Self perceived health and stress in the pregnancy during the COVID-19 pandemic

IntroductionThe COVID-19 pandemic has had numerous maternal and neonatal consequences, especially at the mental level. Pregnant women experience a rise in anxiety symptoms and prenatal stress. AimsThe aim was to describe self-perceived health status, general stress and prenatal stress and to analyze relations and associations with sociodemographic factors. MethodsA quantitative, descriptive and cross-sectional study was conducted using non-probabilistic circumstantial sampling. The sample was recruited during the first trimester of pregnancy during the control obstetrical visit. The Google Forms platform was used. A total of 297 women participated in the study. The Prenatal Distress Questionnaire (PDQ), the Perceived Stress Score (PSS) and the General Health Questionnaire (GHQ-28) were used. ResultsPrimiparas presented higher levels of worry about childbirth and the baby (10.93 +/- 4.73) than multiparous women (9.88 +/- 3.96). Somatic symptoms were present in 6% of the women. Anxiety-insomnia was scored positively by 18% of the women. In the Spearman correlation analysis, statistically significant values were found between almost all study variables. A positive correlation was observed between self-perceived health and prenatal and general stress levels. DiscussionDuring the first trimester of gestation, prenatal concerns increase when levels of anxiety, insomnia and depression also increase. There is a clear relationship between prenatal worries, anxiety, insomnia and depression with stress. Health education that focuses on mental health of pregnant women would help reduce worries during pregnancy and would improve the pregnant women perception of her health and well-being.

Automated summary

This study reveals the significant impact of the COVID-19 pandemic on the mental health of pregnant women. It was found that there is an increase in anxiety symptoms and prenatal stress during pregnancy, and these are associated with sociodemographic factors. Overall, the mental health of pregnant women has a crucial influence on their worries, anxiety, insomnia, and depression during pregnancy.