Title:	Impact of the COVID-19 pandemic on maternal anxiety in Brazil
Authors:	Nomura, Roseli Tavares, Isabela Ubinha, Ana Carla Costa, Maria Laura Opperman, Maria Lucia Brock, Marianna Trapani, Alberto Damasio, Lia Cruz Vaz da Costa Reis, Nadia Borges, Vera Zaconeta, Alberto Carlos Moreno Araújo, Ana Cristina Ruano, Rodrigo BrAPS-COVID Brazilian Anxiety during Pregnancy Study Group in COVID-19
metadata.dc.identifier.orcid:	https://orcid.org/0000-0002-6471-2125 https://orcid.org/0000-0002-6578-995X https://orcid.org/0000-0002-9356-116X https://orcid.org/0000-0003-0196-4488 https://orcid.org/0000-0002-0005-9446 https://orcid.org/0000-0001-6440-4395 https://orcid.org/0000-0002-3642-5858
Assunto::	Gravidez Mães - ansiedade Parto (Obstetrícia) Puerpério Questionários Amamentação Covid-19 Epidemias
Issue Date:	6-Feb-2021
Publisher:	MDPI
Citation:	NOMURA, Roseli et al. Impact of the COVID-19 pandemic on maternal anxiety in Brazil. Journal of Clinical Medicine, v. 10, n. 4, 620, 2021. DOI: https://doi.org/10.3390/jcm10040620. Disponível em: https://www.mdpi.com/2077-0383/10/4/620. Acesso em: 24 fev. 2021.
Abstract:	Background: The coronavirus disease 2019 (COVID-19) pandemic may have an effect on maternal anxiety and influence postpartum experience. Objective: To study the prevalence of maternal anxiety in late pregnancy in the context of the COVID-19 outbreak in Brazil and to analyze its association with maternal knowledge and concerns about the pandemic. Methods: This was a national multicenter cross-sectional study performed in 10 different public university hospitals, between 1 June and 31 August 2020, in Brazil. The inclusion criteria were: maternal age more than 18 years; gestational age more than 36 weeks at childbirth; single alive newborn without malformations; and absence of mental disorders. We applied a structured questionnaire to explore the knowledge and concerns about COVID-19. Maternal anxiety was assessed using the Beck Anxiety Inventory (BAI). Results: Of the 1662 women interviewed, the BAI score in late pregnancy indicated that 13.9% presented moderate and 9.6% severe maternal anxiety. Moderate or severe maternal anxiety was independently associated with the fear of being unaccompanied at childbirth (aOR1.12, 95% CI 1.10–1.35), and independent protective factors were confidence in knowing how to protect oneself from COVID-19 (aOR0.89, 95% CI 0.82–0.97) and how to safely breastfeed (aOR0.89, 95% CI 0.83–0.95). Conclusion: The COVID-19 pandemic has a significant impact on maternal anxiety.
Licença::	Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
DOI:	https://doi.org/10.3390/jcm10040620
Appears in Collections:	Artigos publicados em periódicos e afins UnB - Covid-19

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