Psychological effects of isolation on antenatal women during COVID-19 pandemic

Authors

  • Chandramathy Kamalakshy Department of Obstetrics and Gynaecology, Government Medical College, Kozhikode, Kerala, India
  • Mini Chenicheri Department of Obstetrics and Gynaecology, Government Medical College, Kozhikode, Kerala, India
  • Lakshmi Chirayil Ratheesh Institute of Mental Health and Neuroscience, Affiliated to Government Medical College, Kozhikode, Kerala, India
  • Ragesh Gangadharan Institute of Mental Health and Neuroscience, Affiliated to Government Medical College, Kozhikode, Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20214650

Keywords:

Psychological effects, Antenatal, COVID-19, Isolation

Abstract

Background: Pregnancy is a time of increased vulnerability for the development of anxiety and depression. This study evaluated the psychological effect of isolation on antenatal women admitted with COVID-19 disease.

Methods: A cross-sectional study conducted at Government medical college Kozhikode from 1 November 2020 to 31 January 2021. One hundred antenatal women with COVID-19 disease admitted in isolation ward in quarantine were randomly selected. Clinical and demographic data collected at the time of admission. After one week of admission, mental health assessment done using following mental health assessment tools. They were general anxiety disorder-7 (GAD-7), perinatal anxiety screening scale (PASS), patient health questionnaire-9 (PHQ-9).

Results: Out of the 100 women selected, 74 responded with the questionnaires. All of them were educated, 62% studied up to plus two. Majority from joint family contributed 68.9% and 85.1% were home makers. Mean age was 26 years. Primigravidae were 48.6% and mean BMI of 25.71 kg/m2. Commonest medical comorbidity was diabetes mellitus present in 28.4%. Mental health assessment done using 3 sets of questionnaires, PHQ-9, GAD-7 and PASS showed that women in our study did not have any increased risk of depression, general anxiety or perinatal anxiety. Infact they reported of feeling safer and more comfortable at the hospital compared to home.

Conclusions: Present study showed that antenatal women with COVID-19 disease admitted in hospital did not have any increased risk of general anxiety, depression or perinatal anxiety.

 

Metrics

Metrics Loading ...

References

Zeng LN, Chen LG, Yang CM, Zeng LP, Zhang LY, Peng TM. Mental health care for pregnant women in the COVID-19 outbreak is urgently needed. Women Birth. 2021;34(3):210-1.

Corbett GA, Milne SJ, Hehir MP, Lindow SW, O’connell MP. Health, anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. Eur J Obstet Gynecol Reprod Biol. 2020;249:96-7.

Fakari FR, Simbar M. Coronavirus pandemic and worries during pregnancy; a letter to editor. Arch Acad Emerg Med. 2020;8(1):21.

Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-7.

Somerville S, Dedman K, Hagan R, Oxnam E, Wettinger M, Byrne S. The perinatal anxiety screening scale: development and preliminary validation. Arch Women Ment Health. 2014;17(5):443-54.

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13.

Gabriele S, Alessia F, Federica A, Fulvio Z. Psychological impact of coronavirus disease 2019 in pregnant women. Am J Obstet Gynecol. 2020;223(2):293-5.

Davenport MH, Meyer S, Meah VL, Strynadka MC, Khurana R. Moms are not OK: COVID-19 and maternal mental health. Frontier Glob Women Health. 2020;1:1.

Ali NA, Feroz AS. Maternal mental health amidst the COVID-19 pandemic. Asian J Psychiatr. 2020;54:102261.

Agampodi SB, Agampodi TC. Antenatal depression in Anuradhapura, Srilanka and the factor structure of the Sinhalese version of Edinburgh postpartum depression scale among pregnant women. PLoS One. 2013;8(7):69708

Patabendige M, WeerasinghM, Jayawardane A. Psychological impact of the COVID- 19 pandemic amongpregnant women in Srilanka. Int J Gynaecol Obstet. 2020;151(1):150-3.

Zhon Y, Shi H, Liu Z, Peng S. The prevalence of psychiatric of symptoms of pregnant and nonpregnant women during the COVID-19 epidemic. Transl Psychiatry. 2020;10(1):319.

Downloads

Published

2021-11-25

How to Cite

Kamalakshy, C., Chenicheri, M., Ratheesh, L. C., & Gangadharan, R. (2021). Psychological effects of isolation on antenatal women during COVID-19 pandemic. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 10(12), 4508–4511. https://doi.org/10.18203/2320-1770.ijrcog20214650

Issue

Section

Original Research Articles