The impact of the Covid-19 pandemic on postnatal depression: analysis of three population-based national maternity surveys in England (2014–2020)

The Lancet Regional Health - Europe, Journal Year: 2023, Volume and Issue: 30, P. 100654 - 100654

Published: May 15, 2023

Few studies have evaluated postnatal depression before and during the Covid-19 pandemic using comparable data across time. We used from three national maternity surveys in England to compare prevalence risk factors for pandemic.Analysis was conducted population-based carried out 2014 (n = 4571), 2018 4509), 2020 4611). Weighted estimates (EPDS score ≥13) were compared surveys. Modified Poisson regression estimate adjusted ratios (aRR) association between sociodemographic, pregnancy- birth-related, biopsychosocial factors, depression.Prevalence of increased 10.3% 16.0% (difference +5.7% (95% CI: 4.0-7.4); RR 1.55 1.36-1.77)) 23.9% +7.9% 5.9-9.9); 1.49 1.34-1.66)). Having a long-term mental health problem (aRR range 1.48-2.02), antenatal anxiety 1.73-2.12) 1.44-2.24) associated with depression, whereas satisfaction birth 0.89-0.92) social support 0.73-0.78) decreased pandemic.This analysis indicates that had an important negative impact on women's may accelerated existing trend increasing depression. Risk consistent pandemic. Timely identification, intervention follow-up are key supporting women at risk, it is essential mechanisms strengthened times heightened such as pandemic.NIHR Policy Research Programme.

Language: Английский

---

From lockdown to cradle: Navigating the psychological challenges of childbirth during the COVID-19 pandemic in Italy– Evidence from a 3-year analysis

Current Psychology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 30, 2024

Abstract This cross-sectional study investigated the mental health of Italian women who gave birth during three years COVID-19 pandemic. The focused on impact partner’s presence childbirth, time point in relation to pandemic waves, hospital restrictions, and individual attitudes regarding In addition, aimed determine potential risk or protective factors for postpartum depression. 1,636 between 2020 2022 a hospital-restricted setting were surveyed anonymously online. Standardized questionnaires used evaluate depression, post-traumatic stress, psychological well-being. Women had highest percentage unaccompanied births higher levels depression fear COVID-19. alone reported stress lower Furthermore, they more frightened by less agreement with restrictions than their partner present. main childbirth 2020, high anxiety, discomfort absence birth. Protective satisfaction relationship. emphasizes importance targeted support give crises such as reduce enhance factors, particularly strengthening presence. Future research should focus children born these tumultuous periods, assessing impacts developmental trajectories relationships primary caregivers.

Language: Английский

---

Postpartum Depression and Anxiety in COVID-19-Positive and COVID-19-Negative Mothers: Insights From a Dedicated Hospital in Eastern India

Cureus, Journal Year: 2025, Volume and Issue: unknown

Published: March 18, 2025

Objective Women experienced mental health issues during pregnancy and postpartum, with the prevalence of depression anxiety varying across different regions pandemic. A study was conducted to evaluate symptoms postpartum (PPD) in women who tested positive negative for COVID-19 delivered a tertiary-level hospital Eastern India pandemic from 2020 2021. The objective explore clinical socio-demographic risk factors associated PPD. Methodology questionnaire-based cross-sectional among were either or Department Obstetrics Gynecology at All Institute Medical Sciences (AIIMS), Patna. semi-structured questionnaire (the Edinburgh Postnatal Depression Scale (EPDS) validated Hindi) used collect details. included sections on characteristics, knowledge, attitudes, behaviors related COVID-19. For study, EPDS score calculated assess feelings last seven days. below 8 indicative not likely, while scores 9-11 indicated possibility depression, 12-13 suggested high likelihood depression. cut-off 12 higher compare group differences dimension measured as cumulative items 3, 4, 5 (EPDS-3A). sample size determined be 51 each group, assuming threefold increase PPD COVID-19-positive AIIMS Patna, power 80% significance level 5%. Results total 327 candidates invited participate, which 290 completed questionnaires analyzed, comprising 237 COVID-19-negative 53 mothers. mean ages, age distribution, family structure, residence type similar both mothers 13.5% (32/237) 5.4 ± 3.8 compared 39.6% (21/53) 11.7 3.3 statistically significant association noted financial crisis (59.4%) Poor support (81.2%) (66.7%) availability medical services (66.7%), societal discrimination (76.2%), loss of/minimal leisure activities (81%) significantly Financial (adjusted odds ratio (AOR): 4.3; 95% CI: 1.76-10.38; p = 0.001) poor (AOR: 4.1; 1.33-12.29; 0.01) emerged independent predictors Among positives, illiteracy 2.3; 1.5-9.2; social 16.5; 1.9-144.2; Conclusions found three times Significant contributing support, lack access antenatal services, discrimination, limited Low literacy key

Language: Английский

---

COVID-19 and anxiety in pregnancy and postpartum: a longitudinal survey

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 26, 2025

Abstract Background Anxiety is estimated to affect between 15 and 20 per cent of women during pregnancy postpartum. The COVID-19 pandemic resulted in wide-ranging changes how people lived, worked socialised around the world. COVID pandemic-related restrictions maternity services may have exacerbated anxiety postnatal period. This study aimed determine: (1) levels exposure perceived risk; (2) adherence Government guidelines restrictions; (3) impact COVID-related on perinatal mental health UK. Methods A longitudinal survey ( n = 2122) early pregnancy, mid-pregnancy, late Results 38.41% participants had before or study. Perinatal was predicted by having poor general health, being Asian mixed ethnicity, previous problems, believing that would make them severely ill, reporting impacted their health. Over time, more were infected with COVID, severity decreased. Experiencing mild associated decreased at subsequent time point (mean difference -0.72, 95% CI -1.38 -0.07, p 0.030). Very few this sample severe (2.9%) reported it a (5.66%). Most (75.3%) said ‘no’ ‘slight’ Pandemic-related care affected women, 40% about separated from baby, partner not labor, leave shortly after birth. Level variable, depending restriction. Conclusions Findings suggest caused for than se. Adherence variable yet prevalence infections low compared population. can be used inform policy practice future pandemics health-related crises.

Language: Английский

---

The impact of prenatal maternal depression, during the COVID-19 pandemic on maternal postpartum depression: A prospective cohort study within the CONCEPTION study

Journal of Affective Disorders Reports, Journal Year: 2025, Volume and Issue: unknown, P. 100926 - 100926

Published: April 1, 2025

Language: Английский

---

Study characteristical and regional influences on postpartum depression before vs. during the COVID-19 pandemic: A systematic review and meta-analysis

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Feb. 15, 2023

Background While the public is under serious pressure from coronavirus disease 2019 (COVID-19), final impact and possible contributing factors to postpartum depression symptoms (PPDS) remain unknown. Therefore, a meta-analysis investigate association between PPDS COVID-19 pandemic was carried out by comparing data pre-pandemic post-pandemic timeframes exploring influencing factors. Methods This systematic review prospectively registered recorded in study protocol (Prospero CRD42022336820, http://www.crd.york.ac.uk/PROSPERO ). A comprehensive search of PubMed, Embase, Web Science, CINALH, Cochrane Scopus cmpleted on June 6, 2022. Studies that compared prevalence PPD before during period were included. Results Of 1766 citations identified, 22 studies included with 15,098 participates 11,836 participants pandemic. Overall, analysis showed epidemic crisis associated an increased (OR: 0.81 [0.68, 0.95], P = 0.009, I 2 59%). Subgroup conducted according characteristics regions. Within classification, results obvious increase if cutoff defined as Edinburgh score (EPDS) ≥13 points 0.72 [0.52, 0.98], 0.03, 67%) follow-ups happened after weeks (≥ postpartum) 0.97], 0.02, 43%). Selected high-quality 0.79 [0.64, 56%) demonstrated period. Sorting regional factors, Asia [0.70, 0.93], 0.003, 0%) rates period, while Europe 0.82 [0.59, 1.13], 0.23, 71%) North America 0.66 [0.42, 1.02], 0.06, 65%) no significant difference. All developed developing countries [0.69, 0.94], 0.007, Conclusions The PPDS, especially long-term follow-up among group high possibility depression. negative influence pandemic, causing more Asia.

Language: Английский

---

Caregiver and Child Mental Health During 3 Years of the COVID-19 Pandemic

PEDIATRICS, Journal Year: 2024, Volume and Issue: 153(6)

Published: May 2, 2024

BACKGROUND AND OBJECTIVES Coronavirus disease 2019 (COVID-19) lockdowns (stay-at-home orders) had significant mental health consequences in 2020 to 2021 for caregivers and children. Little is known about “postlockdown” periods 2022 2023. We investigated the experiences of Australian families throughout 3 years COVID-19 pandemic (2020–2023), by demographic characteristics lockdown length. METHODS A total N = 12 408 (N 20 339 children, aged 0–17 years) completed Australia’s only representative, repeated, cross-sectional, National Child Health Poll across 6 waves (June 2020–April 2023). Caregivers reported themselves (Kessler-6, poor versus not) each child (self-rated health, poor/fair good/very good/excellent), perceived impacts on own/child (negative none/positive). Binary logistic models were fitted predict marginal probabilities measure state/territory group (proxy length), over time, adjusted potential confounders. RESULTS Poor caregiver Kessler-6 was similar between genders but more common sole caregivers, those with a home language other than English lower education. Poor/fair self-rated increased age. Perceived negative females socially advantaged caregivers. Overall, length, peaking height July 2021, before declining. CONCLUSIONS Negative children decreased during postlockdown 2022–2023; however, social gradients persisted. These data can inform precise policies that enable better use limited infrastructure.

Language: Английский

---

Knowledge, attitude, and practice toward postpartum depression among the pregnant and lying-in women

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

Published: Oct. 30, 2023

Postpartum depression (PPD) is considered an important public health problem, and early recognition of PPD in pregnant lactating women critical. This study investigated the knowledge, attitude, practice (KAP) toward among lying-in women.This cross-sectional was conducted at Binzhou Medical University Hospital between September 2022 November included as participants. A questionnaire designed by researchers that demographic data dimensions. Correlations scores were evaluated Pearson correlation analysis. Factors associated with identified multivariable logistic regression.All participants scored 6.27 ± 2.45, 36.37 4.16, 38.54 7.93 93 from three sub-dimensions attitudes, practices regarding PPD, respectively, statistical differences age, education, job status (p < 0.05). There no significant maternal (6.24 2.34, 36.67 3.82 38.31 7.27, respectively) (6.30 2.49, 36.00 4.53 38.83 8.69, total According to results multivariate regression, knowledge (OR = 1.235[1.128-1.353], P 0.001) attitude 1.052[1.005-1.102], 0.030) dimension factors influencing scores.The KAP low. suggests awareness should be increased through attitudinal Preventing can achieved improving both dimensions, thus enhancing practice.

Language: Английский

---

Postpartum depression during the COVID-19 pandemic: an umbrella review and meta-analyses

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: July 10, 2024

The COVID-19 pandemic has significantly increased anxiety, stress, and depression, which could have harmful consequences for pregnant women. Therefore, this study aimed to investigate the prevalence of postpartum depression during using an umbrella review meta-analysis.

Language: Английский

---

Correlation of lifestyle behaviors during pregnancy with postpartum depression status of puerpera in the rural areas of South China

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Dec. 18, 2023

Background Postpartum depression (PPD) is among the most common postpartum complications. Its prevalence associated with strong regional variability. Women in rural areas of China have a high risk PPD. The aim this study was to investigate PPD status women South and explore effects modifiable lifestyle behaviors during pregnancy on their status, thereby providing scientific basis for prevention intervention China. Methods A cohort conducted 261 from four maternal health institutions situated Guangdong Province Guangxi Zhuang Autonomous Region October 2021 December 2022. questionnaires were administered these obtain data about sociodemographic characteristics, literacy, physical activity pregnancy, sleep dietary as well 42 nd day after delivery. population analyzed. Multiple linear regression models used determine correlation between status. Path analysis performed interaction various behaviors. Results total 14.6% had who continued work an Edinburgh Depression Scale (EPDS) score 1.386 points higher than that did not ( В = 1.386, β 0.141, p 0.029). For every 1-point increase infant feeding-related knowledge diet diversity score, EPDS decreased by 0.188 0.484 points, respectively, Pittsburgh quality index increased 0.288 points. Age related (indirect path coefficient 0.023). During sedentary time correlated 0.031) employment 0.043). Conclusion Employment knowledge, quality, directly influenced while age indirectly Promoting healthy behaviors, including reducing time, improving increasing diversity, may be effective occurrence.

Language: Английский

---