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. 2020 Dec 31;152(3):321–327. doi: 10.1002/ijgo.13524

TABLE 4.

Effect of COVID‐19 on peripartum women.

Subcategory Thought Emotion Behavior

Category 1

Psychological effects

Fear of getting infection
  • Increased thought related to contamination

  • Most dangerous place is hospital

  • Anyone can be potentially infectious

  • Anything from outside home is contaminated

Fear

Worry

Guilt

Frustration

  • Increased hand washing

  • Avoid visiting the hospital for prenatal check‐ups

  • Resort to early maternity leave

  • Avoid public transport and people

Fear about new‐born baby getting infected
  • All might not be stringently following preventive measures

  • Misinterpretation of minor common ailments as infection

Fear

Suspicion

Irritability

  • Avoid going to park for walking/exercise

  • Excessive washing or sanitizing

  • Avoid social gatherings

  • Avoid services of domestic help

  • Stopped reading newspaper

  • Stopped services of washerman/driver

  • Not allowing any help for baby care

  • Repetitive behavior in terms of checking the temperature of both baby and self

Fear and Anxiety due to inadequate prenatal services
  • Increased thoughts related to COVID‐19 negative effect on pregnancy and baby

  • Minimal prenatal visits can be detrimental for pregnancy

Sad

Depressed

  • Resort to Google for information

Fear of social stigma if infected

All will socially boycott me.

Nobody will be spared

Fear

Sad

distressed

Frustration

Taking more precautions

Avoid watching the news and reading messages related to COVID−19

Avoid any discussion about COVID‐19

Information with family members

Category 2

Social effects

Anxiety due to financial issues
  • Thought related to a financial source

Helplessness

Stop working or searching for online jobs.

Anxiety due to changed lifestyle (diet, exercise, and nutrition)
  • Lifestyle changes are required or not

Uneasiness

Confusion

Cut down physical exercises

  • Taking more precautions while choosing foods and nutrition

  • Avoid a non‐vegetarian diet

Lack of support
  • Support from others during labor pain

  • Support after delivery to take care of a baby

Frustration

Loneliness

  • Start to taking responsibilities for baby care and other household chores

  • Showing irritability towards family members

Less/decrease interaction and involvement Any social gathering can be harmful Boredom

Keep themselves at home

  • Keep restriction on social life (no celebration of festivals, going to malls or crowded markets)

Lack of motivation and interest
  • Decrease interest in activities

  • Increased negative thoughts

  • God's way to punish mankind

Fear

Sadness Hopelessness

Guilt

  • Poor self‐care

  • Decline in physical activity

  • Disturbed sleep‐wake cycle

  • Increased praying

Category 3

Coping Strategies

Self‐motivation

Engage in pleasurable activities and family time

  • Spending quality time with family

  • Increased indulgence in hobbies