isabela
Ubinha, Ana Carla
Costa, Maria Laura
Opperman, Maria Lucia
Brock, Marianna
Trapani, Alberto
Damasio, Lia
Reis, Nadia
Borges, Vera [UNESP]
Zaconeta, Alberto
Araujo, Ana Cristina
Ruano, Rodrigo
BrAPS-COVID Brazilian Anxiety Duri
author_role author
author2 Tavares, Isabela
Ubinha, Ana Carla
Costa, Maria Laura
Opperman, Maria Lucia
Brock, Marianna
Trapani, Alberto
Damasio, Lia
Reis, Nadia
Borges, Vera [UNESP]
Zaconeta, Alberto
Araujo, Ana Cristina
Ruano, Rodrigo
BrAPS-COVID Brazilian Anxiety Duri
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Universidade Estadual de Campinas (UNICAMP)
Univ Fed Rio Grande do Sul
Univ Amazonas State
Universidade Federal de Santa Catarina (UFSC)
Univ Fed Piaui
Universidade Federal de Mato Grosso do Sul (UFMS)
Universidade Estadual Paulista (Unesp)
Universidade de Brasília (UnB)
Univ Fed Rio Grande do Norte
Mayo Clin
dc.contributor.author.fl_str_mv Nomura, Roseli
Tavares, Isabela
Ubinha, Ana Carla
Costa, Maria Laura
Opperman, Maria Lucia
Brock, Marianna
Trapani, Alberto
Damasio, Lia
Reis, Nadia
Borges, Vera [UNESP]
Zaconeta, Alberto
Araujo, Ana Cristina
Ruano, Rodrigo
BrAPS-COVID Brazilian Anxiety Duri
dc.subject.por.fl_str_mv pregnancy
maternal anxiety
childbirth
postpartum
questionnaires
breastfeeding
coronavirus disease 2019
pandemic
topic pregnancy
maternal anxiety
childbirth
postpartum
questionnaires
breastfeeding
coronavirus disease 2019
pandemic
description Background: The coronavirus disease 2019 (COVID-19) pandemic may have an effect on maternal anxiety and influence postpartum experience. Objective: To study the prevalence of maternal anxiety in late pregnancy in the context of the COVID-19 outbreak in Brazil and to analyze its association with maternal knowledge and concerns about the pandemic. Methods: This was a national multicenter cross-sectional study performed in 10 different public university hospitals, between 1 June and 31 August 2020, in Brazil. The inclusion criteria were: maternal age more than 18 years; gestational age more than 36 weeks at childbirth; single alive newborn without malformations; and absence of mental disorders. We applied a structured questionnaire to explore the knowledge and concerns about COVID-19. Maternal anxiety was assessed using the Beck Anxiety Inventory (BAI). Results: Of the 1662 women interviewed, the BAI score in late pregnancy indicated that 13.9% presented moderate and 9.6% severe maternal anxiety. Moderate or severe maternal anxiety was independently associated with the fear of being unaccompanied at childbirth (aOR1.12, 95% CI 1.10-1.35), and independent protective factors were confidence in knowing how to protect oneself from COVID-19 (aOR0.89, 95% CI 0.82-0.97) and how to safely breastfeed (aOR0.89, 95% CI 0.83-0.95). Conclusion: The COVID-19 pandemic has a significant impact on maternal anxiety.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-25T12:39:09Z
2021-06-25T12:39:09Z
2021-02-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.3390/jcm10040620
Journal Of Clinical Medicine. Basel: Mdpi, v. 10, n. 4, 14 p., 2021.
http://hdl.handle.net/11449/210082
10.3390/jcm10040620
WOS:000624001800001
url http://dx.doi.org/10.3390/jcm10040620
http://hdl.handle.net/11449/210082
identifier_str_mv Journal Of Clinical Medicine. Basel: Mdpi, v. 10, n. 4, 14 p., 2021.
10.3390/jcm10040620
WOS:000624001800001
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Journal Of Clinical Medicine
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 14
dc.publisher.none.fl_str_mv Mdpi
publisher.none.fl_str_mv Mdpi
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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