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Introduction: To assess the level of anxiety and knowledge regarding COVID-19 amongst antenatal women Materials and Methods: This cross-sectional survey was conducted in the antenatal clinics of KK Women\'s and Children\'s Hospital, Singapore, from 31 March to 25 April 2020 to assess pregnant women\'s knowledge of COVID-19, their perceptions of its impact upon pregnancy and psychological impact using the validated Depression, Anxiety, and Stress Scales (DHSS-21) Results: Of the 324 women who participated in the study, the mean age was 31 8 years (range, 20-45) The majority (53 7%) were multiparous with mean gestational age of 23 4 weeks (SD 10) The commonest sources of information were Internet-based social media platforms A significant proportion were unaware, or associated COVID-19 infection during pregnancy with fetal distress (82 1%), intrauterine death (71 3%), fetal anomalies (69 8%), miscarriages (64 8%), preterm labour (67 9%) and rupture of membranes (61 4%) A total of 116 (35 8%) women screened positive for anxiety, 59 (18 2%) for depression, and 36 (11 1%) for stress There was a significant association between household size and stress scores [B=0 0454 (95% CI, 0 0035-0 0873)] Women who associated COVID-19 infection with fetal anomalies and intrauterine fetal death had significantly higher anxiety scores [B=-0 395 (95% CI, -0 660 to -0 130) and B = -0 291 (95% CI, -0 562 to -0 021) respectively] Conclusion: Our study highlights that a lack of timely and reliable information on the impact of COVID-19 on pregnancy and its outcomes results in increased levels of depression, anxiety and stress The healthcare provider must address these issues urgently by providing evidence-based information using Internet-based resources and psychological support
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