Perinatal mental health and COVID-19: Navigating a way forward

Australian & New Zealand Journal of Psychiatry, Journal Year: 2022, Volume and Issue: 57(7), P. 937 - 943

Published: Nov. 28, 2022

The COVID-19 pandemic and its aftermath have increased pre-existing inequalities risk factors for mental disorders in general, but perinatal are of particular concern. They already underdiagnosed undertreated, this has been magnified by the pandemic. Access to services (both psychiatric obstetric) reduced, in-person contact restricted because risks. Rates anxiety depressive symptoms increased. In face these challenges, clear guidance health is needed patients clinicians. However, a systematic search available resources showed only small amount from few countries, with focus on acute phase rather than challenges new variants variable rates infection. Telepsychiatry offers advantages during times social also as an additional route accessing wide range digital technologies. While there strong evidence base general telepsychiatry, issues need further examination. Clinicians will expertise training navigate hybrid model, flexibly combining person remote assessments according risk, clinical individual patient preferences. There wider care planning context varying infection rates, restrictions vaccination access different countries. prevention, treatment, assessment symptom monitoring, be urgent coordinated across all organisations involved care.

Language: Английский

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Review of the Depression Rate among Pregnant Women during the COVID-19 Pandemic

Health, Journal Year: 2023, Volume and Issue: 15(01), P. 33 - 47

Published: Jan. 1, 2023

Purpose: To determine the incidence of depression among pregnant women during coronavirus disease (COVID-19) pandemic. Methods: A literature search was conducted on July 2022 through PubMed, CINAHL, MEDLINE, CiNii, and Japan Medical Abstract Society using 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 that extracted, 104 excluded owing to duplication 14 because they comprised other article types, including reviews commentaries. Finally, 49 by title, abstract, full-text screening. Among 46 met criteria, 13 (28.3%) from China, 8 (17.4%) Turkey, 4 (8.7%) United States, 3 (6.5%) Japan. most common scales used measure Edinburgh Postnatal Depression Scale (EPDS) in 18 (39.1%), followed Patient Health Questionnaire (PHQ-9) 11 (23.9%). Furthermore, sources reported a suspected rate 30.0% (20,338/67,860 women). 15.1% - 33.5% EPDS ≥ 9 12.0% 43.2% nine articles. five PHQ-9 5 25.8% 48.7%, seven 5.3% 59.2% 10. Conclusion: concern for one out every four COVID-19 This suggests might have worsened, highlighting need mental health support them.

Language: Английский

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Equipping fathers to support distressed mothers: What do mothers want fathers to know and do?

Health Promotion Journal of Australia, Journal Year: 2023, Volume and Issue: 34(4), P. 683 - 690

Published: June 16, 2023

Abstract Issue Addressed Up to one in five new mothers experience depression or anxiety, and their partners are often the first line of social practical support. However, many fathers unprepared for role as support person. The SMS4dads program ( www.sms4dads.com ) provides text‐based but lacks specific messages addressing maternal mental distress. Methods A mixed methods process engaged with lived perinatal distress identify message content co‐designing texts SMS4dads. Participants completed surveys derived from research literature parenting websites using theoretical framework domains: emotional affectionate support, informational tangible positive interaction. Mothers also indicated most appropriate timing support: at point identifying (emerging), ongoing symptoms (persistent) during recovery (easing). Free text comments were linked survey topics provide examples wording suitable fathers. Results Fifty‐five surveys. All items more endorsed helpful rather than not by mothers. Emotional was thought early stages, valued interaction appreciated eased. Conclusions experiencing anxiety require a range supportive actions partners, including household tasks baby‐care, encouragement, listening managing relationships family friends. So What? Information provided distressed can guidance professionals when designing information fathers/partners. Digital delivery this co‐designed across urban rural areas may enhance competence working period.

Language: Английский

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Are we overlooking the obvious? Addressing social determinants of health that contribute to perinatal depression

Australian Journal of Primary Health, Journal Year: 2022, Volume and Issue: 29(3), P. 207 - 216

Published: Sept. 2, 2022

Mental health disorders among women during the perinatal period are common and cause significant morbidity, yet precise reasons why some develop depression this period, others do not, are, as yet, unknown. Pregnancy may burden populations of differently, sociological variables, such finances, social position, interpersonal resources; extreme events, coronavirus disease 2019 (COVID-19) pandemic for example, be biological determinants. However, current treatment remains focused on individual woman main agent change. Incorporating a systems-wide approach to diagnosing treating by addressing structural systemic determinants more effective way treat illness. In paper, we explore their correlation with clinical in antenatal period. We also investigate broader, society-wide interventions that reduce morbidity reproductive age, both developed developing nations.

Language: Английский

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Feeling anxious’- women’s experiences of having a baby in Australia during the COVID-19 pandemic using the Voqual real time app

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

Published: Sept. 19, 2023

Internationally, the COVID-19 pandemic impacted maternity services. In Australia, this included changes to antenatal appointments and reduction of support people during labour birth. For women pregnant there were increased stressors infection in community hospitals along with periods isolation from friends families lockdown periods. The aim study was explore real-time experiences who had a baby first wave Australia.This followed seven throughout their pregnancy early parenthood. Women created audio or video recordings real time using Voqual app up by in-depth interviews after they gave birth.Using narrative analysis individual stories compared an overarching theme 'feeling anxious' found which underpinned two themes 'model care' 'environment'.These findings highlight protective impact midwifery continuity care has on reducing anxiety pandemic, that home environment can either be secure safe place isolation.

Language: Английский

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Developing a text message intervention for fathers with partners experiencing perinatal depression or anxiety

Journal of Reproductive and Infant Psychology, Journal Year: 2023, Volume and Issue: unknown, P. 1 - 14

Published: Sept. 25, 2023

Support from fathers to their partners is important reduce distress in mothers during the perinatal period when conditions such as depression and anxiety can be common. The SMS4dads digital platform delivers text messages but has not previously addressed specific with who are experiencing and/or (PNDA).To develop messages, collaboration experienced parents clinicians, that suitable for whose partner PNDA.Messages designed enhance quality of support PNDA were drafted by team based on suggestions lived experience PNDA. Mothers expert clinicians rated importance understanding. Clinicians additionally clinical relevance. Open response comments collated each message. Re-drafted screened again checked literacy level.Forty-one draft received a total 170 ratings 24 164 32 clinicians. Over three quarters agreed or strongly understandable (parents 85.6%; 77.4%), 86.3%; 86.6%), 85.5% clinically relevant. Comments (n = 99) 46) reviewed guided message development. Thirty re-drafted 16 edited second round clinicians.Messages developed evaluated

Language: Английский

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The impact of the COVID-19 pandemic on antenatal care provision and associated mental health, obstetric and neonatal outcomes

Journal of Perinatal Medicine, Journal Year: 2023, Volume and Issue: 52(2), P. 222 - 229

Published: Oct. 26, 2023

Abstract Objectives The COVID-19 pandemic imposed many challenges on pregnant women, including rapid changes to antenatal care aimed at reducing the societal spread of virus. This study assess how affected perinatal mental health and other pregnancy neonatal outcomes in a tertiary unit Queensland, Australia. Methods was retrospective cohort women booked for between March 2019 – June 2020 2020. A total 1984 were included with no confirmed cases COVID-19. primary outcome this adverse maternal defined as an Edinburgh Postnatal Depression Scale score ≥13 or affirmative response ‘EPDS Question 10’. Secondary preterm birth <37 weeks <32 weeks, mode birth, low weight, malpresentation labour, hypertensive disease, anaemia, iron/vitamin B12 deficiency, stillbirth composite morbidity mortality. Results There differences outcomes. rates (27 vs. 34 %, p<0.001) during higher; however, there difference mortality (p=1.0), (p=0.44) delivery (p=0.38). Conclusions Although consequences pandemic, concerning increase potentially due altered model maternity implemented early pandemic.

Language: Английский

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Risk and Protective Factors Associated with Depression and Anxiety among Pregnant Women during the COVID-19 Pandemic

Health, Journal Year: 2024, Volume and Issue: 16(01), P. 37 - 51

Published: Jan. 1, 2024

Background: The coronavirus disease (COVID-19) pandemic has impacted perinatal women’s mental health. However, protective factors associated with depression among pregnant Japanese women during the have not been reported. Purpose: present study investigated risk and anxiety COVID-19 pandemic. Methods: An online questionnaire was administered to 157 between October 2022 May 2023 at two general hospitals in Japan. versions of Patient Health Questionnaire-9 (PHQ-9) General Anxiety Disorder-7 (GAD-7) were used assess symptoms anxiety. χ2 test or Fisher’s exact multivariate logistic regression model examine women. Results: Overall, 47.1% 35.7% reported depressive symptoms, respectively. A “history illness” a factor for Additionally, unmarried status women, whereas outdoor indoor exercises against anxiety, Conclusions: Exercise may protected from Encouraging exercise help maintain health who do restrictions.

Language: Английский

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Model of perinatal care but not prenatal stress exposure is associated with birthweight and gestational age at Birth: The Australian birth in the time of COVID (BITTOC) study

Sexual & Reproductive Healthcare, Journal Year: 2024, Volume and Issue: 40, P. 100981 - 100981

Published: May 6, 2024

Language: Английский

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Changes associated with the COVID‐19 pandemic on postpartum screening results in Ontario, Canada: The healthy babies healthy children screening tool

Birth, Journal Year: 2024, Volume and Issue: 51(4), P. 762 - 772

Published: May 31, 2024

Abstract Background Research on the impact of COVID‐19 pandemic mothers/childbearing parents has mainly been cross‐sectional and focused psychological symptoms. This study examined function using ongoing, systematic screening a representative Ontario sample. Methods An interrupted time series analysis repeated data from province‐wide program Healthy Babies Children (HBHC) tool assessed changes associated with at postpartum discharge hospital. Postal codes were used to link neighborhood‐level data. The ability parent or care for baby/child other psychosocial behavioral outcomes assessed. Results co‐primary inability infrequently observed in pre‐pandemic (March 9, 2019–March 15, 2020) initial periods 16, 2020–March 23, 2021) (parent 209/63,006 (0.33%)–177/56,117 (0.32%), 537/62,955 (0.85%)–324/56,086 (0.58%)). Changes after onset not either outcome although significant ( p = 0.02) increase slope was (with questionable clinical significance). For secondary outcomes, worsening only seen reported complications during labor/delivery. Significant improvements likelihood being unable identify support person assist care, need newcomer support, concerns about money over time. Conclusions There no substantive children. Adverse impacts may have mitigated by accommodations remote work social safety net policies.

Language: Английский

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