Abstract

Background: Coronavirus disease-2019 (COVID-19) pandemic is spreading widely throughout the world, causing global health crisis and one of the greatest challenges we have ever faced. Indonesia is one of the countries that has been severely affected by COVID-19. The COVID-19 pandemic has created some serious concerns including anxiety in pregnant women. However, due to mental and physical changes in pregnancy, pregnant women are likely to be affected by the virus. At present there is no evidence that pregnant women are at higher risk of severe illness from COVID-19 than the general population. Research is currently ongoing to understand the impacts of COVID-19 in pregnant women. This study aimed to assess the anxiety level and associated factors during COVID-19 pandemic in pregnant women.

Methods: This study used cross-sectional design using primary data on April 2020 at Leo Simanjuntak (Obstetrician and Gynecologist) outpatient clinic. Based on defined criteria, 120 subjects were recruited in this study. Anxiety level assessed using Hamilton Anxiety Rating Scale (HAM-A). Demographic data collected using research questionnaire. Logistic regression were used to identify associated factors on anxiety level.

Results: Our results showed majority of the pregnant women (71%) showed no anxiety. The rest of these pregnant women (29%) showed mild anxiety level (23%) and moderate anxiety (6%). Multivariate data analysis showed that healthcare workers were associated to higher anxiety level, with OR 5.56 (95% CI .33 - 24.09).

Conclusion: Informative and educative advices and suggestions of COVID-19 to pregnant women and their family, such as washing hands frequently, maintain social and physical distancing, using mask to cover the mouth and nose when around others, living healthy life, and doing all the activities from home, can make pregnant women not worried about COVID-19 pandemic, which is supported by this study.

Keywords: Anxiety; Pregnant Women; COVID-19; HAM-A

References

1. “Novel Coronavirus (2019-nCoV) Situation Report-1” (2020).
2. “Coronavirus disease 2019 (COVID-19) Situation Report-84” (2020).
3. Situasi Virus Corona (2020).
4. Wang Z., et al. “A Handbook of 2019-nCoV Pneumonia Control and Prevention”. Hubei Science and Technology Press, China (2020).
5. Fan C., et al. “Perinatal Transmission of COVID-19 Associated SARS-CoV-2: Should We Worry?” Clinical Infectious Disease (2020).
6. ACOG Practice Advisory: Novel Coronavirus 2019 (COVID-19). The American College of Obstetricians and Gynecologists (2020).
7. Leveno KJ., et al. “Williams Obstetrics”. 25^th Cunningham FG, editor. New York: McGraw-Hill Education (2018).
8. Thompson E. “Hamilton rating scale for anxiety (HAM-A)”. Occupational Medicine 7 (2015): 601.
9. Zhao N and Huang Y. “Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: a web-based cross-sectional survey”. Psychiatry Research 288 (2020): 112954.
10. Schwartz J., et al. “Protecting Healthcare Workers During the Coronavirus Disease 2019 (COVID-19) Outbreak: Lessons from Taiwan’s Severe Acute Respiratory Syndrome Response”. Clinical Infectious Diseases (2020).

Citation

Citation: Leo Simanjuntak., et al. “Anxiety Level and Associated Factors during Coronavirus Disease 2019 (COVID-19) Pandemic in Pregnant Women". Acta Scientific Medical Sciences 4.7 (2020): 29-32.

Copyright

Copyright: © 2020 Leo Simanjuntak., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.