A consensus statement on perinatal mental health during the COVID-19 pandemic and recommendations for post-pandemic recovery and re-build

Frontiers in Global Women s Health, Journal Year: 2024, Volume and Issue: 5

Published: Feb. 21, 2024

Introduction The COVID-19 pandemic posed a significant lifecourse rupture, not least to those who had specific physical vulnerabilities the virus, but also were suffering with mental ill health. Women and birthing people pregnant, experienced perinatal bereavement, or in first post-partum year (i.e., perinatal) exposed number of risk factors for health, including alterations way which their care was delivered. Methods A consensus statement derived from cross-disciplinary collaboration experts, whereby evidence collaborative work on health during synthesised, priorities established as recommendations research, healthcare practice, policy. Results synthesis research focused effect outcomes practices led three immediate recommendations: what retain, reinstate, remove provision. Longer-term action made, categorised follows: Equity Relational Healthcare; Parity Esteem Mental Physical Healthcare an Emphasis Specialist Perinatal Services; Horizon Scanning Health Research, Policy, & Practice. Discussion base is growing. This synthesises said makes post-pandemic recovery re-build services

Language: Английский

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Psychosocial experiences of pregnant women during the COVID-19 pandemic: a UK-wide study of prevalence rates and risk factors for clinically relevant depression and anxiety

Journal of Psychosomatic Obstetrics & Gynecology, Journal Year: 2025, Volume and Issue: 46(1)

Published: Feb. 11, 2025

Purpose: Whilst the antenatal period is well established as a of increased vulnerability to mental health difficulties, restrictions resulting from COVID-19 lockdown in UK are likely have negatively affected psychosocial outcomes these women.

Language: Английский

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Global prevalence of perinatal depression and anxiety during the COVID‐19 pandemic: An umbrella review and meta‐analytic synthesis

Acta Obstetricia Et Gynecologica Scandinavica, Journal Year: 2023, Volume and Issue: 103(2), P. 210 - 224

Published: Dec. 19, 2023

Abstract Introduction The prevalence of depression and anxiety symptoms in pregnant postpartum women during the COVID‐19 pandemic was assessed by several systematic reviews (SRs) meta‐analyses which provided contrasting different results. We aimed to summarize evidence relating global among pandemic. Material methods An umbrella review SRs performed. Searches were conducted electronic databases up April 2023. reporting perinatal selected for eligibility. Primary studies extracted from eligible included quantitative synthesis. research protocol registered on PROSPERO (CRD42020173125). Results A total 25 (198 primary studies) 12 (129 qualitative synthesis, respectively. Studies involved data five continents 45 countries. pooled antenatal 29% ( n = 55; 95% CI: 25%–33%) 26% 54; 23%–30%), In case anxiety, postnatal 31% 44; 26%–37%; 16; 24%–39%). Differences emerged between continents, with Africa having highest Oceania Europe anxiety. also varied depending assessment tools, especially medium‐high quality observed. One SR strength‐of‐evidence, very low strength. Conclusions During pandemic, common, affecting almost one three globally. high heterogeneity a risk publication bias found, partially due variety tools cut‐offs. results may not be generalized minorities. clinical diagnoses are needed. Based our it is possible firmly affirm that main factor directly increased past few years. Future should study other factors' impact.

Language: Английский

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Fear of childbirth and its determinants in pregnant women in the third trimester: a cross-sectional study

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: Aug. 8, 2023

Fear of childbirth (FOC) is a prevalent issue among pregnant women and significantly relates to adverse outcomes for the mother child. However, it not clear prevalence risk factors FOC in region with moderate level economic development China. The aim this study was investigate third trimester pregnancy Lianyungang city, Eastern China.A cross-sectional survey conducted from December 2022 February 2023 who met inclusion criteria visited Maternal Child Health Hospital Jiangsu Province, A structured questionnaire including sociodemographic characteristics, clinical FOC, family function, doctor-patient communication, social support, general self-efficacy, anxiety, depression, insomnia symptoms, quality life used collect data. multiple linear regression model identify predictors FOC.This included 535 trimester. mean score 30.67 ± 10.18, median 29.00. 56.64%. Multiple analysis revealed that electronic screen exposure time more than 5 h per day (β = 2.02, 95%CI: 0.50-3.53, P < 0.05), no history cesarean section 2.66, 0.61-4.71, likes sour food or hates greasy 1.75, 0.00-3.50, anxiety 0.50, 0.21-0.80, 0.05) depression 0.30, 0.04-0.57, were likely have greater their counterparts. lower observed multipara (β=-1.64, -3.27-0.01, worrying about delivery without members (β=-3.75, -5.26-2.25, 0.001), had good function (β=-0.32, -0.64-0.00, communication (β=-0.33, -0.64-0.02, 0.05).The high influenced by factors. There an urgent need develop interventions reduce pregnancy, pay attention FOC.

Language: Английский

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Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

JAMA Network Open, Journal Year: 2023, Volume and Issue: 6(11), P. e2343711 - e2343711

Published: Nov. 17, 2023

Anxiety disorders are associated with poor maternal and neonatal outcomes. Women in low- middle-income countries (LMICs) thought to be disproportionally burdened by these disorders, yet their prevalence is unclear.

Language: Английский

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Exploring Black and South Asian women’s experiences of help-seeking and engagement in perinatal mental health services in the UK

Frontiers in Psychiatry, Journal Year: 2023, Volume and Issue: 14

Published: April 3, 2023

Background and aims In the United Kingdom (UK), Black South Asian women are less likely than White British to access support from perinatal mental health services, despite experiencing similar, or higher, levels of distress. This inequality needs be understood remedied. The aim this study was answer two questions: how do experience (1) services (2) care received services? Method Semi-structured interviews were conducted with ( n = 37), including four who interviewed an interpreter. Interviews recorded transcribed line-by-line. Data analyzed using framework analysis, by ethnically diverse multidisciplinary team clinicians, researchers people lived illness. Results Participants described a complex interplay factors that impacted on seeking, receiving help, benefiting services. Four themes emerged captured highly varied experiences individuals: Self-identity, social expectations different attributions distress deter help-seeking; Hidden disorganized impede getting support; (3) role curiosity, kindness flexibility in making feel heard, accepted supported clinicians; (4) A shared cultural background may hinder trust rapport. Conclusion Women wide range impacting to, of, as giving them strength also leaving disappointed confused about where get help. main barriers related distress, stigma, mistrust lack visibility organizational gaps referral process. These findings describe many reporting provide high quality inclusive understandings problems. Transparency around what PMHS are, is available would improve accessibility PMHS.

Language: Английский

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Perinatal Depression

Psychiatric Clinics of North America, Journal Year: 2023, Volume and Issue: 46(3), P. 447 - 461

Published: May 21, 2023

Language: Английский

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Changes to social and healthcare providers support in the perinatal period: Impact on coping strategies, depression and anxiety

Midwifery, Journal Year: 2025, Volume and Issue: 142, P. 104295 - 104295

Published: Jan. 14, 2025

Language: Английский

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Pregnancy with multiple high-risk factors: a systematic review and meta-analysis

Journal of Global Health, Journal Year: 2025, Volume and Issue: 15

Published: Feb. 6, 2025

Abstract Background A wide spectrum of high-risk factors in pregnancy can lead to adverse outcomes or short- long-term health effects. Despite this, there has been no synthesis findings on the measurement, potential causes, and multiple (MHFP). We aimed address this gap by summarising existing research topic. Methods retrieved studies published up 3 June 2024 through systematic database searches used a narrative approach summarise patterns, MHFP. also estimated pooled MHFP prevalence meta-analysis with random effects model performed subgroup analyses meta-regression examine sources between-study heterogeneity. Results included 83 observational between 2010 2024, which 72% were from high-income countries. These studied be grouped into four categories: physical conditions, mental sociobehavioural problems, history. identified 16 among co-existing conditions most common pattern. The overall was 12% (95% confidence interval (CI) = 12–13), an increasing trend relatively higher levels low- middle-income countries (LMICs). observed heterogeneity measurement across studies, possibly due number risk definition About 78% investigated MHFP-associated for women offspring, only two examining maternal offspring later life. Conclusions Research emerging over past decade, but is far complete. burden worldwide, particularly LMICs. Maternal healthcare systems must shift multidisciplinary integrated framework so as better design implement prevention intervention programmes sustain healthy development next generation. Registration PROSPERO: CRD42022358889.

Language: Английский

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COVID-19 prevention strategies and compliance among postnatal adolescent mothers with postnatal depression and generalised anxiety in rural Malawi: a cross-sectional study

BMJ Open, Journal Year: 2025, Volume and Issue: 15(2), P. e093624 - e093624

Published: Feb. 1, 2025

This study examines the relationship between adolescent mothers' mental health problems (postnatal depression and generalised anxiety) adherence to COVID-19 public prevention strategies in rural Malawi. It is part of a larger previously published investigating impact social cultural factors on mothers. A cross-sectional was conducted from September 2021 March 2022. The Edinburgh Postnatal Depression Scale (EPDS) Generalised Anxiety Disorder-7 (GAD-7) were used identify risk postnatal (PND) anxiety disorder (GAD), respectively. Participants also responded questions about their perception how they practiced recommended strategies. at hospital Lilongwe, Adolescent mothers aged 19 years below, with children less than 1 year, who understood could consent. (n=395) completed researcher-administered survey. mean age was±17 (SD 1.157). Most participants had recently given birth first child (91%, n=358). Almost half (45%, n=113) agreed by Malawian government. However, overall strategies, including hand hygiene practices, low among probable GAD PND more likely practice GAD-7 or EPDS scores, except for restrictions religious gatherings. potential threats risks low. adolescents reported higher some without GAD. findings support need policies that integrate within response due direct indirect effects pandemic might have perinatal health. Additionally, responses should be appropriate relevant environment.

Language: Английский

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