Abstract
Corona Virus Disease (COVID-19) pandemic is currently engulfing almost the entire world, including Indonesia. As of August 12, 2021, there were 3,774,155 positive cases of Covid-19 in Indonesia, 24,709 new cases and 113,664 deaths. The group of maternal is a vulnerable group, where there are 4.9% of pregnant women who are confirmed positive for COVID-19 from 1,483 confirmed cases that have accompanying condition data. Therefore, maternal, perinatal, postpartum and newborns are vulnerable targets for transmission of COVID-19 infection and this condition is feared to increase maternal and perinatal morbidity and mortality. The general objective of this study was to determine the effect of the anxiety level of pregnant women on the choice of place of delivery during the COVID-19 period. This study used a survey method with a cross sectional approach. The study was conducted in Aceh Barat Regency, in March-June 2021. The population in this study were 637 third trimester pregnant women in 2021. The number of samples in this study was 246 samples calculated by the slovin formula and using accidental sampling technique. Data analysis used logistic regression test. The results of the bivariate analysis showed that there was a significant effect between the level of mild anxiety and the choice of place of delivery during the COVID-19 pandemic with a value (OR=5.6, 95% CI=2.04-15.3, p-value=0.001), . While the level of moderate anxiety had no significant effect on the choice of place of delivery during the Covid-19 period (OR=2.1, 95% CI=0.4-12.4, p-value=0.383) The level of severe anxiety in pregnant women was also not significant. effect on the choice of place of delivery during the Covid-19 period (OR=1.1, 95% CI=0, p-value=0.989). Expected to the government can improve education programs and supervision of the prevention and control of the Covid 19 pandemic, especially groups of pregnant women in order to minimize the possibility of excessive anxiety in pregnant women during the Covid 19 pandemic.
Highlights
Corona Virus Disease (COVID-19) or known as SARS-CoV-2 is an infectious disease caused by a new type of coronavirus (WHO, 2020)
The results of the statistical test showed that there was a significant effect between the level of mild anxiety in pregnant women and the choice of place of delivery during the Covid-19 period with a value (OR = 5.6, 95% CI = 2.04-15.3, p-value = 0.001), meaning that pregnant women with mild anxiety levels were 5.6 times more likely to choose a Independent Practice Midwife (PMB) delivery place during the Covid-19 period compared to pregnant women who had no anxiety
The moderate level of anxiety in pregnant women had no significant effect on the choice of place of delivery during the Covid-19 period (OR=2.1, 95% CI=0.4-12.4, p-value=0.383). moderate anxiety is 2.1 times more likely to choose the place of delivery in PMB over CEmONC and BEmONC during the Covid-19 period compared to pregnant women who do not have anxiety
Summary
Corona Virus Disease (COVID-19) or known as SARS-CoV-2 is an infectious disease caused by a new type of coronavirus (WHO, 2020). Data shows that pregnant women, childbirth, postpartum and newborns are vulnerable targets for COVID-19 infection and this condition is feared to increase maternal and newborn morbidity and mortality (Ministry of Health, 2020). The results of interviews conducted by researchers with several midwives in West Aceh Regency, the number of pregnant women who gave birth at the Independent Practice Midwife (PMB) increased during this COVID-19 pandemic. Concerns in choosing a place of delivery other than the practice of independent midwives in mothers who have complications in pregnancy and childbirth, can increase the risk of morbidity and mortality in maternity Based on this background, the researcher aims to conduct research on the Effect of Pregnant Women's Anxiety on the Choice of Place of Delivery during the COVID-19 Period.
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