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. 2021 Oct 16;57(10):1113.
doi: 10.3390/medicina57101113.

Coping Strategies and Health-Related Quality of Life in Pregnant Women with SARS-CoV-2 Infection

Madalina Timircan  1   2 , Felix Bratosin  2 , Iulia Vidican  2 , Oana Suciu  2 , Mirela Turaiche  2 , Adrian Vasile Bota  2 , Sorina Mitrescu  2 , Iosif Marincu  2
Affiliations

Coping Strategies and Health-Related Quality of Life in Pregnant Women with SARS-CoV-2 Infection

Madalina Timircan et al. Medicina (Kaunas). .

Abstract

Background and Objectives: As maternal deaths associated with the SARS-CoV-2 infection remain at several times greater than the general population, significant factors that might contribute to the higher mortality and morbidity rate are the psychological impact of the disease and pregnancy itself. Therefore, the current study's main objective was to assess how pregnant women react and cope with the stress of COVID-19 disease and how it influences their overall health and quality of life in healthcare facilities. Materials and Methods: In this cross-sectional study, we included 304 pregnant women who successfully completed standardized forms to assess our topics of interest, comprising of the Hospital Anxiety and Depression Scale, the Short Form Health Survey-12, the Coping Orientation to Problems Experienced Inventory scale, the CORE-Outcome Measure Questionnaire, and the Quality from the Patient's Perspective questionnaire. Results: Unemployed, pregnant women living in poverty in the rural areas had higher SARS-CoV-2 infection rates during pregnancy. They faced higher anxiety levels and depression rates, with associated increased physical burden and exhaustion. However, these findings are not influenced by hospital care since it remained unchanged among COVID-19 and non-COVID-19 maternity units, excepting significantly lower technical competence scores of COVID-19 facilities. Conclusions: As the pandemic's consequences emerge and additional outbreaks occur, care must prioritize the additional physical burden experienced by pregnant women who have contracted COVID-19, as well as psychological, emotional, and mental health support.

Keywords: COPE; CORE-OM; COVID-19; HADS; QPP; SARS-CoV-2; SF-12; pregnancy.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Comparison between COVID-19 positive and COVID-19 negative pregnant women based on their high likelihood of using the coping mechanisms determined by the COPE-60 survey.
Figure 2
Figure 2
HADS questionnaire results between COVID-19 positive and negative pregnant women.
Figure 3
Figure 3
SF-12 questionnaire results between COVID-19 positive and negative pregnant women.
Figure 4
Figure 4
CORE-OM questionnaire results between COVID-19 positive and negative pregnant women.
Figure 5
Figure 5
QPP questionnaire results between COVID-19 positive and negative pregnant women.
See this image and copyright information in PMC

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