To investigate the cognition and psychological status of pregnant women on the prevention and control of corona virus disease 2019 (COVID-19), and to explore the key intervention points.

From February 19th, 2020 to March 6th, 2020, a questionnaire about COVID-19 prevention and control cognition and psychological status of pregnant women in Department of Gynaecology and Obstetrics, Beijing Ditan Hospital, Capital Medical University was conducted through WeChat. During the prenatal examination, on-site education and WeChat promotion of epidemic prevention and control and psychological counseling were conducted. The second questionnaire survey was conducted one week later, and a comparative analysis was conducted on the cognition of epidemic prevention and control before and after intervention, the cognition of prenatal examination during the epidemic, and the characteristics of psychological changes before and after intervention. On December 20th, 2022, the third psychological questionnaire survey was conducted to analyze the psychological changes of these postpartum women.

Total of 246 survey questionnaires from 82 pregnant women were collected, indicating that all enrolled pregnant women were concerned about the progress of COVID-19 and had a certain level of understanding of epidemic prevention and control. However, some pregnant women did not have accurate understanding of protective equipment selection (7.31%, 6/82) and travel mode selection (4.88%, 4/82). Most pregnant women (98.78%, 81/82) were worried about the safety of prenatal examination, and some planned to postpone the prenatal examination (35.37%, 29/82) in order to reduce the potential infection risk. The proportion of planned delayed production inspections significantly decreased after on-site and online education through production inspections (17.07%, 14/82; χ² = 7.092, P = 0.008). The survey subjects had a high proportion of awareness on necessary prenatal examination items before education (85.37%, 70/82), and this proportion increased to 100% (Fisher’s exact probability test: P < 0.001) after education. Some pregnant women (74.39%, 61/82) were aware of home based self-monitoring fetal methods, and this proportion also increased to 100% through education (Fisher’s exact probability test: P < 0.001). The epidemic has caused a psychological burden on the vast majority of pregnant women (96.34%, 79/82), and after psychological counseling intervention, the psychological burden has been alleviated (Fisher’s exact probability test: P < 0.001). The anxiety and depression scale indicated that 20 (24.39%) pregnant women had anxiety before or after intervention, and 5 (6.09%) pregnant women had depression. After psychological counseling, the levels of anxiety and depression were alleviated (Fisher’s exact probability test: P < 0.001, P = 0.0006). The third follow-up showed that all the enrolled pregnant women had no negative cognition such as anxiety and depression.

Intervention measures have a positive motivating effect on the awareness and psychological construction of epidemic prevention and control for pregnant and postpartum women.