Rates of depressive and anxiety symptoms in the perinatal period during the COVID-19 pandemic: Comparisons between countries and with pre-pandemic data

Journal of Affective Disorders, Journal Year: 2022, Volume and Issue: 316, P. 245 - 253

Published: Aug. 11, 2022

The COVID-19 pandemic was a significant threat to perinatal mental health. This study examined differences in clinically depression, anxiety, and co-morbid symptoms among pregnant postpartum women across several countries compared prevalence of depression anxiety before during the each participating country.

Language: Английский

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Parental experiences with changes in maternity care during the Covid-19 pandemic: A mixed-studies systematic review

Women and Birth, Journal Year: 2022, Volume and Issue: 36(2), P. e203 - e212

Published: Aug. 10, 2022

Language: Английский

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Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: a global scoping review

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

Published: March 20, 2023

Abstract Background Timely access to essential obstetric and gynecologic healthcare is an effective method for improving maternal neonatal outcomes; however, the COVID-19 pandemic impacted pregnancy care globally. In this global scoping review, we select investigate peer-reviewed empirical studies related mHealth telehealth implemented during support improve birth outcomes. Methods We searched MEDLINE PubMed, Scopus, CINAHL Web of Science Review because they include literature in disciplines behavioral sciences, medicine, clinical health-care systems, psychology. Because our investigative searches reviewed that there considerable ‘grey literature’ area; did not restrict review any study design, methods, or place publication. Review, preprints were comparable published articles, with relevant articles screened accordingly. Results The search identified 1851 peer after removal duplicates, using inclusion exclusion criteria, only 22 eligible from January 2020 May 2022. interventions accounted 72.7% (16 studies) 27.3% (6 studies. There 3 example integrated digital technologies into systems developed evaluated feasibility mobile apps. Experimental 68.8% 33.3% Key functionalities apps platforms focused on mental physical wellness, health promotion, patient tracking, education, parenting support. Implemented ranged breastfeeding selfcare health. Facilitators uptake included perceived benefits, user satisfaction convenience. Mobile short messaging services primary employed interventions. Conclusion Although emphasizes a lack data pregnant women crisis, shows implementation emergencies are inevitable given their potential supporting care. also need more randomized trials longitudinal better understand effectiveness implementing such disease outbreaks emergencies.

Language: Английский

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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

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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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Experiences of Perinatal Mental Health Care among Minority Ethnic Women during the COVID-19 Pandemic in London: A Qualitative Study

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(4), P. 1975 - 1975

Published: Feb. 10, 2022

(1) Background: Approximately one in five women will experience mental health difficulties the perinatal period. Women from ethnic minority backgrounds face a variety of barriers that can prevent or delay access to appropriate care. COVID-19 pandemic restrictions created additional obstacles for this group women. This study aims explore women's experiences services during London. (2) Methods: Eighteen were interviewed, and data subject thematic analysis. (3) Results: Three main themes identified, each with two subthemes: 'Difficulties Disruptions Access' (Access Appointments; Pandemic Restrictions Disruption), 'Experiences Remote Delivery' (Preference Face-to-Face Contact; Advantages Support); 'Psychosocial Experiences' linked (Heightened Anxiety; Social Isolation). (4) Conclusions: experienced disrupted care compounding their difficulties. Services should take circumstances into account provide flexibility regarding remote delivery

Language: Английский

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Perinatal mental health and women's lived experience of the COVID-19 pandemic: A scoping review of the qualitative literature 2020-2021

Midwifery, Journal Year: 2023, Volume and Issue: 123, P. 103706 - 103706

Published: May 1, 2023

The COVID-19 pandemic resulted in global physical distancing restrictions and lockdown orders. Despite the clear documentation of increased mental distress amongst adult populations during pandemic, there is limited evidence about health challenges people perinatal period (pregnancy, birth postpartum). aim this review to summarise qualitative research women's lived experience emotional wellbeing pandemic. A comprehensive search strategy was developed. Twenty peer-reviewed articles published English from January 1, 2020, December 15, 2021, were included. Data synthesis outlined common themes a narrative format. Themes pregnancy included: (1) information seeking: anxiety fear; (2) experiencing isolation disruptions my social support; (3) ‘Going it alone’ care; (4) anticipatory grieving despair; (5) finding ‘silver linings’ restrictions. One key theme “birthing crisis”. postpartum isolating ‘Early motherhood much like lockdown’; breastfeeding: triumphs tribulations; facing 'Affecting us for years come' - not only trauma; care. This provides important insights into how experiences isolation, decreased support adaptions maternity services affect health. Maternity should consider may be integrated care women who still required isolate or have reduced visitors their due likely impact What already known that public measures prevalence disorders (CPMDs) exacerbated risk factors CPMDs (i.e., poor support). paper adds: with unique these events impacted In particular, ways adaptations contributed feelings distress, depression/despair. Silver linings such as more uninterrupted time immediate family also identified.

Language: Английский

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First do no harm overlooked: Analysis of COVID-19 clinical guidance for maternal and newborn care from 101 countries shows breastfeeding widely undermined

Frontiers in Nutrition, Journal Year: 2023, Volume and Issue: 9

Published: Jan. 17, 2023

In March 2020, the World Health Organization (WHO) published clinical guidance for care of newborns mothers with COVID-19. Weighing available evidence on SARS-CoV-2 infection against well-established harms maternal-infant separation, WHO recommended proximity and breastfeeding even in presence maternal infection. Since then, WHO's approach has been validated by further research. However, early pandemic there was poor global alignment recommendations.We assessed documents collected November December 2020 from 101 countries two regional agencies COVID-19 recommendations. Recommendations considered were: (1) skin-to-skin contact; (2) initiation breastfeeding; (3) rooming-in; (4) direct (5) provision expressed breastmilk; (6) donor human milk; (7) wet nursing; (8) breastmilk substitutes; (9) relactation; (10) psychological support separated mothers; (11) infants.In less than one-quarter country were three key facilitation practices contact, rooming-in, recommended. Donor milk under guidance. Psychological their infants 38%. Few relactation, nursing, or mothers. three-quarters guidance, unable to directly breastfeed The United Kingdom's Royal College Obstetricians Gynecologists each cited half States Centers Disease Control Prevention indirectly 40%.Despite recommendations, many newborn guidelines failed recommend as standard care. Irregular updates discordant, but influential, may have contributory. It appeared that once recommendations made separation they difficult reverse. absence quality necessity, should not be disease epidemics.

Language: Английский

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Improving Perinatal Maternal Mental Health Starts With Addressing Structural Inequities

JAMA Psychiatry, Journal Year: 2022, Volume and Issue: 79(5), P. 387 - 387

Published: March 9, 2022

Psychological distress during the perinatal period has increased COVID-19 pandemic.A systematic review of 81 studies (N = 132 917 pregnant or postpartum women; research published prior to January 31, 2021) reported prevalence depression and anxiety ranging from 20% 64% ongoing pandemic. 1Although there is still a need examine more representative samples, large cross-sectional study 1 mostly US women corroborated these findings, reporting clinical levels in 36% compared with an estimated prepandemic 11% 17%.Changes prenatal care childbirth experiences, including lack support delivery recovery, may also contribute heightened feelings distress.Women who gave birth pandemic acute stress response (odds ratio, 1.38; 95% CI, 1.01-1.89),correlating posttraumatic disorder symptoms maternal bonding breastfeeding problems.In this Viewpoint, we focus on potential consequences mental health child development highlight structural inequities that be addressed mitigate psychological improve both well-being.

Language: Английский

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Mental health of pregnant and postpartum women during the third wave of the COVID-19 pandemic: a European cross-sectional study

BMJ Open, Journal Year: 2023, Volume and Issue: 13(1), P. e063391 - e063391

Published: Jan. 1, 2023

To describe the mental health of perinatal women in five European countries during third pandemic wave and identify risk factors related to depressive anxiety symptoms.A cross-sectional, online survey-based study.Belgium, Norway, Switzerland, Netherlands UK, 10 June 2021-22 August 2021.Pregnant up 3 months postpartum women, older than 18 years age.The Edinburgh Depression Scale (EDS) Generalised Anxiety Disorder scale (GAD-7) were used assess status. Univariate multivariate generalised linear models performed associated with poor health.5210 participated (including 3411 pregnant 1799 women). The prevalence major symptoms (EDS ≥13) was 16.1% pregnancy group 17.0% . Moderate severe (GAD ≥10) found among 17.3% 17.7% women. Risk included having a pre-existing illness, chronic somatic had COVID-19 or its symptoms, smoking, unplanned country residence. Among restrictive measures specific care, most anxious about not their partner present at time delivery, that leave hospital early be separated from newborn after delivery.Approximately one six reported depression pandemic. These findings suggest continued need monitor populations throughout wake Tailored support counselling are essential reduce burden on infant health.

Language: Английский

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