Osong Public Health Res Perspect.  2021 Apr;12(2):80-87. 10.24171/j.phrp.2021.12.2.05.

Psychological outcomes of the COVID-19 pandemic among pregnant women in Indonesia: a crosssectional study

Affiliations
  • 1Department of Public Health, Universitas Islam Negeri Syarif Hidayatullah, Jakarta, Indonesia
  • 2Department of Public Health, Universitas Pembangunan Nasional Veteran Jakarta, Jakarta, Indonesia
  • 3Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta, Jakarta, Indonesia

Abstract


Objectives
The objective of this study was to analyze the psychological outcomes of pregnant women during the coronavirus disease 2019 (COVID-19) pandemic in several areas that are epicenters for the spread of the severe acute respiratory syndrome coronavirus 2 in Indonesia.
Methods
This cross-sectional study used data obtained from an online survey administered to 120 women who were pregnant and gave birth during the COVID-19 pandemic in Indonesia. The psychological condition of pregnant women was measured using the Depression, Anxiety, and Stress Scale-21 questionnaire which was modified for conditions experienced during the COVID-19 pandemic. We classified pregnant women into 2 groups according to their psychological condition: pregnant women who experienced anxiety and pregnant women who did not experience anxiety or felt normal. Receiver operating characteristic (ROC) analysis was undertaken for the 2 groups. This study also used univariate analysis and bivariate analysis.
Results
The results of the ROC analysis resulted in a cutoff score of 3.56. The proportion of respondents who felt anxious was 53.3% and the proportion of respondents who did not feel anxious or felt normal was 46.7%. Anxiety was most common among pregnant women with high education levels, gestational age <19 weeks, and working pregnant women.
Conclusion
Maternal health services need to be performed with strict health protocols, complemented by pregnancy counseling services. This will provide a feeling of comfort and safety as pregnant women receive health services and give birth.

Keyword

COVID-19; Pregnant women; Psychological outcomes
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