PREGNANT WOMEN'S READINESS DURING THE COVID-19 PANDEMIC
Abstract
A category of people who are susceptible to COVID-19 infection is pregnant women. The safety of the mother and fetus can be determined in large part by how prepared pregnant women are to give birth. Pregnant women who are mentally and physically prepared for childbirth can have a healthy delivery that includes the removal of the baby, placenta, and membranes. The purpose of this study is to investigate how prepared expectant mothers felt for childbirth during the COVID-19 epidemic. This study employs a qualitative methodology and phenomenology. In this study, 11 informants participated. Face-to-face interviews and semi-structured video were employed in the data collection process. According to the study's findings, there were five key elements in pregnant women's preparedness for childbirth during the COVID-19 pandemic: 1) worry about COVID-19 exposure, 2) keeping healthy throughout the COVID-19 pandemic, 3) adhering to our ancestors' culture, 4) preparing for a safe and comfortable delivery, and 5) receiving the best medical facility services. Pregnant women must maintain their health and carefully arrange their deliveries. Health facilities are crucial in assisting expectant mothers with labor preparation, particularly during the pandemic. During the COVID-19 pandemic, telehealth may be employed as a substitute method of reaching pregnant women.
Keywords
References
Akhtar, H. et al. (2020) ‘COVID-19 (SARS-CoV-2) Infection in Pregnancy: A Systematic Review’, Gynecologic and Obstetric Investigation, 85(4), pp. 295–306. doi:10.1159/000509290.
Akhtar, S. et al. (2021) ‘Nutritional perspectives for the prevention and mitigation of COVID-19’, Nutrition Reviews, 79(3), pp. 289–300. doi:10.1093/nutrit/nuaa063.
Akshaya, K.M. and Shivalli, S. (2017) ‘Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India’, PloS One, 12(8), p. e0183739. doi:10.1371/journal.pone.0183739.
Aydin, R. and Akta?, S. (no date) ‘An investigation of women’s pregnancy experiences during the COVID-19 pandemic: A qualitative study’, International Journal of Clinical Practice, n/a(n/a), p. e14418. doi:10.1111/ijcp.14418.
Azeze, G.A., Mokonnon, T.M. and Kercho, M.W. (2019) ‘Birth preparedness and complication readiness practice and influencing factors among women in Sodo town, Wolaita zone, Southern Ethiopia, 2018; community based cross-sectional study’, Reproductive Health, 16(1), p. 39. doi:10.1186/s12978-019-0703-z.
Baena-Antequera, F. et al. (2020) ‘[Pregnancy care during COVID-19 epidemic, a drive for change?]’, Revista Espanola De Salud Publica, 94, p. e202011157.
Berhe, A.K. et al. (2018) ‘Birth preparedness and complication readiness among pregnant women in Ethiopia: a systematic review and Meta-analysis’, Reproductive Health, 15(1), p. 182. doi:10.1186/s12978-018-0624-2.
Calder, P.C. (2020) ‘Nutrition, immunity and COVID-19’, BMJ nutrition, prevention & health, 3(1), pp. 74–92. doi:10.1136/bmjnph-2020-000085.
Calvert, A. et al. (2021) ‘Changing knowledge, attitudes, and behaviors towards cytomegalovirus in pregnancy through film-based antenatal education: a feasibility randomised controlled trial of a digital educational intervention’, BMC pregnancy and childbirth, 21(1), p. 565. doi:10.1186/s12884-021-03979-z.
Cancelo Hidalgo, M.J. (2019) ‘[Milk as a health vehicle in pregnancy and lactation]’, Nutricion Hospitalaria, 36(Spec No3), pp. 44–48. doi:10.20960/nh.02807.
CDC (2020) COVID Data Tracker, Centers for Disease Control and Prevention. Available at: https://covid.cdc.gov/covid-data-tracker (Accessed: 7 April 2021).
Chakona, G. and Shackleton, C.M. (2017) ‘Household Food Insecurity along an Agro-Ecological Gradient Influences Children’s Nutritional Status in South Africa.’, Frontiers in nutrition, 4, p. 72. doi:10.3389/fnut.2017.00072.
Cheng, E.R. et al. (2016) ‘The Influence of Antenatal Partner Support on Pregnancy Outcomes’, Journal of Women’s Health, 25(7), pp. 672–679. doi:10.1089/jwh.2015.5462.
Chi, J., Gong, W. and Gao, Q. (2021) ‘Clinical characteristics and outcomes of pregnant women with COVID-19 and the risk of vertical transmission: a systematic review’, Archives of Gynecology and Obstetrics, 303(2), pp. 337–345. doi:10.1007/s00404-020-05889-5.
Chu, D.K. et al. (2020) ‘Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis’, Lancet (London, England), 395(10242), pp. 1973–1987. doi:10.1016/S0140-6736(20)31142-9.
Cortezzo, D.E., Bowers, K. and Cameron Meyer, M. (2019) ‘Birth Planning in Uncertain or Life-Limiting Fetal Diagnoses: Perspectives of Physicians and Parents’, Journal of Palliative Medicine, 22(11), pp. 1337–1345. doi:10.1089/jpm.2018.0596.
Dashraath, P. et al. (2020) ‘Coronavirus disease 2019 (COVID-19) pandemic and pregnancy’, American Journal of Obstetrics and Gynecology, 222(6), pp. 521–531. doi:10.1016/j.ajog.2020.03.021.
Debelie, T.Z. et al. (2021) ‘Birth preparedness and complication readiness practice and associated factors among pregnant women in Northwest Ethiopia: 2018’, PloS One, 16(4), p. e0249083. doi:10.1371/journal.pone.0249083.
Delahoy, M.J. (2020) ‘Characteristics and Maternal and Birth Outcomes of Hospitalized Pregnant Women with Laboratory-Confirmed COVID-19 — COVID-NET, 13 States, March 1–August 22, 2020’, MMWR. Morbidity and Mortality Weekly Report, 69. doi:10.15585/mmwr.mm6938e1.
Demir, E. and Y?ld?r?m, E. (2019) ‘The Effect of Religious Belief on the Attitudes of Pregnant’s Toward the Fetal Health’, Journal of Religion and Health, 58(6), pp. 2313–2323. doi:10.1007/s10943-019-00818-6.
Dongarwar, D. et al. (2021) ‘A Framework for Protecting Pregnant Women in the Era of COVID-19 Pandemic’, International Journal of Maternal and Child Health and AIDS, 10(1), pp. 109–112. doi:10.21106/ijma.419.
Esposito, G. et al. (2015) ‘Women’s Knowledge, Attitudes and Behavior about Maternal Risk Factors in Pregnancy’, PloS One, 10(12), p. e0145873. doi:10.1371/journal.pone.0145873.
Field, T. (2017) ‘Prenatal anxiety effects: A review’, Infant Behavior & Development, 49, pp. 120–128. doi:10.1016/j.infbeh.2017.08.008.
Galang, R.R. et al. (2020) ‘Severe Coronavirus Infections in Pregnancy: A Systematic Review’, Obstetrics and Gynecology, 136(2), pp. 262–272. doi:10.1097/AOG.0000000000004011.
Gesese, M.M. and Tirfe, W.A. (2020) Birth Preparedness and Complication Readiness Practice and Associated factors among Women Attending Antenatal care Follow up in Yirgalem General Hospital, Sidama Zone, Southern Ethiopia, 2019. preprint. In Review. doi:10.21203/rs.3.rs-55574/v1.
Goyal, M. et al. (2021a) ‘The effect of the COVID-19 pandemic on maternal health due to delay in seeking health care: Experience from a tertiary center’, International Journal of Gynecology & Obstetrics, 152(2), pp. 231–235. doi:10.1002/ijgo.13457.
Goyal, M. et al. (2021b) ‘The effect of the COVID-19 pandemic on maternal health due to delay in seeking health care: Experience from a tertiary center’, International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 152(2), pp. 231–235. doi:10.1002/ijgo.13457.
Graham, A.M. et al. (2021) ‘Effects of Maternal Psychological Stress During Pregnancy on Offspring Brain Development: Considering the Role of Inflammation and Potential for Preventive Intervention’, Biological Psychiatry: Cognitive Neuroscience and Neuroimaging [Preprint]. doi:10.1016/j.bpsc.2021.10.012.
Gudeta, T.A. and Regassa, T.M. (2019) ‘Factors Associated with Birth Preparedness and Complication Readiness Among Pregnant Women in Bench Maji Zone, Southwest Ethiopia: A Community-Based Cross-Sectional Study’, Ethiopian Journal of Health Sciences, 29(5), pp. 567–576. doi:10.4314/ejhs.v29i5.6.
Hailu, M. et al. (2011) ‘Birth preparedness and complication readiness among pregnant women in Southern Ethiopia’, PloS One, 6(6), p. e21432. doi:10.1371/journal.pone.0021432.
Hasnain, M. et al. (2020) ‘Protection challenges of pregnant women against vertical transmission during COVID-19 epidemic: A narrative review’, American Journal of Infection Control, 48(12), pp. 1516–1519. doi:10.1016/j.ajic.2020.06.206.
Houghton, C. et al. (2020) ‘Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis’, The Cochrane Database of Systematic Reviews, 2020(4), p. CD013582. doi:10.1002/14651858.CD013582.
Kaaya, E.S., Ko, J. and Luhanga, E. (2021) ‘Maternal knowledge-seeking behavior among pregnant women in Tanzania’, Women’s Health (London, England), 17, p. 17455065211038442. doi:10.1177/17455065211038442.
Karavadra, B. et al. (2020) ‘Women’s perceptions of COVID-19 and their healthcare experiences: a qualitative thematic analysis of a national survey of pregnant women in the United Kingdom’, BMC Pregnancy and Childbirth, 20(1), p. 600. doi:10.1186/s12884-020-03283-2.
Khoury, J.E. et al. (2021) ‘COVID-19 and mental health during pregnancy: The importance of cognitive appraisal and social support’, Journal of Affective Disorders, 282, pp. 1161–1169. doi:10.1016/j.jad.2021.01.027.
Kompas (2021) BKKBN: Kematian Ibu Hamil Saat Pandemi Sangat Tinggi, Mencapai 10 Kali Lipat Halaman all - Kompas.com. Available at: https://nasional.kompas.com/read/2021/08/20/07391501/bkkbn-kematian-ibu-hamil-saat-pandemi-sangat-tinggi-mencapai-10-kali-lipat?page=all (Accessed: 13 October 2021).
Limenih, M.A., Belay, H.G. and Tassew, H.A. (2019) ‘Birth preparedness, readiness planning and associated factors among mothers in Farta district, Ethiopia: a cross-sectional study’, BMC pregnancy and childbirth, 19(1), p. 171. doi:10.1186/s12884-019-2325-4.
Lotfi, M., Hamblin, M.R. and Rezaei, N. (2020) ‘COVID-19: Transmission, prevention, and potential therapeutic opportunities’, Clinica Chimica Acta; International Journal of Clinical Chemistry, 508, pp. 254–266. doi:10.1016/j.cca.2020.05.044.
Matthews, J. et al. (2017) ‘Perceptions, Uses of, and Interests in Complementary Health Care Approaches in Depressed Pregnant Women’, Journal of Evidence-based Complementary & Alternative Medicine, 22(1), pp. 81–95. doi:10.1177/2156587216641829.
Medina, K.L. (2016) ‘Overview of the immune system’, Handbook of Clinical Neurology, 133, pp. 61–76. doi:10.1016/B978-0-444-63432-0.00004-9.
Mizrak Sahin, B. and Kabakci, E.N. (2020) ‘The experiences of pregnant women during the COVID-19 pandemic in Turkey: A qualitative study’, Women and Birth [Preprint]. doi:10.1016/j.wombi.2020.09.022.
Moinuddin, M. et al. (2017) ‘Birth preparedness and complication readiness (BPCR) among pregnant women in hard-to-reach areas in Bangladesh’, PLOS ONE. Edited by I. Puebla, 12(12), p. e0189365. doi:10.1371/journal.pone.0189365.
Mongan, D. et al. (2019) ‘Prevalence of self-reported mental disorders in pregnancy and associations with adverse neonatal outcomes: a population-based cross-sectional study’, BMC Pregnancy and Childbirth, 19(1), p. 412. doi:10.1186/s12884-019-2572-4.
Mortazavi, F. and Ghardashi, F. (2021) ‘The lived experiences of pregnant women during COVID-19 pandemic: a descriptive phenomenological study’, BMC Pregnancy and Childbirth, 21(1), pp. 1–10. doi:10.1186/s12884-021-03691-y.
Mousa, A., Naqash, A. and Lim, S. (2019) ‘Macronutrient and Micronutrient Intake during Pregnancy: An Overview of Recent Evidence’, Nutrients, 11(2), p. E443. doi:10.3390/nu11020443.
Moyer, C.A. et al. (2020a) ‘Pregnancy-related anxiety during COVID-19: a nationwide survey of 2740 pregnant women’, Archives of Women’s Mental Health [Preprint]. doi:10.1007/s00737-020-01073-5.
Moyer, C.A. et al. (2020b) ‘Pregnancy-related anxiety during COVID-19: a nationwide survey of 2740 pregnant women’, Archives of Women’s Mental Health, 23(6), pp. 757–765. doi:10.1007/s00737-020-01073-5.
Nawsherwan, null et al. (2020) ‘Selected Micronutrients: An Option to Boost Immunity against COVID-19 and Prevent Adverse Pregnancy Outcomes in Pregnant Women: A Narrative Review’, Iranian Journal of Public Health, 49(11), pp. 2032–2043. doi:10.18502/ijph.v49i11.4717.
Oakes, M.C. et al. (2021) ‘Pregnancy as a risk factor for severe coronavirus disease 2019 using standardized clinical criteria’, American Journal of Obstetrics & Gynecology Mfm, 3(3), p. 100319. doi:10.1016/j.ajogmf.2021.100319.
Papapanou, M. et al. (2021) ‘Maternal and Neonatal Characteristics and Outcomes of COVID-19 in Pregnancy: An Overview of Systematic Reviews’, International Journal of Environmental Research and Public Health, 18(2). doi:10.3390/ijerph18020596.
Parazzini, F. et al. (2020) ‘Delivery in pregnant women infected with SARS-CoV-2: A fast review’, International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 150(1), pp. 41–46. doi:10.1002/ijgo.13166.
Pascarella, G. et al. (2020) ‘COVID-19 diagnosis and management: a comprehensive review’, Journal of Internal Medicine, 288(2), pp. 192–206. doi:10.1111/joim.13091.
Phoswa, W.N. and Khaliq, O.P. (2020) ‘Is pregnancy a risk factor of COVID-19?’, European Journal of Obstetrics, Gynecology, and Reproductive Biology, 252, pp. 605–609. doi:10.1016/j.ejogrb.2020.06.058.
Quinn, L.M. et al. (2021) ‘Patient and Professional Experiences With Virtual Antenatal Clinics During the COVID-19 Pandemic in a UK Tertiary Obstetric Hospital: Questionnaire Study’, Journal of Medical Internet Research, 23(8), p. e25549. doi:10.2196/25549.
Shakoor, H. et al. (2021) ‘Immune-boosting role of vitamins D, C, E, zinc, selenium and omega-3 fatty acids: Could they help against COVID-19?’, Maturitas, 143, pp. 1–9. doi:10.1016/j.maturitas.2020.08.003.
Shukla, M. et al. (2019) ‘Effect of focused birth preparedness and complication readiness counseling on pregnancy outcome among females attending tertiary care hospital in Barabanki district, Uttar Pradesh, India’, Journal of Education and Health Promotion, 8, p. 113. doi:10.4103/jehp.jehp_451_18.
da Silveira, M.P. et al. (2021) ‘Physical exercise as a tool to help the immune system against COVID-19: an integrative review of the current literature’, Clinical and Experimental Medicine, 21(1), pp. 15–28. doi:10.1007/s10238-020-00650-3.
Silwal, K. et al. (2020) Factors Influencing Birth Preparedness in Rapti Municipality of Chitwan, Nepal, International Journal of Pediatrics. Hindawi. doi:https://doi.org/10.1155/2020/7402163.
Smith, V. et al. (2020) ‘Maternal and neonatal outcomes associated with COVID-19 infection: A systematic review’, PLOS ONE, 15(6), p. e0234187. doi:10.1371/journal.pone.0234187.
Soubeiga, D. et al. (2014) ‘Birth Preparedness and Complication Readiness (BPCR) interventions to reduce maternal and neonatal mortality in developing countries: systematic review and meta-analysis’, BMC pregnancy and childbirth, 14, p. 129. doi:10.1186/1471-2393-14-129.
Sundler, A.J. et al. (2019) ‘Qualitative thematic analysis based on descriptive phenomenology’, Nursing Open, 6(3), pp. 733–739. doi:https://doi.org/10.1002/nop2.275.
Teekhasaenee, T. and Kaewkiattikun, K. (2020) ‘Birth Preparedness and Complication Readiness Practices Among Pregnant Adolescents in Bangkok, Thailand’, Adolescent Health, Medicine and Therapeutics, 11, pp. 1–8. doi:10.2147/AHMT.S236703.
Thomson, A., Owen, P. and Magowan, B.A. (2014) Clinical Obstetrics and Gynaecology E-Book. Elsevier Health Sciences.
Tong, A., Sainsbury, P. and Craig, J. (2007) ‘Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups’, International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 19(6), pp. 349–357. doi:10.1093/intqhc/mzm042.
Ulloa Sabogal, I.M. and Muñoz de Rodríguez, L. (2019) ‘Care from the Cultural Perspective in Women with Physiological Pregnancy: a Meta-Ethnography’, Investigacion Y Educacion En Enfermeria, 37(1). doi:10.17533/udea.iee.v37n1e03.
Vancini, R.L. et al. (2021) ‘Physical exercise and COVID-19 pandemic in PubMed: Two months of dynamics and one year of original scientific production’, Sports Medicine and Health Science, 3(2), pp. 80–92. doi:10.1016/j.smhs.2021.04.004.
Vouga, M. et al. (2021) ‘Maternal outcomes and risk factors for COVID-19 severity among pregnant women’, Scientific Reports, 11(1), p. 13898. doi:10.1038/s41598-021-92357-y.
World Health Organization (no date) WHO Coronavirus (COVID-19) Dashboard. Available at: https://covid19.who.int (Accessed: 12 July 2021).
Wu, H. et al. (2020) ‘Online Antenatal Care During the COVID-19 Pandemic: Opportunities and Challenges’, Journal of Medical Internet Research, 22(7), p. e19916. doi:10.2196/19916.
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