The Effect of Home Visits on Depression and Anxiety in Pregnant Patients During COVID-19

Authors

  • Elisabeth MF Lalita Department of Midwifery, Health Polytechnic, Ministry of Health, Manado, North Sulawesi, Indonesia
  • Dian Pratiwi Department of Midwifery, Health Polytechnic, Ministry of Health, Manado, North Sulawesi, Indonesia
  • Amelia Donsu Department of Midwifery, Health Polytechnic, Ministry of Health, Manado, North Sulawesi, Indonesia
  • Nancy Olii Department of Midwifery, Health Polytechnic, Ministry of Health, Gorontalo, Gorontalo, Indonesia

DOI:

https://doi.org/10.31965/infokes.Vol22.Iss3.1305

Keywords:

Depression, Anxiety, Home Visit Interventions

Abstract

Depression and anxiety during pregnancy can increase the risk of miscarriage, premature birth, low birth weight, low Apgar scores, and fetal death The past COVID-19 pandemic caused significant anxiety and infection fear, causing significant harm to pregnant women's lives. Public access to health services has changed during the COVID-19 pandemic. This study aimed to determine the effectiveness of pregnancy care home visits on depression and anxiety of pregnant women. Efforts should therefore be made to increase visits by pregnant women while maintaining health protocols during the pandemic. The research method is a Quasi-experimental design with one group pretest-posttest design. Sampling was carried out by purposive sampling with the inclusion criteria of pregnant women who did not re-examine at the Health Center for 1 month and pregnant women who were willing to be selected as respondents. obtained 28 pregnant women as respondents. The instruments used are the Edinburgh Postpartum Depression Scale (EPDS) questionnaire and the Hamilton Anxiety Rating Scale (HARS). The data analysis technique used the Paired Simple T-test. The results of the study showed that there was an increase in depression and anxiety during pregnancy during the COVID-19 pandemic, this data was obtained from interviews and pregnancy care with home visits. The depression rate at the initial data of 12.36 dropped to 3.50, and the anxiety rate of 22.46 dropped to 6.61 after being given prenatal care with home visits. In these difficult times, the need for prenatal health care can ensure the provision of protective and safe services and psychological screening of pregnant women at risk for depression to reduce long-term negative outcomes should be carried out.

Downloads

Download data is not yet available.

References

Abazarnejad, T., Ahmadi, A., Nouhi, E., Mirzaee, M., & Atghai, M. (2019). Effectiveness of psycho-educational counseling on anxiety in preeclampsia. Trends in psychiatry and psychotherapy, 41(3), 276-282. https://doi.org/10.1590/2237-6089-2017-0134

Alder, J., Fink, N., Bitzer, J., Hösli, I., & Holzgreve, W. (2007). Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. The Journal of Maternal-Fetal & Neonatal Medicine, 20(3), 189-209. https://doi.org/10.1080/14767050701209560

Almas, Afsheen, S., Memon, S. A., & Avesi, K. (2021). Antenatal care service utilization of pregnant women attending antenatal care in public hospital during the COVID-19 pandemic period. Medical Forum Monthly, 32(9), 83–87.

An, R., Chen, X., Wu, Y., Liu, J., Deng, C., Liu, Y., & Guo, H. (2021). A survey of postpartum depression and health care needs among Chinese postpartum women during the pandemic of COVID-19. Archives of Psychiatric Nursing, 35(2), 172–177. https://doi.org/10.1016/j.apnu.2021.02.001

Ayaz, R., Hocaoǧlu, M., Günay, T., Yardlmcl, O. D., Turgut, A., & Karateke, A. (2020). Anxiety and depression symptoms in the same pregnant women before and during the COVID-19 pandemic. Journal of Perinatal Medicine, 48(9), 965–970. https://doi.org/10.1515/jpm-2020-0380

Chen, Y., Li, Z., Zhang, Y. Y., Zhao, W. H., & Yu, Z. Y. (2020). Maternal health care management during the outbreak of coronavirus disease 2019. Journal of medical virology, 92(7), 731-739.. https://doi.org/10.1002/jmv.25787

Connor, J., Madhavan, S., Mokashi, M., Amanuel, H., Johnson, N. R., Pace, L. E., & Bartz, D. (2020). Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review. Social Science and Medicine, 266, 113364. https://doi.org/10.1016/j.socscimed.2020.113364

Derya, Y. A., Altiparmak, S., Emine, A. K. Ç. A., GÖkbulut, N., & Yilmaz, A. N. (2021). Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety. Midwifery, 92, 102877. https://doi.org/10.1016/J.MIDW.2020.102877

Durankuş, F., & Aksu, E. (2020). Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. Journal of Maternal-Fetal and Neonatal Medicine, 0(0), 1–7. https://doi.org/10.1080/14767058.2020.1763946

Fan, S., Guan, J., Cao, L., Wang, M., Zhao, H., Chen, L., & Yan, L. (2021). Psychological effects caused by COVID-19 pandemic on pregnant women: A systematic review with meta-analysis. Asian Journal of Psychiatry, 56, 102533. https://doi.org/10.1016/J.AJP.2020.102533

Gomez, A. M., Arteaga, S., Ingraham, N., Arcara, J., & Villaseñor, E. (2018). It’s Not Planned, But Is It Okay? The Acceptability of Unplanned Pregnancy Among Young People. Women’s Health Issues, 28(5), 408–414. https://doi.org/10.1016/J.WHI.2018.07.001

Goyal, M., Singh, P., & Melana, N. (2020). Review of care and management of pregnant women during COVID-19 pandemic. Taiwanese Journal of Obstetrics and Gynecology, 59(6), 791–794. https://doi.org/10.1016/j.tjog.2020.09.001

Hayakawa, S., Komine-Aizawa, S., & Mor, G. G. (2020). Covid-19 pandemic and pregnancy. Journal of Obstetrics and Gynaecology Research, 46(10), 1958–1966. https://doi.org/10.1111/jog.14384

Kementerian Kesehatan Republik Indonesia. (2019). Profil Kesehatan Indonesia 2019. Kementerian Kesehatan Republik Indonesia

Lalita, E. M. (2013). Asuhan Kebidanan Kehamilan. Yogyakarta: Media.

Lebel, C., MacKinnon, A., Bagshawe, M., Tomfohr-Madsen, L., & Giesbrecht, G. (2021). Corrigendum to elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic journal of affective disorders 277 (2020) 5–13 (Journal of Affective Disorders (2020) 277 (5–13), (S0165032720325799), (10.1016/j.jad.2020.07.1. Journal of Affective Disorders, 279(November 2020), 377–379. https://doi.org/10.1016/j.jad.2020.10.012

Matsushima, M., & Horiguchi, H. (2022). The COVID-19 pandemic and mental well-being of pregnant women in Japan: need for economic and social policy interventions. Disaster Medicine and Public Health Preparedness, 16(2), 449-454. https://doi.org/10.1017/dmp.2020.334

Moekroni, R., & Analia. (2016). Pengaruh Pemberian Terapi Musik Klasik dalam Menurunkan Tingkat Kecemasan Ibu Hamil Menjelang Persalinan. Jurnal Majority, 5, 1–11.

Mortazavi, F., Mehrabad, M., & KiaeeTabar, R. (2021). Pregnant Women ’ s Well-being and Worry During the COVID-19 Pandemic : A Comparative Study. BMC Pregnancy and CHildbirth, 4(21), 1–22.

NICE. (2014). Antenatal and postnatal mental health: clinical management and service guidance. UK: NICE.

Nishiura, H., Jung, S. M., Linton, N. M., Kinoshita, R., Yang, Y., Hayashi, K., ... & Akhmetzhanov, A. R. (2020). The extent of transmission of novel coronavirus in Wuhan, China, 2020. Journal of clinical medicine, 9(2), 330.

Nurrizka, R., Nurdiantami, Y., & Makkiyah, F. (2021). Akses Ibu Hamil terhadap Pelayanan Kesehatan di Masa Pandemi COVID-19. Jurnal Kebijakan Kesehatan Indonesia, 10(2), 94-99. https://doi.org/10.22146/jkki.62752

Perzow, S. E. D., Hennessey, E. M. P., Hoffman, M. C., Grote, N. K., Davis, E. P., & Hankin, B. L. (2021). Mental health of pregnant and postpartum women in response to the COVID-19 pandemic. Journal of Affective Disorders Reports, 4, 100123. https://doi.org/10.1016/J.JADR.2021.100123

Public Health Ontario. (2020). Review of “Clinical manifestations and outcome of SARS-CoV-2 infection during pregnancy” SYNOPSIS Review of “Clinical manifestations and outcome of SARS-CoV-2 infection during pregnancy” One-Minute Summary.

Ramanathan, K., Antognini, D., Combes, A., Paden, M., Zakhary, B., Ogino, M., Maclaren, G., & Brodie, D. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed4. The Lancet Psychiatry, 7(3), 228–229.

Roberton, T., Carter, E. D., Chou, V. B., Stegmuller, A. R., Jackson, B. D., Tam, Y., Sawadogo-Lewis, T., & Walker, N. (2020). Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study. The Lancet Global Health, 8(7), e901–e908. https://doi.org/10.1016/S2214-109X(20)30229-1

Sahin, B. M., & Kabakci, E. N. (2021). The experiences of pregnant women during the COVID-19 pandemic in Turkey: A qualitative study. Women and birth, 34(2), 162-169. https://doi.org/10.1016/j.wombi.2020.09.022

Downloads

Published

2023-09-30

How to Cite

Lalita, E. M., Pratiwi, D., Donsu, A., & Olii, N. (2023). The Effect of Home Visits on Depression and Anxiety in Pregnant Patients During COVID-19 . JURNAL INFO KESEHATAN, 22(3), 473–480. https://doi.org/10.31965/infokes.Vol22.Iss3.1305

Issue

Section

Original Articles

Similar Articles

<< < 1 2 3 4 5 

You may also start an advanced similarity search for this article.