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Published on: June 13, 2021
COVID-19 and Anxiety in Perinatal Women
Rehana Najam1, Nivedita Chawla1, Astha Lalwani1
1Department of Obstetrics and Gynaecology, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh, India.
Insights
Pregnant women with COVID-19 experienced higher anxiety levels than postnatal women. Understanding these differences is crucial for targeted maternal mental health support during the pandemic.
Area of Science:
- Perinatal mental health
- Infectious disease epidemiology
Background:
- The COVID-19 pandemic has caused widespread fear and uncertainty, particularly impacting pregnant and postnatal women.
- Hospital quarantine policies for COVID-19 positive mothers can exacerbate feelings of isolation and anxiety.
Purpose of the Study:
- To assess maternal anxiety in pregnant and postnatal women diagnosed with COVID-19.
- To identify factors influencing anxiety levels and compare anxiety between antenatal and postnatal groups.
Main Methods:
- A cross-sectional descriptive study involving 123 perinatal women with COVID-19.
- Anxiety assessed using the Coronavirus Anxiety Scale (CAS) and Generalized Anxiety Disorder-7 (GAD-7) questionnaire.
- Statistical comparison of anxiety levels between antenatal and postnatal groups using IBM SPSS Statistics.
Main Results:
- Both antenatal and postnatal women with COVID-19 reported high anxiety scores.
- Antenatal women demonstrated a statistically significant higher level of anxiety compared to postnatal women, as measured by the CAS.
Conclusions:
- Antenatal women with COVID-19 exhibit greater anxiety than their postnatal counterparts.
- Need-based counseling and resource allocation are essential for identifying and managing vulnerable perinatal women during hospitalization.
Abstract:
Introduction: With a global pandemic like coronavirus disease 2019 (COVID-19) spreading across borders, creating an extensive fear amongst all groups alike due to the increased morbidity and mortality, there is uncertainty in all patients affected. The government policy of quarantine of pregnant and postnatal women with COVID-19 in hospitals leads to ironic isolation and loneliness, mounting anxiety and fear of unknown outcomes. This study was undertaken to assess maternal anxiety in relation to COVID-19 and to observe factors influencing anxiety, drawing on anxiety scoring scales and a comparison of the levels of anxiety between antenatal and postnatal mothers. Methods: This cross-sectional descriptive study was conducted on 123 perinatal women with COVID-19 and their levels of anxiety were assessed on the basis of a pre-formed questionnaire, using the Coronavirus Anxiety Scale (CAS) and Generalized Anxiety Disorder-7 Questionnaire (GAD-7). The levels of anxiety between antenatal and postnatal mothers were compared based on these 2 scoring systems, using IBM.SPSS statistics software Version23.0. Results: Although both groups were having high scores of anxiety, antenatal women were found to possess statistically significant higher level of anxiety, compared to postnatal women, as determined by CAS. Conclusion: Better assessment on antenatal and postnatal women will lead to need-based counselling from healthcare workers during their hospital stay and better use of resources for the identification of the vulnerable group and their management.
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