Author(s):
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
Date: 2021
Persistent ID: http://hdl.handle.net/11449/210082
Origin: Oasisbr
Subject(s): pregnancy; maternal anxiety; childbirth; postpartum; questionnaires; breastfeeding; coronavirus disease 2019; pandemic
Description
Made available in DSpace on 2021-06-25T12:39:09Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-02-01
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.
Univ Fed Sao Paulo, Dept Obstet, Escola Paulista Med, Rua Napoleao Barros, BR-04024002 Sao Paulo, SP, Brazil
Univ Estadual Campinas, Dept Obstet & Gynecol, BR-13083881 Campinas, SP, Brazil
Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Dept Gynecol & Obstet, Fac Med,Gynecol & Obstet Unit, BR-90035903 Porto Alegre, RS, Brazil
Univ Amazonas State, Dept Obstet & Gynecol, BR-69065001 Manaus, AM, Brazil
Univ Fed Santa Catarina, Polydoro Ernani de Sao Thiago Univ Hosp, Womens Hlth Care Unit, BR-88036800 Florianopolis, SC, Brazil
Univ Fed Piaui, Dept Obstet & Gynecol, BR-64049550 Teresina, PI, Brazil
Univ Fed Mato Grosso do Sul, Univ Hosp Maria Aparecida Pedrossian, Med Sch, Gynecol & Obstet Unit, BR-79080190 Campo Grande, MS, Brazil
Unesp, Botucatu Med Sch, Dept Obstet & Gynecol, BR-18618687 Botucatu, SP, Brazil
Univ Brasilia, Univ Hosp Brasilia, Fac Med, Maternal & Child Unit, BR-70910900 Brasilia, DF, Brazil
Univ Fed Rio Grande do Norte, Maternidade Januario Cicco, Dept Gynecol & Obstet, BR-59078900 Natal, RN, Brazil
Mayo Clin, Coll Med, Dept Obstet & Gynecol, Maternal Fetal Med Div, Rochester, MN 55905 USA
Unesp, Botucatu Med Sch, Dept Obstet & Gynecol, BR-18618687 Botucatu, SP, Brazil
