RESEARCH ARTICLE


Investigating the Relationship Between COVID-19 Stress in Pregnant Women and Mode of Delivery, APGAR Score, and Anthropometric Indices of Newborns



Mahsa Nahidi1, Masoumeh Sinaei2, 3, Mahin Kiyani Mask4, 5, Maryam Saberi2, 3, Jalal Kavoosi7, Marjan Moradi8, Rasoul Raesi2, 9, *
iD

1 Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of Nursing, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran
3 Department of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran
4 Department of Midwifery, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran
5 Department of Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
6 Department of Nursing, Faculty of Nursing, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran
7 Department of Rajaee Hospital, School of Nursing, Shiraz University of Medical Science, Shiraz, Iran
8 Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
9 Department of Health Services Management, Mashhad University of Medical Sciences, Mashhad, Iran


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Creative Commons License
© 2024 The Author(s). Published by Bentham Open.

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: https://creativecommons.org/licenses/by/4.0/legalcode. 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 Nursing and Health Services Management, Mashhad University of Medical Sciences, Mashhad, Iran; E-mail: Raesi.br881@gmail.com


Abstract

Background

The COVID-19 pandemic led to a wave of anxiety and stress in all segments of society, especially among pregnant women. Stress poses a significant health concern for pregnant women, potentially impacting maternal and fetal well-being.

Aim

This study aims to explore the relationship between COVID-19 stress in pregnant women and the mode of delivery, APGAR score, and anthropometric indices of newborns.

Methods

A cross-sectional study was conducted in 2021, employing a survey method on 195 pregnant women who sought delivery at 22 Bahman Hospital in Khaf. Data collection involved the use of the standard COVID Stress Scale (CSS). SPSS-22 software was utilized for the analysis, employing Pearson correlation coefficient and multiple linear regression tests at a significance level of 0.05.

Results

Pregnant women who underwent cesarean sections exhibited significantly higher levels of COVID-19-related stress compared to those who had natural deliveries (p<0.001). A significant negative correlation was observed between the APGAR scores in the first and fifth minutes and the anthropometric indices (weight, length, and head circumference) of newborns concerning COVID-19 stress (p<0.001). Moreover, maternal stress emerged as a predictor for the type of delivery, APGAR scores, length, and head circumference of newborns (p<0.001).

Conclusion

The study underscores the adverse impact of COVID-19 stress on maternal pregnancy outcomes, particularly leading to elevated cesarean section rates. The substantial influence of this stress on the APGAR score and anthropometric indices of newborns highlights the significance of implementing screening, counseling, and stress reduction education for pregnant women during the COVID-19 pandemic and beyond.

Keywords: Stress, COVID-19, Delivery, APGAR score, Anthropometric, Newborns, Women, Pregnancy.