Self-Care Performance of Pregnant Women in Preventing COVID-19 Infection and Its Relationship with Perceived Stress
Objective: To determine the status of self-care performance of pregnant women in the prevention of COVID-19 disease and its relationship with perceived stress during the epidemic period of this disease.
Method: This cross-sectional study was performed on 228 pregnant women who referred to the health centers in Tabriz, Iran, for prenatal care. They were selected by cluster sampling. Data collection tools included questionnaires about Demographic-Social Characteristics, the Self-Care Performance Questionnaire and Cohen’s Perceived Stress Scale. Spearman correlation test was used to examine the correlation between self-care performance and perceived stress in bivariate and multivariate analyses. Also, multivariate linear regression was used, with control of demographic-social and obstetric characteristics as possible confounders.
Results: The median (25-75 percentiles) self-care performance score of participants was 0.71 (0.65-0.76), from the achievable range of 20-80, and its mean (± SD) perceived stress score was 25.5 (± 5.6), from the achievable range of 0-56. The Spearman’s rank correlation test results showed a significant inverse correlation between perceived stress and self-care performance scores (r = -0.13; P = 0.041). According to multivariate linear regression test, the variables of self-care performance, education, spouse's education and number of family members were the predictors of perceived stress in pregnant women during the COVID-19 epidemic.
Conclusion: According to the results of the present study, self-care performance of pregnant women in prevention of the COVID-19 disease was good and their stress was moderate. There was a significant inverse correlation between self-care performance and perceived stress that could indicate the high value and importance of the fetus for the mother and her strict adherence to health protocols to prevent COVID-19, which also leads to calming and reduced perceived stress.
2. Yang H, Wang C, Poon LC. Novel coronavirus infection and pregnancy. Ultrasound Obstet Gynecol. 2020;55 (4):435-7.
3. Jamieson DJ, Honein MA, Rasmussen SA, Williams JL, Swerdlow DL, Biggerstaff MS, et al. H1N1 2009 influenza virus infection during pregnancy in the USA. Lancet. 2009;374 (9688):451-8.
4. Lindsay L, Jackson LA, Savitz DA, Weber DJ, Koch GG, Kong L, et al. Community influenza activity and risk of acute influenza-like illness episodes among healthy unvaccinated pregnant and postpartum women. Am J Epidemiol. 2006;163 (9):838-48.
5. Donders F, Lonnée-Hoffmann R, Tsiakalos A, Mendling W, Martinez de Oliveira J, Judlin P, et al. ISIDOG Recommendations Concerning COVID-19 and Pregnancy. Diagnostics (Basel). 2020;10 (4):243.
6. Schwartz DA, Graham AL. Potential Maternal and Infant Outcomes from (Wuhan) Coronavirus 2019-nCoV Infecting Pregnant Women: Lessons from SARS, MERS, and Other Human Coronavirus Infections. Viruses. 2020;12 (2):194.
7. Farnoosh G, Alishiri G, Zijoud S, Dorostkar R, Farahani AJ. Understanding the 2019-novel coronavirus (2019-nCoV) and coronavirus disease (COVID-19) based on available evidence-a narrative review. J Mil Med. 2020 Jan; 22 (1):1-11.
8. Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. Psychosocial stress during pregnancy. Am. J. Obstet. Gynecol. 2010 Jan 1; 202 (1):61-e1.
9. Wheaton MG, Abramowitz JS, Berman NC, Fabricant LE, Olatunji BO. Psychological predictors of anxiety in response to the H1N1 (swine flu) pandemic. Cognit Ther Res. 2012 Jun; 36 (3):210-8.
10. Firoozi M, SALARI P, Sahebi A. Study of the stressors associated with pregnancy. J S U M S. 1970 Jan 1; 12 (3):34-40.
11. Arck PC. Stress and pregnancy loss: role of immune mediators, hormones and neurotransmitters. Am J Reprod Immunol. 2001; 46 (2):117-23.
12. Tanpradit K, Kaewkiattikun K. The Effect of Perceived Stress during Pregnancy on Preterm Birth. Int J Womens Health. 2020; 12:287-93.
13. Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women Birth. 2015; 28 (3):179-93.
14. Hasan Zadeh LifShagard M, Tarkhan M, Taghi Zadeh ME. Effectiveness of stress inoculation training on perceived stress in pregnant women with infertility. J. Holist. Nurs. Midwifery. 2013 Oct 10; 23 (2):27-34.
15. Khan S, Siddique R, Ali A, Xue M, Nabi G. Novel coronavirus, poor quarantine, and the risk of pandemic. J. Hosp. Infect. 2020; 104 (4):449-50.
16. World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020. W. H. O.; 2020.
17. Kordi M, Banaei M, Asgharipour N, Mazloum SR, Akhlaghi F. Prediction of self-care behaviors of women with gestational diabetes based on Belief of Person in own ability (self-efficacy). Iran. J. Obstet. Gynecol. Infertil. 2016; 19 (13):6-17.
18. McCabe N, Dunbar SB, Butler J, Higgins M, Book W, Reilly C. Antecedents of self-care in adults with congenital heart defects. Int J Cardiol. 2015; 201:610-5.
19. Self-Care for COVID-19 [Internet]. 2020. Availablefrom: https://eazphcp.tbzmed.ac.ir/Page/3120/%DA%A9%D8%B1%D9%88%D9%86%D8%A7%20%D9%88%DB%8C%D8%B1%D9%88%D8%B3.html
20. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983; 24 (4):385-96.
21. Alan S, Vurgec BA, Cevik A, Gozuyesil E, Surucu SG. The Effects of COVID-19 Pandemic on Pregnant Women: Perceived Stress, Social Support and Sleep Quality. Yonago Acta Med. 2020;63 (4):360-7.
22. Bastani F, Rahmatnejad L, Jahdi F, Haghani H. Breastfeeding self-efficacy and perceived stress in primiparous mothers. Iran. J. Nurs. 2008; 21 (54):9-24.
23. Iranzad I, Bani S, Hasanpour S, Mohammadalizadeh S, Mirghafourvand M. Perceived Social Support and Stress among Pregnant Women at Health Centers of Iran- Tabriz. J Caring Sci. 2014; 3 (4):287-95.
24. Kashanian M, Faghankhani M, YousefzadehRoshan M, EhsaniPour M, Sheikhansari N. Woman's perceived stress during pregnancy; stressors and pregnancy adverse outcomes. J Matern Fetal Neonatal Med. 2021; 34 (2):207-15.
25. Medina-Jimenez V, Bermudez-Rojas ML, Murillo-Bargas H, Rivera-Camarillo AC, Muñoz-Acosta J, Ramirez-Abarca TG, et al. The impact of the COVID-19 pandemic on depression and stress levels in pregnant women: a national survey during the COVID-19 pandemic in Mexico. J Matern Fetal Neonatal Med. 2022; 35 (23):4438-41.
26. Khatri S, Murthy AK, Hashim U, Kuruthukulangara S, Kumari A, Lele PR. Psychological status of pregnant women during COVID-19 pandemic: A cross-sectional study from Mumbai. J. Mar. Med. Soc. 2020 Nov 1; 22 (3):113.
27. Effati-Daryani F, Zarei S, Mohammadi A, Hemmati E, Ghasemi Yngyknd S, Mirghafourvand M. Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19. BMC Psychol. 2020; 8 (1):99.
28. Nwafor JI, Okedo-Alex IN, Ikeotuonye AC. Prevalence and predictors of depression, anxiety, and stress symptoms among pregnant women during COVID-19-related lockdown in Abakaliki, Nigeria. Malawi Med J. 2021; 33 (1):54-8.
29. Silva-Jose C, Sánchez-Polán M, Díaz-Blanco Á, Pérez-Medina T, Carrero Martínez V, Alzola I, et al. Influence of a Virtual Exercise Program throughout Pregnancy during the COVID-19 Pandemic on Perineal Tears and Episiotomy Rates: A Randomized Clinical Trial. J Clin Med. 2021;10 (22):5250.
30. Jiang H, Jin L, Qian X, Xiong X, La X, Chen W, et al. Maternal Mental Health Status and Approaches for Accessing Antenatal Care Information During the COVID-19 Epidemic in China: Cross-Sectional Study. J Med Internet Res. 2021;23 (1):e18722.
31. Masjoudi M, Aslani A, Khazaeian S, Fathnezhad-Kazemi A. Explaining the experience of prenatal care and investigating the association between psychological factors with self-care in pregnant women during COVID-19 pandemic: a mixed method study protocol. Reprod. Health. 2020 Dec; 17 (1):1-7.
32. Kingston D, Heaman M, Fell D, Dzakpasu S, Chalmers B. Factors associated with perceived stress and stressful life events in pregnant women: findings from the Canadian Maternity Experiences Survey. Matern Child Health J. 2012; 16 (1):158-68.
33. Wang KY. A model of underground ridership during the severe outbreaks of the SARS epidemic in a modern city. arXiv preprint arXiv:0811.2464. 2008 Nov 15.
34. Salmalian H, Amiri N, Khirkhah F. Prevalence of pre And Postpartum Depression Symptoms and Some Related Factors (babol 2006-2007). Journal of Babol University of Medical Sciences. 2008; 10 (3):67-75.
35. Fallahzadeh H, Momayyezi M, Nikokaran J. Prevalence of depression, anxiety and stress in Yazd (2013). Tolooebehdasht. 2016; 15 (3):155-64.
|Issue||Vol 18 No 1 (2023)|
|COVID-19 Pregnancy Self-Care Stress|
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