The corona virus (COVID-19) has challenged people of all ages in whole of the world. One of the most important concerns of Covid-19 is in pregnant women and newborns (26). Pregnancy is most important periods of every woman's life and it is considered as stressful and challenging periods for women (27). Most of the pregnant women have moderate and high spiritual health scores, which is acceptable due to the high level of religious beliefs in Iran. according to most studies conducted in Iran, in the normal state of spiritual health of women was in a high proportion, but in the conditions of Covid-19, the desirability of spiritual health in women has decreased.
The study of Rezaei et al In Iran also reported a similar result, including high levels of spiritual health in Iranian women (28), In the study of Mehrabi et al., mean of the spiritual health rank in women with breast cancer and infertile reported to be 95 and 97.7%, respectively (29). The results of McCobry's study with the present study have a significant and direct relationship with spiritual health and age, level of education (30).
According to the study published by Adegbola, self-efficacy shows a positive and significant relationship with spirituality and somehow supports the results of the study that spiritual health is related to the religious and existential components of health (31) Study by Rex et al. He showed that performing religious and spiritual duties such as prayer is effective in increasing the level of self-belief and self-confidence and can even increase the level of self-efficacy (32). Also, the present study showed that spiritual health can predict self-efficacy. In this study, spiritual health and its dimensions were able to predict self-efficacy and the existing health had the highest effect on predicting self-efficacy of pregnant women. This result is consistent with the results of the Syed Imam study on the health status of students, which showed that it predicts spiritual health, self-efficacy, and self-esteem(33).
the definition of Pregnancy Expressed as a stressful period time for women, and caused the fear, stress among pregnant women and increased fear and anxiety due to acute respiratory disease Quid 19 reduces spiritual health, so this study with the present results Has consistent (34). Complications of labor are different for each woman, but in most of them, there was a high degree of stress and anxiety, leading to the birth of babies with special conditions like premature birth, low birth weight, nausea, and vomiting (27, 35). To confirm the results of the present study, we can refer a study that conducted by Durankuş in 2020 and shown the Covid-19 increases rate of depression, stress in pregnant women, so the amount of stress and depression During the COVID − 19 increased (35, 36).
Facing a coronavirus epidemic has affected all members of society, especially pregnant women, stress and psychological problems and prevents the birth of healthy babies because most mothers experience premature birth due to quarantine conditions and increased stress, and their children. They are not natural. Finally, with increasing stress, the spiritual health of pregnant women decreases even in the religious and Islamic population of Iran, and this study needs to be reviewed worldwide to eliminate cultural influences as an intervening factor.