Knowledge, attitudes, practices, and influencing factors of anxiety among pregnant women in Wuhan during the outbreak of COVID-19: a cross-sectional study.

Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Health Knowledge, Attitudes, Practice*; Anxiety/*psychology ; COVID-19/*psychology ; Pregnancy Complications, Infectious/*psychology; Adult ; Anxiety/epidemiology ; Anxiety/prevention & control ; COVID-19/epidemiology ; COVID-19/prevention & control ; China/epidemiology ; Cross-Sectional Studies ; Delivery, Obstetric/psychology ; Female ; Humans ; Pregnancy ; Pregnancy Complications, Infectious/epidemiology ; Pregnancy Complications, Infectious/prevention & control ; Prenatal Care/psychology

Background: Prenatal anxiety has been a significant public health issue globally, leading to adverse health outcomes for mothers and children. The study aimed to evaluate the sociodemographic characteristics, knowledge, attitudes, and practices (KAP), and anxiety level of pregnant women during the coronavirus disease 2019 (COVID-19) epidemic in Wuhan and investigate the influencing factors for prenatal anxiety in this specific context.
Methods: Pregnant subjects' KAP towards COVID-19 and their sociodemographics and pregnancy information were collected using questionnaires. The Zung Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Factors associated with the level of prenatal anxiety were analyzed by Pearson's chi-square test and multivariable logistic regression analyses.
Results: The prenatal anxiety prevalence in this population was 20.8%. The mean score of knowledge was 13.2 ± 1.1 on a 0 ~ 14 scale. The attitudes and practices data showed that 580/ 817 (71.0%) were very concerned about the news of COVID-19, 455/817 (55.7%) considered the official media to be the most reliable information source for COVID-19, and 681/817 (83.4%) were anxious about the possibility of being infected by COVID-19. However, only 83/817 (10.2%) worried about contracting COVID-19 infection through the ultrasound transducer during a routing morphology scan. About two-thirds 528/817 (64.6%) delayed or canceled the antenatal visits. Approximately half of them 410/817 (50.2%) used two kinds of personal protection equipments (PPEs) during hospital visits. Logistic regression analysis revealed that the influential factors for prenatal anxiety included previous children in the family, knowledge score, media trust, worry of contracting the COVID-19 infection and worry about getting infected with COVID-19 from the ultrasound probe antenatal care (ANC) schedule.
Conclusion: Prenatal anxiety was prevalent among pregnant women in Wuhan during the outbreak of COVID-19. The current findings identified factors associated with the level of prenatal anxiety that could be targeted for psychological care.

J Affect Disord. 2019 May 1;250:57-64. (PMID: 30831542)
J Hum Hypertens. 2015 Mar;29(3):198-203. (PMID: 25008000)
Neurosci Biobehav Rev. 2005 Apr;29(2):237-58. (PMID: 15811496)
Br J Psychiatry. 2017 May;210(5):315-323. (PMID: 28302701)
BMC Pregnancy Childbirth. 2020 Nov 10;20(1):675. (PMID: 33167918)
Eur J Obstet Gynecol Reprod Biol. 2013 Jan;166(1):30-6. (PMID: 23146315)
N Engl J Med. 2020 Jun 18;382(25):e100. (PMID: 32302077)
BJOG. 2020 Sep;127(10):1229-1240. (PMID: 32583536)
Psychol Health Med. 2021 Jan;26(1):13-22. (PMID: 32223317)
JBRA Assist Reprod. 2020 May 01;24(2):219-225. (PMID: 32301600)
J Reprod Infant Psychol. 2018 Nov;36(5):519-529. (PMID: 30092662)
Eur J Obstet Gynecol Reprod Biol. 2020 Jun;249:96-97. (PMID: 32317197)
Front Psychiatry. 2020 Oct 06;11:571876. (PMID: 33132935)
Lancet. 2020 Mar 7;395(10226):809-815. (PMID: 32151335)
JAMA. 2020 May 12;323(18):1846-1848. (PMID: 32215581)
AJNR Am J Neuroradiol. 2020 Oct;41(10):1908-1915. (PMID: 32912873)
J Psychosom Res. 2006 Nov;61(5):707-13. (PMID: 17084150)
J Affect Disord. 2019 Aug 1;255:27-40. (PMID: 31129461)
Ultrasound Obstet Gynecol. 2020 May;55(5):709-712. (PMID: 32207189)
Psychosomatics. 1971 Nov-Dec;12(6):371-9. (PMID: 5172928)
Am J Perinatol. 2020 Jun;37(8):861-865. (PMID: 32305046)
Cochrane Database Syst Rev. 2015 Jul 16;(7):CD000934. (PMID: 26184394)
BMJ. 2020 Sep 1;370:m3320. (PMID: 32873575)
J Affect Disord. 2020 Oct 1;275:188-193. (PMID: 32734907)
Nat Microbiol. 2020 Apr;5(4):536-544. (PMID: 32123347)
Ultrasound Obstet Gynecol. 2020 Jun;55(6):848-862. (PMID: 32356590)
Am J Obstet Gynecol. 2020 Aug;223(2):240.e1-240.e9. (PMID: 32437665)
J Affect Disord. 2019 Jun 15;253:292-302. (PMID: 31077972)
BMC Psychiatry. 2020 Feb 28;20(1):90. (PMID: 32111187)
J Affect Disord. 2020 Mar 1;264:115-122. (PMID: 32056740)
Semin Perinatol. 2019 Aug;43(5):297-307. (PMID: 31005357)
Int J Soc Psychiatry. 2020 Jul 9;:20764020941567. (PMID: 32643510)
Eur J Obstet Gynecol Reprod Biol. 2020 Dec;255:190-196. (PMID: 33147531)
Front Public Health. 2020 May 27;8:217. (PMID: 32574300)
Women Birth. 2015 Sep;28(3):179-93. (PMID: 25765470)
Psychol Med. 2020 Oct;50(13):2128-2140. (PMID: 32912348)

2018YFC 1004104 the National Key Research and Development Program of China; 81671470 National Natural Science Foundation of China

Date Created: 20210126 Date Completed: 20210128 Latest Revision: 20210130

20221213

PMC7829651

10.1186/s12884-021-03561-7

33494723