Assessing the Attitude of Women Towards Pregnancy, Childbirth, and Child Care during the COVID-19 Pandemic (A Cross-sectional Study)

Kiavash Hushmandi1, Sam Saghari2, Rasoul Raesi3, *
1 Department of Food Hygiene and Quality Control, Division of Epidemiology and Zoonoses, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran
2 Department of Health Services Management, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
3 Department of Health Services Management, Mashhad University of Medical Sciences, Mashhad, Iran

Article Metrics

CrossRef Citations:
Total Statistics:

Full-Text HTML Views: 423
Abstract HTML Views: 223
PDF Downloads: 204
ePub Downloads: 140
Total Views/Downloads: 990
Unique Statistics:

Full-Text HTML Views: 282
Abstract HTML Views: 144
PDF Downloads: 151
ePub Downloads: 96
Total Views/Downloads: 673

Creative Commons License
© 2023 Hushmandi et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Health Services Management, Mashhad University of Medical Sciences, Mashhad, Iran; E-mail:



This study assessed the attitude of mothers toward pregnancy, childbirth, and child care during the COVID-19 pandemic, given the significance of women's attitudes toward these parameters and the paucity of relevant national studies.


Pregnant women are among the most high-risk groups for developing COVID-19, and the pandemic may affect the attitude of pregnant women towards pregnancy, childbirth, and child care.


This cross-sectional study was built on the census method to enroll 192 women admitted to comprehensive health centers in Khaf City, Iran, in 2021. The data were collected using an electronic questionnaire and analyzed using an independent t-test, one-way analysis of variance (ANOVA), and Tukey's post-hoc test. P-values < 0.05 were considered significant.


The majority of the participants were 30 years old or younger. The mean attitude towards pregnancy, childbirth, and child care (APCCC) score of the participants was 19.21 ± 8.49. Significant differences were found between the mean APCCC score and the mean scores of APCCC subscales in those with and without a history of developing COVID-19, a family member with COVID-19, a history of hospitalization for COVID-19, and a family member with a history of hospitalization for COVID-19 (P < 0.001).


Negative APCCC can lead to population challenges and a decline in the birth rate; therefore, relevant authorities must take necessary steps to address this critical problem.

Keywords: Pregnancy, Childbirth, Child care, COVID-19, Pandemic, Women, Comprehensive health service centers.