This study was conducted to determine midwives' psychological impact levels of the COVID-19 pandemic related to uncertainty, fear, emotional exhaustion, anxiety, and depression. The majority of midwives had mild to moderate levels of anxiety 170 (43.7%), about half of participants had high emotional exhaustion 197 (50.6%), mild depression 177 (45.5%), moderate worry 178 (45.8%), and mild to moderate fear 239 (61.4%). Working in a hospital, low income, increased workload, insufficient protection equipment, and the presence of disease among parents and relatives were independent risk factors for anxiety and emotional exhaustion. Moreover, low educational level working in a hospital, increased duty hours, low income, increased workload, and pregnancy were independent risk factors for depression. In addition, increased duty hours contributed as a worry independent risk factor. At the same time, independent risk factors of fear were Increased duty hours, insufficient protective equipment, and pregnancy. The COVID-19 pandemic has induced anxiety, emotional exhaustion, depression, worry, and fear among midwives. Psychological intervention for midwives needs special attention to prevent, alleviate or treat psychological impact.
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