Psychosocial experiences of pregnant women during the COVID-19 pandemic: a UK-wide study of prevalence rates and risk factors for clinically relevant depression and anxiety

Journal of Psychosomatic Obstetrics & Gynecology, Год журнала: 2025, Номер 46(1)

Опубликована: Фев. 11, 2025

Purpose: Whilst the antenatal period is well established as a of increased vulnerability to mental health difficulties, restrictions resulting from COVID-19 lockdown in UK are likely have negatively affected psychosocial outcomes these women.

Язык: Английский

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Associations between psychological distress and hair cortisol during pregnancy and the early postpartum: A meta-analysis

Psychoneuroendocrinology, Год журнала: 2022, Номер 147, С. 105969 - 105969

Опубликована: Окт. 28, 2022

Язык: Английский

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Impact of COVID-19 on access to and delivery of sexual and reproductive healthcare services in countries with universal healthcare systems: A systematic review

PLoS ONE, Год журнала: 2024, Номер 19(2), С. e0294744 - e0294744

Опубликована: Фев. 23, 2024

Objectives The COVID-19 pandemic has caused unforeseen impacts on sexual and reproductive healthcare (SRH) services worldwide, the nature prevalence of these changes have not been extensively synthesized. We sought to synthesise reported outcomes impact SRH access delivery in comparable countries with universal systems. Methods Following PRISMA guidelines, we searched MEDLINE, Embase, PsycInfo, CINAHL from January 1st, 2020 June 6th, 2023. Original research was eligible for inclusion if study and/or delivery. Twenty-eight OECD economies systems were included. extracted characteristics, participant design, outcome variables. methodological quality each article assessed using Quality Assessment Diverse Studies (QuADS) tool. Preferred Reporting Items Systematic Reviews Meta-analyses (PRISMA) guidelines followed reporting results. This registered PROSPERO (#CRD42021245596). Synthesis Eighty-two studies met criteria. Findings qualitatively synthesised into domains of: antepartum care, intrapartum postpartum assisted technologies, abortion access, gynaecological health services, HIV care. Research concentrated relatively few countries. Access negatively impacted by a variety factors, including service disruptions, unclear communication regarding policy decisions, decreased timeliness fear exposure. Across outpatient providers favoured models care that avoided in-person appointments. Hospitals prioritized reduced time number people hospital aerosol-generating environments. Conclusions Overall, demonstrated across most during COVID-19. Variations restrictions accommodations heterogeneous within between institutions. Future work should examine long-term COVID-19, underserved populations, underrepresented

Язык: Английский

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Syphilis Treatment Among People Who Are Pregnant in Six U.S. States, 2018–2021

Obstetrics and Gynecology, Год журнала: 2024, Номер unknown

Опубликована: Апрель 16, 2024

To describe syphilis treatment status and prenatal care among people with during pregnancy to identify missed opportunities for preventing congenital syphilis.

Язык: Английский

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Disparities in spatiotemporal clustering of maternal mental health conditions before and during the COVID-19 pandemic

Health & Place, Год журнала: 2024, Номер 89, С. 103307 - 103307

Опубликована: Июль 1, 2024

Язык: Английский

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Experiences of Canadian perinatal care during the COVID-19 pandemic: Analysis of open-ended survey responses

Women s Health, Год журнала: 2025, Номер 21

Опубликована: Апрель 1, 2025

Background: The COVID-19 pandemic caused significant socioeconomic and healthcare disruptions in Canada. policies local infection rates varied considerably across Canada’s geographically diverse, multijurisdictional system. Emergence of highly transmissible variants widespread vaccination mandates Fall 2021 further impacted life experiences pregnant people, particular, were challenged by outbreaks, Canadian hospital policies, public health restrictions. Objective: This study explored perinatal care the context pandemic. Design: Online, cross-sectional survey with qualitative analysis. Methods: Individuals after January 1, 2020 who received Canada participated our Pandemic Pregnancy Experiences eSurvey, September to February 2022. Open-ended responses qualitatively evaluated thematic content Codes identified both deductively inductively, categorized using principles woman-centered care, developed into major minor themes. Results: Prenatal from 362 participants, 234 participants also elaborating on their labor delivery (L&D) care. Major themes organized category as follows: Choice Healthcare Provider (good quality provider, barriers provider choice), Autonomy-Healthcare (autonomy empowered, autonomy impacted), Delivery Place (wanted birth, got birth), Support Companion(s) (no support companion for prenatal appointments, restrictions L&D companion(s)), and, Autonomy-COVID-19 Vaccination (vaccinated while pregnant/breastfeeding). Conclusions: birth generally positive; however, existing constraints provincial/territorial systems experiences. Limited choice type access companion(s) affected satisfaction.

Язык: Английский

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The impact of prenatal maternal mental health during the COVID-19 pandemic on birth outcomes: two nested case-control studies within the CONCEPTION cohort

Can J Public Health, Год журнала: 2023, Номер 114(5), С. 755 - 773

Опубликована: Сен. 5, 2023

Abstract Objective Assess the association between prenatal mental health during COVID-19 pandemic and preterm birth (PTB; delivery < 37 weeks gestation) low weight (LBW; 2500 g). Methods Pregnant individuals, > 18 years, were recruited in Canada provided data through a web-based questionnaire. We analyzed on persons 06/2020 08/2021 who completed questionnaires while pregnant 2 months post-partum. Data maternal sociodemographics, comorbidities, medication use, (Edinburgh Postnatal Depression Scale, General Anxiety Disorder-7, stress), hardship (CONCEPTION—Assessment of Stress from COVID-19), gestational age at self-reported. Crude adjusted odds ratios (aOR) with 95% confidence interval (95%CI) calculated to quantify PTB/LBW health. Results A total 1265 1233 participants included analyses PTB LBW, respectively. No associations observed (depression [aOR 1.01, 95%CI 0.91–1.11], anxiety 1.04, 0.93–1.17], stress 0.88, 0.71–1.10], or 1.00, 0.96–1.04]) after adjusting for potential confounders. The risk was increased non-white ethnicity/race (aOR 3.85, 1.35–11.00), consistent literature. Similar findings LBW 1.03, 0.96–1.13], 1.05, 0.95–1.17], COVID 0.92, 0.77–1.09], overall 0.97, 0.94–1.01]). Conclusion found nor LBW. However, it is imperative continue follow-up mothers their offspring detect long-term problems early.

Язык: Английский

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Associations of stress, anxiety, and partner satisfaction with maternal-fetal attachment in women pregnant during the COVID-19 pandemic: an online study

BMC Pregnancy and Childbirth, Год журнала: 2023, Номер 23(1)

Опубликована: Июнь 30, 2023

Abstract Background The COVID-19 pandemic has led to exceptional stress in pregnant women. aim of the present study was investigate associations maternal (pandemic-related and -unrelated), anxiety, relationship satisfaction experienced during with prenatal mother-infant attachment. Methods An online conducted evaluating pandemic-related stress, pregnancy-specific (unrelated pandemic), partnership satisfaction, maternal-fetal attachment German-speaking women second lockdown between January March 2021. In total, 431 (349 lived Germany 82 Switzerland) filled questionnaires gave information on demographic pregnancy-related variables (i.e. age, gestational parity). Bivariate correlations were calculated order different additionally, a hierarchical regression model evaluate influence independent Results analysis revealed that after controlling for parity higher namely associated feeling unprepared birth, as well positive appraisal (considered way coping stress) stronger attachment, whereas anxiety other forms non-significant. Conclusions highlights interesting preparedness pregnancy pandemic.

Язык: Английский

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How do perceptions of Covid-19 risk impact pregnancy-related health decisions? A convergent parallel mixed-methods study protocol

PLoS ONE, Год журнала: 2023, Номер 18(8), С. e0288952 - e0288952

Опубликована: Авг. 10, 2023

Pregnant people have a higher risk of severe COVID-19 disease. They been disproportionately impacted by infection control policies, which exacerbated conditions resulting in intimate partner violence, healthcare access, and mental health distress. This project examines the impact accumulated individual decisions describes how perinatal care outcomes changed during pandemic.

Язык: Английский

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Prevalência e fatores associados à realização de exames pré-natais na pandemia de COVID-19: um estudo transversal

Escola Anna Nery, Год журнала: 2023, Номер 27

Опубликована: Янв. 1, 2023

Resumo Objetivo Identificar a prevalência da realização dos exames de pré-natal e seus fatores associados, durante pandemia COVID-19, em uma regional saúde brasileira. Método Pesquisa transversal, descritiva, realizada três maternidades públicas, com 408 puérperas, por meio inquérito consulta prontuários cartão gestante. Utilizou-se o teste Qui-quadrado assumindo nível significância p<0,05. Resultados Houve baixa na pré-natal, sendo 67% no primeiro trimestre, 59,2% segundo 48,98% terceiro. A raça não branca início do após 14ª semana estão associados à testes sorológicos/bioquímicos. Conclusão implicações para prática ocorreu forma satisfatória período pandêmico, possibilitando verificar existência lacunas qualidade assistência pré-natal. Em situações adversas, como ocorrido enfermeiro pode utilizar estratégias que garantam continuidade integralidade especialmente entre as populações maior vulnerabilidade.

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