Vulnerability and resilience to pandemic-related stress among U.S. women pregnant at the start of the COVID-19 pandemic

Social Science & Medicine, Год журнала: 2020, Номер 266, С. 113348 - 113348

Опубликована: Сен. 6, 2020

Язык: Английский

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Pandemic-related pregnancy stress and anxiety among women pregnant during the coronavirus disease 2019 pandemic

American Journal of Obstetrics & Gynecology MFM, Год журнала: 2020, Номер 2(3), С. 100155 - 100155

Опубликована: Июнь 15, 2020

Prenatal maternal stress and anxiety, whether at times of disaster or not, are well-established risk factors for preterm birth, low birthweight, infant health problems may have long-lasting effects on the offspring.1Harville E.W. Xiong X. Buekens P. Disasters perinatal health: a systematic review.Obstet Gynecol Surv. 2010; 65: 713-728Crossref PubMed Scopus (232) Google Scholar,2Ibrahim S.M. Lobel M. Conceptualization, measurement, pregnancy-specific stress: review research using original revised prenatal distress questionnaire.J Behav Med. 2020; 43: 16-33Crossref (74) Scholar Approximately 21% to 25% women experience anxiety symptoms (eg, excessive worry, nervousness, agitation). Policies decrease spread novel coronavirus disease 2019 (COVID-19) by sheltering in place social distancing increases unemployment, poverty, intimate partner violence dramatically changed daily lives pregnant presumably heightened subsequent anxiety.3Saccone G. Florio A. Aiello F. et al.Psychological impact women.Am J Obstet Gynecol. ([Epub ahead print])Abstract Full Text PDF (269) The COVID-19 pandemic has created an urgent need examine extent which pandemic-related predicts during this crisis. At end April 2020, 788 were recruited through media complete online questionnaire. Study inclusion criteria being time questionnaire completion older than 18 years. Exclusion was inability read write English. study approved Institutional Review Board Stony Brook University. included sociodemographic (maternal age, ethnicity race, financial status, insurance, lifetime emotional physical abuse), current use psychiatric medications, obstetrical (parity, gestational pregnancy risk, chronic medical conditions, planned pregnancy, fertility treatments), behaviors vitamins, exercise, enough sleep), alterations care appointments (cancellation rescheduling owing COVID-19), (generalized disorder-7 [GAD-7] with following clinical cutoff values: 0–4, no minimal; 5–9, mild; 10–14, moderate; 15–21, severe). COVID-19-related concerns assessed (PREPS) scale, instrument developed our team.4Preis H, Inman E, & Contribution psychology research, treatment, opioid disorder. American Psychologist 2020. https://doi.org/10.1037/amp0000675.Google Exploratory factor analysis random half sample confirmed its 3 constituent as follows: preparedness (7 items; eg, "I am worried I will not be able someone me delivery"), infection (5 that my baby could get hospital after birth"), positive appraisal (3 relevant study). Confirmatory second indicated good model fit comparative index, 0.93; Tucker-Lewis 0.92; root mean square error approximation, 0.076; standardized residual, 0.079. Stress scales internally consistent (Cronbach's α>0.80). We used hierarchical binary logistic regression predict odds minimal mild vs moderate severe anxiety. Participants average aged 29.2±5.3 years their age 25.3±9.1 weeks. three-quarters white non-Hispanic (n=608, 77.2%); almost primiparas (n=362, 45.9%). A total 166 (21.1%) reported (GAD-7=0–4), 280 (35.6%) (GAD-7=5–9), 170 (21.6%) (GAD-7=10–14), 171 (21.7%) (GAD-7≥15). Logistic predicted from all background variables 2 PREPS (Table). first step (R2=0.07) (ΔR2=0.09). last previous confounders added (ΔR2=0.12). In final (total R2=0.28), abuse history, high-risk stress, independently greater likelihood Older better protective against anxiety.TableBinary multivariate predicting (n=788)Step 1Step 2Step 3aOR95% CIaOR95% CIOlder age0.54bP<.010.36–0.810.39cP<.0010.24–0.610.46bP<.010.28–0.74Racial ethnic minority0.910.64–1.290.970.67–1.411.240.83–1.85Married cohabiting0.760.49–1.160.710.45–1.130.750.46–1.22Financial insecurity1.130.78–1.640.910.61–1.350.860.56–1.30Abuse history2.06cP<.0011.44–2.951.82bP<.011.25–2.661.85bP<.011.24–2.75Private insurance0.790.55–1.40.780.53–1.160.820.53–1.25Primipara1.070.77–1.471.250.89–1.77Gestational age1.000.99–1.021.000.98–1.01Planned pregnancy1.110.78–1.591.210.83–1.77Fertility treatment0.830.48–1.450.790.44–1.43Chronic illness1.290.91–1.841.180.82–1.72High riskdWomen who high those unsure grouped together.1.79bP<.011.27–2.531.52aP<.051.06–2.19Healthy behaviors0.64cP<.0010.54–0.750.65cP<.0010.54–0.78Appointment altered1.49aP<.051.09–2.021.120.81–1.56Psychiatric medication0.860.50–1.460.740.42–1.31PREPS scale—preparedness1.75cP<.0011.35–2.26PREPS scale—infection1.55cP<.0011.28–1.88R2=0.07R2=0.16R2=0.28aOR, adjusted ratio; CI, confidence interval; PREPS, stress.Preis al. Pandemic-related AJOG MFM 2020.a P<.05b P<.01c P<.001d Women together. Open table new tab aOR, stress. Preis Pregnant experienced substantial prevalence mild, moderate, sample. related preparation birth worries about self can elevate women's experiencing over above sociodemographic, obstetrical, other factors.

Язык: Английский

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Psychometric properties of the Pandemic-Related Pregnancy Stress Scale (PREPS)

Journal of Psychosomatic Obstetrics & Gynecology, Год журнала: 2020, Номер 41(3), С. 191 - 197

Опубликована: Июль 2, 2020

Pregnant women are facing numerous COVID-19 related burdens including social isolation, financial insecurity, uncertainty about the impact of virus on fetal development, and prenatal care restrictions. We tested psychometric properties a new instrument designed to assess extent types pandemic-related stress experienced by pregnant women.4,451 from across U.S. were recruited via media completed an online questionnaire in April-May 2020. The included measures psychological, sociodemographic, obstetric factors Pandemic-Related Pregnancy Stress Scale (PREPS).Confirmatory factor analyses PREPS showed excellent model fit. Three - Perinatal Infection (5 items), Preparedness (7 Positive Appraisal (3 items) converged diverged with expected psychological factors, scales created these demonstrated acceptable good reliability (α's 0.68-0.86). In addition, mean scores associated perceived risk infection, vocational burdens.The is robust multidimensional pandemic stress. It valuable tool for future research examine vulnerability how this may affect their offspring.

Язык: Английский

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Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset

Annals of Behavioral Medicine, Год журнала: 2021, Номер 55(3), С. 179 - 191

Опубликована: Март 1, 2021

Abstract Background High stress prenatally contributes to poor maternal and infant well-being. The coronavirus disease 2019 (COVID-19) pandemic has created substantial for pregnant women. Purpose To understand whether experienced by women at the beginning of was associated with a greater prevalence adverse perinatal outcomes. Methods Pregnant across USA aged ≥18 years old enrolled in prospective cohort study during onset (T1) April–May 2020. This report focuses on 1,367 participants who gave birth prior July–August 2020 (T2). Hierarchical logistic regression models predicted preterm birth, small gestational age infants, unplanned operative delivery from T1 stress, sociodemographic, medical factors. Results After controlling sociodemographic factors, high prenatal delivering an interpersonal violence related being unprepared due pandemic, cesarean or vaginal appointment alterations, experiencing major stressful life event, pandemic. Independent these associations, African American were more likely than other groups deliver preterm. Conclusion are COVID-19 risk poorer A longitudinal investigation is critical determine resulting outcomes have longer-term consequences health well-being children born midst current

Язык: Английский

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Differences in levels of stress, social support, health behaviours, and stress-reduction strategies for women pregnant before and during the COVID-19 pandemic, and based on phases of pandemic restrictions, in Ireland

Women and Birth, Год журнала: 2020, Номер 34(5), С. 447 - 454

Опубликована: Окт. 23, 2020

The COVID-19 pandemic and related restrictions can adversely impact antenatal maternal well-being health behaviours.

Язык: Английский

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Prenatal stress, health, and health behaviours during the COVID-19 pandemic: An international survey

Women and Birth, Год журнала: 2021, Номер 35(3), С. 272 - 279

Опубликована: Март 20, 2021

Pregnant women's stress, mental and physical health, health behaviours can have important implications for maternal child outcomes.To examine pregnant levels of during the COVID-19 pandemic.A cross-sectional survey was conducted online, with recruitment data collection occurring between 16/6/20 17/7/20. Participants were women recruited via online pregnancy/parenting communities. self-reported their general pregnancy-specific stress related behaviours, behaviours.573 participated in survey. most commonly resident United States (42.6%, n=243), Ireland (41.2%, n=235) or Kingdom (10%, n=57). The majority (80.0%, n=457) married educated to degree level above (79.3, n=453). reported high COVID-19-related low pandemic. Encouragingly, this study generally adherence public advice pregnancy behaviours. Stress outcomes best predicted by well-being factors (including social support). Health impairing (e.g. poor diet) both demographic factors.Interventions targeting pregnancy- pandemic-specific at population will be essential support minimise adverse children

Язык: Английский

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The impact of COVID-19 restrictions on women's pregnancy and postpartum experience in England: A qualitative exploration

Midwifery, Год журнала: 2021, Номер 101, С. 103061 - 103061

Опубликована: Июнь 5, 2021

Язык: Английский

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Women’s Depressive Symptoms during the COVID-19 Pandemic: The Role of Pregnancy

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(8), С. 4298 - 4298

Опубликована: Апрель 18, 2021

The Coronavirus Disease 2019 (COVID-19) pandemic has multiple ramifications for pregnant women. Untreated depression during pregnancy may have long-term effects on the mother and offspring. Therefore, delineating of mental health reproductive-age women is crucial. This study aims to determine risk depressive symptoms in non-pregnant COVID-19, identify its bio-psycho-social contributors. A total 1114 256 were recruited via social media May 2020 complete an online survey that included anxiety questionnaires, as well demographic, obstetric COVID-19-related questionnaires. Pregnant also completed Pandemic-Related Pregnancy Stress Scale (PREPS). reported fewer less concerned they had COVID-19 than Among women, factors lower income, children, unemployment, thinking one high-risk pregnancy, earlier gestational age, increased pregnancy-related stress. Protective partner support, healthy behaviors, positive appraisal pregnancy. Thus, being associated with reduced pandemic. Increased engaging behaviors enhance resilience. Future studies versus could clarify role stressful events, aspects susceptibility resilience

Язык: Английский

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The role of pandemic‐related pregnancy stress in preference for community birth during the beginning of the COVID‐19 pandemic in the United States

Birth, Год журнала: 2021, Номер 48(2), С. 242 - 250

Опубликована: Март 6, 2021

The COVID-19 pandemic introduced unparalleled uncertainty into the lives of pregnant women, including concerns about where it is safest to give birth, while preserving their rights and wishes. Reports on increased interest in community births (at home or birth centers) are emerging. purpose this project was quantitatively investigate psychological factors related preference.This study included 3896 women from Pregnancy Experiences (COPE) Study who were anticipating a vaginal birth. COPE participants recruited online between April 24 May 15, 2020, completed questionnaire that preference with respect place constructs: fear childbirth, basic beliefs pandemic-related preparedness stress, perinatal infection stress.Women preferred average, had less childbirth fear, stronger natural process, likely see as medical stressed being unprepared for infected COVID-19. In multivariate models, higher stress associated greater likelihood preferring effect when high.Women's preferences during processes risk perception. Community more appealing view hospital hazardous because pandemic. Policies prenatal care aimed increase access safe in-hospital out-of-hospital services should be encouraged.

Язык: Английский

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Pandemic-related pregnancy stress assessment–Psychometric properties of the Polish PREPS and its relationship with childbirth fear

Midwifery, Год журнала: 2021, Номер 96, С. 102940 - 102940

Опубликована: Фев. 9, 2021

Язык: Английский

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