Suicide and Maternal Mortality

Current Psychiatry Reports, Journal Year: 2022, Volume and Issue: 24(4), P. 239 - 275

Published: April 1, 2022

Language: Английский

---

Mental health among pregnant women with COVID‐19–related stressors and worries in the United States

Birth, Journal Year: 2021, Volume and Issue: 48(4), P. 470 - 479

Published: May 19, 2021

Few studies have evaluated whether pandemic-related stressors, worries, and social distancing affected the mental health of pregnant women during COVID-19 pandemic.Data came from an online survey United States (n = 715), conducted in May 2020. The Edinburgh Postnatal Depression Scale Generalized Anxiety Disorder were used to assess depressive symptoms, thoughts self-harm, moderate or severe anxiety. Multiple logistic regressions examine associations experiences with outcomes.Participants racially diverse. prevalence adverse outcomes was 36% for probable depression, 20% 22% Women who reported family members dying had four times higher odds having self-harm than did not experience death. more prevalent among canceled reduced medical appointments. likely worse if they expressed worry about getting financial emotional/social support, their pregnancy, friends. Strict positively associated depression. A proportion adults working home inversely depression self-harm.High percentages symptoms anxiety, suggesting urgent need screen treat conditions pandemic. Pandemic-related risks protective factors are relevant developing tailored interventions address pandemic circumstances.

Language: Английский

---

Behavioral coping phenotypes and associated psychosocial outcomes of pregnant and postpartum women during the COVID-19 pandemic

Scientific Reports, Journal Year: 2022, Volume and Issue: 12(1)

Published: Jan. 24, 2022

Abstract The impact of COVID-19-related stress on perinatal women is heightened public health concern given the established intergenerational maternal stress-exposure infants and fetuses. There urgent need to characterize coping styles associated with adverse psychosocial outcomes in during COVID-19 pandemic help mitigate potential for lasting sequelae both mothers infants. This study uses a data-driven approach identify patterns behavioral strategies that associate distress large multicenter sample pregnant ( N = 2876) postpartum 1536). Data was collected from 9 states across United States March October 2020. Women reported behaviors they were engaging manage pandemic-related stress, symptoms depression, anxiety global psychological distress, as well changes energy levels, sleep quality levels. Using latent profile analysis, we identified four phenotypes strategies. Critically, high levels passive (increased screen time, social media, intake comfort foods) elevated anxiety, worsening relative other phenotypes. In contrast, active (social support, self-care) greater resiliency identification these widespread reveals novel risk women. These findings may contribute early at poor long-term indicate malleable targets interventions aimed mitigating children pandemic.

Language: Английский

---

The prevalence of mental ill-health in women during pregnancy and after childbirth during the Covid-19 pandemic: a systematic review and Meta-analysis

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

Published: Jan. 28, 2023

Abstract Background This systematic review aims to explore the prevalence of impact COVID-19, MERS, and SARS pandemics on mental health pregnant women. Methods All MERS studies that evaluated women with/without gynaecological conditions were reported in English between December 2000 – July 2021 included. The search criteria developed based upon research question using PubMed, Science Direct, Ovid PsycINFO EMBASE databases. A wide criterion was used ensure inclusion all with existing conditions. Newcastle-Ottawa-Scale assess risk bias for included studies. Random effects model restricted maximum-likelihood estimation method applied meta-analysis I-square statistic evaluate heterogeneity across pooled rates symptoms anxiety, depression, PTSD, stress, sleep disorders 95% confidence interval (CI) computed. Results identified 217 which 638,889 or who had just given birth. There no reporting due SARS. showed birth displayed various poor including those relating depression (24.9%), anxiety (32.8%), stress (29.44%), Post Traumatic Stress Disorder (PTSD) (27.93%), (24.38%) during COVID-19 pandemic. Discussion It is important note this a range outcome measures does not allow direct comparisons findings. Most self-reported measure without clinical diagnoses so conclusions can be made symptom rather than illness. importance managing pregnancy after-delivery improves quality life wellbeing mothers hence developing an evidence-based approached as part pandemic preparedness would improve challenging times. Other work presented manuscript funded by any specific grants . study protocol published PROSPERO (CRD42021235356) several key objectives.

Language: Английский

---

Postpartum Insomnia and Poor Sleep Quality Are Longitudinally Predictive of Postpartum Mood Symptoms

Psychosomatic Medicine, Journal Year: 2023, Volume and Issue: 85(8), P. 736 - 743

Published: July 13, 2023

Insomnia and poor sleep quality are frequently reported by perinatal women. Both noted to increase the risk of postpartum depression, with less known about their association anxiety. This study sought assess whether disturbances predicted depression anxiety symptoms across each month first 6 months in women a history depression.Pregnant without active at enrollment ( N = 159), 18 45 years age, were recruited. In late pregnancy for up postpartum, completed monthly online questionnaires including Symptom Questionnaire, Pittsburgh Sleep Quality Index, Edinburgh Postnatal Depression Scale, Generalized Anxiety Disorder-7. Repeated-measures multilevel models used predict postpartum.The prevalence insomnia was 20.4%, 67.8% postpartum. Postpartum between-subject within-subject levels tended uniquely greater depressive symptoms, even after controlling demographic characteristics, prenatal insomnia, quality.Most our sample had period. Consistent extant literature, quality, but not measures sleep, longitudinally symptoms. The chronic deprivation subjective experience relevant risks mood disorders. Evaluation mitigation disturbance ideal opportunities reduce disorders subsequent health outcomes.

Language: Английский

---

Depression in pregnant and postpartum women during COVID-19 pandemic: systematic review and meta-analysis

Obstetrics & Gynecology Science, Journal Year: 2022, Volume and Issue: 65(4), P. 287 - 302

Published: June 27, 2022

Coronavirus disease 2019 (COVID-19) emerged as a global pandemic in March 2020 and caused big crisis, especially the health crisis. Pregnant postpartum women experienced significant physical, social, mental changes that put them at higher risk for several conditions during pandemic. This study aimed to report prevalence of depression pregnant COVID-19 Eligible studies were identified using databases. Prevalence analysis was conducted MedCalc ver. 19.5.1. systematic review metaanalysis registered PROSPERO on July 12, 2021 with registration number CRD42021266976. We included 54 95.326 participants. The overall 32.60% among rate (31.49%) compared (27.64%). increased

Language: Английский

---

Analysis of Residential Segregation and Racial and Ethnic Disparities in Severe Maternal Morbidity Before and During the COVID-19 Pandemic

JAMA Network Open, Journal Year: 2022, Volume and Issue: 5(10), P. e2237711 - e2237711

Published: Oct. 20, 2022

Importance Persistent racial and ethnic disparities in severe maternal morbidity (SMM) the US remain a public health concern. Structural racism leaves women of color disadvantaged situation especially during COVID-19, leading to disproportionate pandemic afflictions among minority women. Objective To examine SMM rates before COVID-19 whether varied with level Black residential segregation. Design, Setting, Participants A statewide population-based retrospective cohort study used birth certificates linked all-payer childbirth claims data South Carolina. included who gave between January 2018 June 2021. Data were analyzed from December 2021 February 2022. Exposures (1) period when birth, either (January 2020) or (March 2020 2021) (2) Black-White segregation (isolation index), categorizing Census tracts county as low (<40%), medium (40%-59%), high (≥60%). Main Outcomes Measures was identified using International Statistical Classification Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes developed by Centers for Disease Control Prevention. Multilevel logistic regressions an interrupted approach used, adjusting maternal-level facility-level factors, accounting county-level random effects. Results Of 166 791 women, 95 098 (57.0%) lived low-segregated counties (mean [SD] age, 28.1 [5.7] years; 5126 [5.4%] Hispanic; 20 523 [21.6%] non-Hispanic Black; 62 690 [65.9%] White), 23 521 (14.1%) [5.8] 782 [3.3%] 12 880 [54.8%] 7988 [34.0%] White) high-segregated areas. Prepandemic decreasing, followed monthly increasing trends after March 2020. On average, living communities associated higher odds (adjusted ratio [aOR], 1.61; 95% CI, 1.06-2.34). regardless had than White (aOR, 1.47; 1.11-1.96 low-segregation; 2.12; 1.38-3.26 high-segregation). Hispanic lower 0.48; 0.25-0.90) but those nearly twice 1.91; 1.07-4.17) their counterparts. Conclusions Relevance Living Carolina disparities. During pandemic, vs persisted no signs widening gaps, whereas exacerbated. Policy reforms on reducing combating corresponding structural are warranted help improve health.

Language: Английский

---

Depression, anxiety, and stress in pregnancy and postpartum: A longitudinal study during the COVID-19 pandemic

Midwifery, Journal Year: 2023, Volume and Issue: 121, P. 103655 - 103655

Published: March 18, 2023

Language: Английский

---

“I’m not alone”: perinatal women’s experiences in an online self-directed program for perinatal anxiety

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 21, 2025

Language: Английский

---

Global trends of suicidal thought, suicidal ideation, and self-harm during COVID-19 pandemic: a systematic review

Egyptian Journal of Forensic Sciences, Journal Year: 2022, Volume and Issue: 12(1)

Published: June 4, 2022

Abstract Background Suicide is one of the leading causes death. The current systematic review done to know trend suicidal thoughts, ideation, and self-harm during COVID-19 pandemic. Main text search was by using PubMed, ScienceDirect, Google Scholar databases. With help Mendeley portal, articles were retrieved on basis inclusion criteria like risk factors, vulnerable group, complete article PDFs, prevention strategies, aims, results, limitations. shortlisted data from tabulated, PRISMA chart framed based exclusion criteria. Result Sixteen studies that satisfied organized selected. variables global scenario considered in It has been noticed trends remains same some countries Japan, whereas Bangladesh France, suicides had increased pandemic period. probable cause could be lockdown, social isolation, stoppage recreational activities. Conclusions are more categories health care professionals, university students, elderly individuals, psychiatrically ill patients. In professional, it due contagion watching deaths closely. lack activities isolation. Among elderly, thinking themselves as overburden. increase suicidality psychiatric patient admitted unknown cause.

Language: Английский

---