ارتباط بین ترس و اضطراب کرونا و تجارب زایمانی در زنان مراجعه کننده به مراکز بهداشتی استان مازندران: یک مطالعه طولی

سابقه و هدف: گرچه ترس و اضطراب دوران بارداری می‌تواند با پیامدهای نامطلوب بارداری همراه باشد، ولیکن مطالعات انجام شده با نتایج متفاوتی همراه می‌باشد. هدف از مطالعه حاضر بررسی ارتباط ترس و اضطراب کرونا و تجارب زایمانی بود.مواد و روش‌ها: این مطالعه طولی در شش شهر استان مازندران در فاصله زمانی خرداد 1400 تا بهمن ماه همان سال بر روی 278 زن باردار انجام شده است. نمونه‌ها به روش نمونه‌گیری چند مرحله‌ای از بین زنان مراجعه‌کننده به مراکز بهداشتی دانشگاه علوم پزشکی مازندران انتخاب شدند.گردآوری داده‌ها با پرسشنامه‌های ترس از کووید 19، اضطراب از کووید 19 و پرسشنامه تجربه زایمانی ویجیما (wijma) انجام شد. توصیف متغیرها با استفاده از شاخص‌های توصیفی و تحلیل آن ها با توسط مدل رگرسیون خطی چندگانه انجام شد.یافته‌ها: در این مطالعه 135 نفر (48/6 درصد) ترس از کرونا و126 نفر (45/3 درصد) اضطراب ناشی از کرونا را ذکر نمودند. آنالیز تک متغیره نشان داد ترس کرونا با تجربه منفی زایمان ارتباط معنی‌داری داشته است(0/001>p)، ولیکن ترس و اضطراب کرونا با پیامدهای نوزادی همراه نبود. مدل‌های خطی چندگانه نشان داد که ترس از کرونا بیش‌ترین تاثیر را بر حیطه فقدان پیش‌بینی مثبت (lack of positive anticipation) در بین سایر حیطه‌های تجربه زایمانی دارد(0/388=b).استنتاج: با توجه به این‌که ترس و اضطراب زنان باردار در دوران کرونا با تجربه منفی زایمانی همراه می‌باشد، لذا سیاستگذاران بهداشتی باید بر راهکارها و مداخلات مناسب برای کاهش ترس و اضطراب این گروه از زنان در موارد مشابه در آینده تمرکز نمایند.

the relationship between fear and anxiety of corona and childbirth experiences in women referring to health centers in mazandaran province: a longitudinal study

background and purpose: although fear and anxiety during pregnancy can be associated with adverse pregnancy outcomes, the existing studies show various results. this study aimed to investigate the relationship between fear and anxiety of covid-19 and childbirth experiences.materials and methods: this longitudinal study was conducted in six cities of mazandaran province between june 2021 to february of the same year on 278 pregnant women using a multi-stage sampling method. data were collected using the fear of covid-19 questionnaire, the anxiety of covid-19 questionnaire, and the vijima childbirth experience questionnaire. variables were described using descriptive indices and their analysis was done using a multiple linear regression model.results: in this study, 135 participants (48.6%) had fear of covid-19, and 126 (45.3%) had anxiety about covid-19. univariate analysis showed that the fear of covid-19 had a significant relationship with the negative experience of childbirth (p-value<0.001), but the fear and anxiety of covid-19 were not associated with neonatal outcomes. multiple linear models show that the fear of covid-19 has the greatest impact on the domain of lack of positive anticipation of childbirth experience (b=0.388).conclusion: considering the fear and anxiety of covid-19 are associated with a negative experience of childbirth, therefore, health policymakers should focus on appropriate solutions and interventions to reduce the fear and anxiety of this group of women in similar cases in the futurebackground and purpose: although fear and anxiety during pregnancy can be associated with adverse pregnancy outcomes, the existing studies show various results. this study aimed to investigate the relationship between fear and anxiety of covid-19 and childbirth experiences.materials and methods: this longitudinal study was conducted in six cities of mazandaran province between june 2021 to february of the same year on 278 pregnant women using a multi-stage sampling method. data were collected using the fear of covid-19 questionnaire, the anxiety of covid-19 questionnaire, and the vijima childbirth experience questionnaire. variables were described using descriptive indices and their analysis was done using a multiple linear regression model.results: in this study, 135 participants (48.6%) had fear of covid-19, and 126 (45.3%) had anxiety about covid-19. univariate analysis showed that the fear of covid-19 had a significant relationship with the negative experience of childbirth (p-value<0.001), but the fear and anxiety of covid-19 were not associated with neonatal outcomes. multiple linear models show that the fear of covid-19 has the greatest impact on the domain of lack of positive anticipation of childbirth experience (b=0.388).