Telehealth use in maternity care during a pandemic: A lot of bad, some good and possibility

Women and Birth, Journal Year: 2024, Volume and Issue: 37(2), P. 419 - 427

Published: Jan. 21, 2024

To reduce transmission risk during the COVID-19 pandemic, 'telehealth' (health care delivered via telephone/video-conferencing) was implemented into Australian maternity services. Whilst some reports on telehealth implementation ensued, there scant evidence women and midwives' perspectives regarding use. A qualitative study conducted in Australia 2020–2021 using two data sources from Birth Time of (BITTOC) study: i) interviews ii) surveys (open-text responses). Content analysis utilised to analyse explore perspective midwives accessing In-depth were with 20 16 midwives. Survey responses provided 687 2525 who pregnant or gave birth 2021, generating 212 812 comments respectively. Telehealth delivery variable nationally undertaken primarily by telephone/videoconferencing. Perceived benefits included: reduced risk, increased flexibility, convenience cost efficiency. However, described inadequate assessment, negative impacts communication rapport development. Midwives had similar concerns also reported technological challenges. During offered efficiency whilst reducing transmission, yet came at a cost. may particularly suit rural remote areas, however, it has potential further equitable, appropriate for those greatest poor outcomes. play an adjunct role post-pandemic services, but is not suitable replacement traditional face-to-face care.

Language: Английский

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The role of stress in perinatal depression and anxiety – A systematic review

Frontiers in Neuroendocrinology, Journal Year: 2024, Volume and Issue: unknown, P. 101117 - 101117

Published: Jan. 1, 2024

Language: Английский

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Anxiety, stress, and depression in Australian pregnant women during the COVID-19 pandemic: A cross sectional study

Midwifery, Journal Year: 2023, Volume and Issue: 119, P. 103619 - 103619

Published: Feb. 16, 2023

Language: Английский

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The magnitude of perinatal depression and associated factors among women in Kutaber woreda public health institution and Boru Meda general hospital, Ethiopia, 2022: a cross-sectional study

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 14

Published: Jan. 22, 2024

Background Perinatal depression, characterized by the presence of depressive symptoms during pregnancy and/or within first 12 months postpartum, poses a significant global public health concern. It contributes to multitude risks for mothers, their infants, and families. Understanding perinatal depression its associated factors is crucial effective prevention intervention strategies. However, there lack comprehensive research on this topic in Ethiopia. Therefore, study aims determine prevalence contributing among Ethiopian women. Methods An institutional-based cross-sectional was conducted, involving 552 women receiving services at Kutaber district institution Boru Meda General Hospital. Study participants were selected through systematic random sampling techniques. assessed using Depression, Anxiety, Stress Scale-21 (DASS-21). The associations between various determinants examined binary logistic regression, with p -value less than 0.2 included multiple regression analysis. A 0.05 considered statistically significant. Results found be 32.2%. Factors significantly being student [adjusted odds ratio (AOR) = 4.364, 95% confidence interval (CI): 1.386, 13.744], experiencing excessive pregnancy-related concerns (AOR 1.886, CI: 1.176, 3.041), past substance use 2.203, 1.149, 4.225), anxiety 3.671, 2.122, 6.352), stress 6.397, 3.394–12.055), daytime sleepiness 2.593, 1.558, 4.316). Conclusion findings indicate relatively high valuable depression. highlights need approach mental that takes into account not only biological aspects but also psychological, social, lifestyle can impact person’s well-being critical period.

Language: Английский

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Maternal Antibiotic Exposure and the Risk of Developing Antenatal Depressive Symptoms

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(5), P. 1434 - 1434

Published: March 1, 2024

Background: Antenatal depression is common and has significant consequences. The literature suggests that antibiotic exposure may be associated with depression. Many individuals are exposed to antibiotics during pregnancy. Further investigation of the association between antenatal use development pregnancy needed. Methods: A national prospective observational cohort study pregnant was undertaken using an online survey, completed third trimester. depressive symptoms (ADSs) were defined as having Edinburgh Postnatal Depression Scale score ≥13 and/or receiving a clinical diagnosis Results: One in six (16.5%, n = 977) experienced ADSs their pregnancy, whom 37.9% received diagnosis. There no relationship ADSs. Four factors identified independent predictors ADSs: personal history depression, severe nausea vomiting causing inability eat, emotional abuse from intimate partner within prior 12 months, not university degree. Conclusions: Given high incidence undiagnosed new strategies models care prioritise risk required optimise care.

Language: Английский

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Women's experiences of changes to childbirth and parenting education in Australia during the COVID-19 pandemic: The birth in the time of COVID-19 (BITTOC) study

Sexual & Reproductive Healthcare, Journal Year: 2023, Volume and Issue: 38, P. 100904 - 100904

Published: Aug. 28, 2023

As changes to Childbirth and Parenting Education (CBPE) classes during the COVID-19 pandemic remain unexplored in Australia, our objective was understand how CBPE Australia impacted on women's birth postnatal experiences.Survey responses were received from 3172 women (1343 pregnant 1829 postnatal) for 'Birth In The Time Of Covid-19 (BITTOC)' survey (August 2020 February 2021) Australia. One of questions asked if they had experienced class schedules or format pandemic, with a follow up open ended text box inviting comment impact these changes. majority CBPE, only 9 % stating no classes. A content analysis undertaken 929 discussing experience pregnancy, postpartum.929 (29 %) made 1131 comments regarding pandemic. main finding 'I felt so unprepared', highlights perceived cessation alteration their preparation, many reporting an increased sense isolation. Some reported feeling 'It good enough' adequate provision online classes, others let down by system' due communication technological barriers.Results highlight importance ensuring continued hybrid/online childbirth education models enable versatility times crisis. Gaps service provision, resources parenting need addressing.

Language: Английский

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Incorporating co‐design principles and social media strategies to enhance cross‐sectional online survey participation: The Birth Experience Study

Journal of Nursing Scholarship, Journal Year: 2023, Volume and Issue: 56(2), P. 341 - 350

Published: Nov. 20, 2023

Abstract Aim To use co‐design principles to design a nationwide maternity experiences survey and distribute the through social media. Design A co‐designed, cross sectional, national online survey. Methods Using from study throughout research process cross‐sectional, online, of Australian women's care was designed. Four validated instruments were included in design. Results An extensive media strategy utilized, which paid advertising, resulting 8804 surveys for analysis 54,896 comments responding open text questions. Discussion The inclusion contributed well‐designed consumer involvement distribution support high participation rates with overall low marketing costs. Clinical Relevance Maternity services should be designed provide woman‐centered, individualized care. This co‐designed users organizations explore recent Australia. outcomes this will highlight factors that contribute positive negative services. Patient or Public Contribution As study, there engagement process.

Language: Английский

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Review of Factors Associated with Depression among Pregnant Women during the COVID-19 Pandemic

Health, Journal Year: 2023, Volume and Issue: 15(02), P. 161 - 176

Published: Jan. 1, 2023

Purpose: This purpose of the study was to investigate factors both risk and protective associated with depression among pregnant women during coronavirus disease (COVID-19) pandemic. Methods: A literature search conducted on July 2022, through PubMed, CINAHL, MEDLINE, CiNii, Japan Medical Abstract Society databases, keywords “COVID-19”, “pregnant women”, “depression”. The titles/abstracts were screened based three selection criteria: 1) inclusion women; 2) description depression; 3) COVID-19 Results: Of 213 articles extracted, 104 excluded owing duplication, 14 because they comprised other article types, including reviews commentaries. Finally, 40 by title, abstract, full-text screening. Among 45 for a total 59,329 that met criteria, “distress from COVID-19-related experiences”, “reduced/low income”, “unemployment”, “anxiety”, “history mental illness”, “lack social support”, “reduced/no exercise”. “greater/increased “higher education level”, resilience”, “healthy lifestyle behaviors” much less frequently reported than factors, none be relevant Japanese women. Conclusion: findings indicate preventive interventions should begin pregnancy focus these factors. In addition, need strengthened. Further research is required identify

Language: Английский

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The Impact of COVID-19 Related Distress on Antenatal Depression in Australia

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(6), P. 4783 - 4783

Published: March 8, 2023

Globally, the impact of COVID-19 on mental health has been significant. Pregnant women are known to be a vulnerable population in relation health. In Australia, there was an unprecedented demand during pandemic for services, including services pregnant women. Maternal unique and enduring features that can significantly shape child's overall development poor maternal have considerable social economic costs. This cross-sectional study evaluated symptoms antenatal depression COVID-19-related distress sample two hundred sixty-nine residing Australia aged between 20 43 (M = 31.79, SD 4.58), as part larger study. Social media advertising used recruit participants September 2020 November 2021. Prevalence rates were found higher this (16.4%) compared with previous Australian prevalence (7%). having baby outbreak predicted depression, B 1.46, p < 0.001. Results from suggest mothers families may increased vulnerabilities consequence some time yet.

Language: Английский

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Birth and early parenting during the COVID-19 pandemic: A cross-sectional study in the Austrian and German population

Comprehensive Psychiatry, Journal Year: 2023, Volume and Issue: 126, P. 152405 - 152405

Published: July 21, 2023

During the COVID-19 pandemic, new mothers and their babies represent a particularly vulnerable group. This study investigates effects of pandemic on pregnancy childbirth experience, as well postnatal stress depression levels.An online survey was completed by 1964 Austrian German who gave birth during pandemic. The included Pregnancy Distress Questionnaire (PDQ), Childbirth Experience (CEQ), Edinburgh Postnatal Depression Score (EPDS), Perceived Stress (PSS), additional pregnancy- pandemic-related questions. We conducted multilinear regression models in order to investigate which factors predict scores.There high prevalence symptoms (42%), though mean EPDS score 8·71 (SD = 5·70), below cut-off for 10. scores 9%, PSS 17·7 6·64), indicates moderate perceived stress. reduced time spent with grandparents, help received mother from relatives friends. Not receiving associated higher scores. In models, most important predictor negative experience high-risk pregnancy, while strongest predictors levels were low social support negatively repercussions financial, or health aspects family life.The results suggest that had an impact maternal mental health. While consequences due affected levels, acted protective factor.

Language: Английский

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