Factors Affecting Mental Health of Pregnant Women in the Situation of the COVID-19 Pandemic, Muang District, Nakhon Ratchasima Province

Authors

  • Bhanwasa ๋Jantasin Faculty of Nursing, Vongchavalitkul University
  • Intiporn Pakkete Faculty of Nursing, Vongchavalitkul University
  • Sukanya Kanngooluem Faculty of Nursing, Vongchavalitkul University
  • Nannaphat Waeokrathok Faculty of Nursing, Vongchavalitkul University

Keywords:

COVID-19, depression, loneliness, pregnant women

Abstract

The cross-sectional study aimed to investigate factors influencing the mental health of pregnant women during the COVID-19 pandemic in Muang District, Nakhon Ratchasima Province. The sample group consisted of 155 pregnant women using stratified random sampling. The research instruments were aquestionnaire on factors related to Prenancy, depression (EPDS), loneliness scale(UCLA scale) and a COVID-19 assessment form. Data were analyzed using descriptive statistics and logistic regression statistics.
The study found that the prevalence of depression and loneliness in pregnant women were 29.03% and 47.10% respectively. Factors affecting depression, it was found that poor family relationships had depression 3.28 times more those with good family relationships (Adjusted OR = 3.28, 95%CI: 1.43 to 7.53), and pregnant women seeking excessive information were 2.50 times more likely to have depression than those who had little information about COVID-19 (Adjusted OR = 2.50, 95%CI: 1.20 to 5.22). Factors affecting loneliness found that pregnant women being employed were 2.76 times lonelier than those who did not have a job (Adjusted OR = 2.76, 95%CI: 1.32 to 5.75). Pregnant women with poor family relationships were 2.52 times as likely to have good family relationships (Adjusted OR = 2.52, 95%CI: 1.06 to 5.97), and women with their second or higher-parity pregnancy were lonesome 2.48 times more than women with their first pregnancy (Crude OR = 2.48, 95%CI: 1.20 to 5.11) with statistical significance (p-value < 0.05). Therefore, the health team should promote good family relationships, and knowing appropriate information about COVID-19 will prevent depression and reduce loneliness for pregnant women.

References

Stanczyk P, Jachymski T, Sierozewski P. COVID-19 during pregnancy, delivery, and postpartum period based on EBM. Ginekologia Polaka. 2020; 91(7): 417 -23.

Department of Disease Control. Coronavirus disease 2019 situation report. Nonthaburi: Ministry of Mental Health; 2021 (in Thai).

Srisawad K, Puttapithukpol S. The effect of Coronavirus 2019 Infection in pregnant women: a systematic review. Journal of The Royal Thai Army Nurses. 2024; 25(1): 95-104. (in Thai).

Takeda T, Yoshimi K, Kai S, Inoue F. Association between serious psychological distress and loneliness during the COVID-19 pandemic: a cross-sectional study with pregnant Japanese women. International Journal of Women’s Health. 2021; 13(11): 1087-93.

Giurgescu C, Wong AC, Rengers B, Vaughan S, Nowak AL, Price M, et al. Loneliness and depressive symptoms among pregnant black women during the COVID-19 pandemic. Western journal of nursing research. 2022; 44(1): 23-30.

Wang L, Yang N, Zhou H, Mao X, Zhou Y. Pregnant women’s anxiety and depression symptomsand Influence factors in the COVID-19 pandemic in Changzhou, China. Frontiers in Psychology. 2022; 13(5): 1-8.

Basu A, Kim HH, Basaldua R, Choi KW, Charron L, Kelsall N, et al. A cross-national study of factors associated with women’s perinatal mental health and wellbeing during the COVID-19 pandemic. The Public Library of Science One. 2021; 16(4): 1-18.

Berthelot N, Lemieux R, Garon-Bissonnette J, Drouin-Maziade C, Martel E, Maziade M. Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic. Acta Obstetricia et Gynecologica Scandinavica. 2019; 99(7): 848–55.

Liang H, Acharya G. Novel corona virus disease (COVID-19) in pregnancy: what clinical recommendations to follow. Acta Obstetricia et Gynecologica Scandinavica. 2020; 99(4): 439-42.

Thapa SB, Mainali A, Schwank SE, Acharya G. Maternal mental health in the time of the COVID-19 pandemic. Acta Obstetricia et Gynecologica Scandinavica. 2020; 99(7): 817-8.

Stree H, Sheeran P, Orbell S. Conceptualizing depression: an Integration of 27 theories. Clinical Psychology and Psychotherapy. 1999; 6(3):175-93.

Aguilera DC. Crisis intervention. In: Birckhead, LM, editor. Psychiatric mental health Nursing. Philadelphia: J. B. Lippincott; 1989.

Weiss RS. Loneliness: The experience of emotional and social isolation. Cambridge, MA: MIT Press; 1975.

Phoosuwan N, Chaimongkol S, Validity and reliability of the Edinburgh Postnatal Depression Scale in pregnant women in Northeastern Thailand. The First National and International Conference of Kalasin University 2019 on Recent Innovations of Science and Social Sciences for Sustainability; 2019. (in Thai).

Neelapaijit A, Pinyopornpanish M, Simcharoen S, Kuntawong C, Wongpakaran N, Wongpakaran T, Psychometric properties of a Thai version internet addiction test. BioMed Central. 2018; 11(1): 1-6.

Yan H, Ding Y, Guo W. Mental health of pregnant and postpartum women during the Coronavirus Disease 2019 pandemic: a systematic review and meta-analysis. Frontiers in Psychology. 2020; 11(11): 1-12.

Adrianto N, Caesarlia J, Pajala FB. Depression in pregnant and postpartum women duringCOVID-19 pandemic: systematic review and meta-analysis. Obstetrics & Gynecology Science. 2022; 65(4): 287-302.

Malarkiewicz P, Maksymowicz S, Libura M. Mother’s Loneliness: Involuntary separation of pregnant women in maternity care settings and Its effects on the experience of mothers during the COVID-19 pandemic. International Journal of Environmental Research and Public Health. 2022; 19(9): 1-13.

Wang L, Yang N, Zhou H, Mao X, Zhou Y. Pregnant women’s anxiety and depression symptoms and Influence factors in the COVID-19 pandemic in Changzhou, China. Frontiers in Psychology. 2022; 13(5): 1-8.

Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depressionand anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of Affective Disorders. 2020; 277(8): 5-13.

Xie T, Wang Y, Cheng Y. Social media overload as a predictor of depressive symptoms under the COVID-19 Info emic: a cross-sectional survey from Chinese University students. International Journal of Public Health. 2023; 68(10): 1-12.

Lampraki C, Hoffman A, Roquet A, Jopp DS. Loneliness during COVID-19: development and influencing factors. The Public Library of Science One. 2022; 17(3): 1-20.

Jackson C, Brawner J, Ball M, Crossley K, Dickerson J, Dharni N, et al. Being pregnant and becoming a parent during the COVID-19 pandemic: a longitudinal qualitative study with women in the Born in Bradford COVID-19 research study. BioMed Central Pregnancy and Childbirth. 2023; 23(1): 1-15.

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Published

18-08-2024

How to Cite

1.
๋Jantasin B, Pakkete I, Kanngooluem S, Waeokrathok N. Factors Affecting Mental Health of Pregnant Women in the Situation of the COVID-19 Pandemic, Muang District, Nakhon Ratchasima Province. J Royal Thai Army Nurses [Internet]. 2024 Aug. 18 [cited 2024 Nov. 21];25(2):376-83. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/270523

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Research Articles