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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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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More home births during the COVID‐19 pandemic in the Netherlands

Birth, Год журнала: 2022, Номер 49(4), С. 792 - 804

Опубликована: Май 12, 2022

Abstract Background The aim of this observational study was to examine whether the course pregnancy and birth accompanying outcomes among low‐risk pregnant women changed in COVID‐19 pandemic compared prepandemic period. Methods We analyzed data from Dutch Midwifery Case Registration System (VeCaS). Differences birth, maternal neonatal outcomes, were calculated between during initial months (March 1 August 3, 2020) period 1–August 2019). also conducted a stratified analysis by parity. Results included 5913 whom 2963 (50.1%) first surge pandemic, 2950 (49.9%) During more desired had home birth. More used pain medication fewer an episiotomy than prior. Multiparous higher suspected rate fetal growth restriction COVID; however, actual small for gestational age infants not significantly increased. observed no differences onset augmentation labor or mode though vaginal births Conclusions there planned lower Netherlands.

Язык: Английский

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Everything feels just a little heavier, more wrought with implications, you know? – a mixed-methods study examining lifestyle behaviors, health, and well-being of pregnant and postpartum women during the early months of the COVID-19 pandemic

BMC Pregnancy and Childbirth, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 7, 2025

While the striking impact of COVID-19 pandemic on mental health, heath care access and lifestyle behaviors, including perceived diet, physical activity, sleep has been reported, few studies have examined these domains jointly among pregnant postpartum people in early stages pandemic. This mixed methods study was conducted a subset participants (n = 22) cohort Austin, Texas, who were or had recently delivered when outbreak occurred. Measures from second trimester up to 6 months postpartum. Findings questionnaires complemented by qualitative interviews during Spring/Summer 2020 regarding experiences From our quantitative data 22), most reported that generally negative their lives (81%), they shifted eating more at home (71%), less physically active (62%). Five major themes emerged 22): (1) adaptation restrictions; (2) psychosocial experiences, such as feelings anxiety, guilt, sadness, isolation, frustration; (3) health behavior changes; (4) experiences; (5) where obtained general perinatal related information. Of those completed both pregnancy 8), all anxiety periods; however, Spring experienced surrounding delivery social support than Summer 2020, hospital birth greater support, particularly after delivery. Overall, findings confirm prior evidence marked stress, worries, well behaviors people. Our work provides lessons for practitioners about need persons amid societal disruption.

Язык: Английский

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Changes in Fear of Childbirth and Its Predictors Over Three COVID‐19 Pandemic Waves in Poland

Birth, Год журнала: 2025, Номер unknown

Опубликована: Март 7, 2025

The COVID-19 pandemic posed new and unpredictable challenges worldwide, having a particular effect on vulnerable groups, including pregnant women. occurrence of these stressful circumstances likely increased women's fear childbirth, critical issue in pregnancy with consequences for various outcomes. This cross-sectional study investigated childbirth women during three waves the Poland identified factors predicting severe fear. Participants were recruited through social media platforms. In total, 2462 completed questionnaire first (n = 1079), second 1119), or third 264) pandemic. Fear was measured Birth visual analog scale (FOBS) using cut-off score ≥ 54 to indicate clinically relevant childbirth. COVID-19-related stress assessed Pandemic-Related Pregnancy Stress Scale (PREPS). present 51.5%, 61.9%, 56.8% participants at waves, respectively. Women who had lower scores than those wave. could be explained by changes infection rates severity disease, restrictions maternity care, availability vaccinations. successive predictors (FoC), especially related COVID-19, differed. Across most powerful predictor originating from feeling unprepared birth. differed across time points. Pandemic should considered future review studies meta-analyses.

Язык: Английский

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The impacts of the COVID-19 pandemic on birth satisfaction in a prospective cohort of 2,341 U.S. women

Women and Birth, Год журнала: 2021, Номер 35(5), С. 458 - 465

Опубликована: Окт. 12, 2021

Язык: Английский

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Postpartum care for parent–infant dyads: A community midwifery model

Birth, Год журнала: 2024, Номер 51(3), С. 637 - 648

Опубликована: Апрель 8, 2024

Abstract Introduction Postpartum health is in crisis the United States, with rising pregnancy‐related mortality and worsening racial inequities. The World Health Organization recommends four postpartum visits during 6 weeks after childbirth, yet standard care States generally one visit birth. We present community midwifery as a model concordant guidelines, describing this of its potential to improve for birthing people babies. Methods conducted semi‐structured interviews 34 midwives providing birth centers home settings Oregon California. A multidisciplinary team analyzed data using reflexive thematic analysis. Results total 24 participants were Certified Professional Midwives; 10 certified nurse‐midwives. 14 identified color. Most spoke multiple languages. describe six key elements care: (1) visits, including visits; typically five eight over postpartum; (2) parent–infant dyad; (3) continuity personalized care; (4) relationship‐centered (5) planning preparation (6) focus on rest. Conclusion guideline‐concordant approach caring dyad may address morbidity States.

Язык: Английский

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Why do women choose home births

Journal of Perinatal Medicine, Год журнала: 2024, Номер 52(6), С. 575 - 585

Опубликована: Май 16, 2024

In recent years, the US has seen a significant rise in rate of planned home births, with 60 % increase from 2016 to 2023, reaching total 46,918. This trend positions as leading developed country terms birth prevalence. The American College Obstetricians and Gynecologists (ACOG) suggests stringent criteria for selecting candidates but these guidelines have not been adopted by midwives poor outcomes including increased rates neonatal morbidity mortality. paper explores motivations behind choosing births despite known risks. Studies highlight factors such desire more natural experience, previous negative hospital experiences, influence COVID-19 pandemic on perceptions safety. We provide new insights into why women choose incorporating Nobel laureate Daniel Kahneman's theories decision-making, suggesting that cognitive biases may significantly decisions. work provides framework understanding how heuristics can lead underestimation risks overemphasis personal experiences. also recommendations ("nudges according Richard Thaler") help ensure access clear, balanced information about births. development this publication was assisted OpenAI's ChatGPT-4, which facilitated synthesis literature, interpretation data, manuscript drafting. collaboration underscores potential integrating advanced computational tools academic research, enhancing efficiency depth our analyses.

Язык: Английский

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“If I Had a Choice, I’d Do It Natural”: Gulf South Indigenous Women’s Preferences and Experiences in Childbirth

International Journal of Childbirth, Год журнала: 2023, Номер 13(1), С. 23 - 36

Опубликована: Фев. 21, 2023

BACKGROUND : The definition of natural birth remains nebulous for birthing people. There is a lack consensus regarding the factors that render experience no longer or normal. In United States, Indigenous people some highest rates maternal mortality, morbidity, and mistreatment during childbirth, yet there paucity research on root causes these findings. Some have continued to use midwives throughout past century, indicating even before organized 1970s movement remove any connotation pathologized birth, individual were demonstrating their resistance medicalization practices. Theres gap in understanding, however, indigenous people’s medication pain relief. We argue understanding intricacies notions preferences “natural” can guide development interventions increase access desired options thereby support autonomy. Moreover, existing literature outcomes States tends examine experiences American generally, but authors’ knowledge, specifically exploring mode delivery, hospital versus home management, midwives. AIM This study’s aim was fill this gap, contribute an full scope North preferences, catalyze further discussion they need desire. METHODS A qualitative descriptive design used investigate convey insights surrounding desires. description approach naturalistic investigation often examination health topics because its strength relaying complex everyday language. SAMPLE All adult, women-identifying, self-identified members specific state-recognized tribe Gulf Coast region eligible inclusion study. Thirty-one interviews conducted. DATA ANALYSIS interview transcripts analyzed using content analysis, which entails categorizing grouping pieces broader data set based common themes. RESULTS Three major themes emerged from analysis participants’ interviews: (a) beliefs about desire vaginal (b) management methods (c) study found South varying definitions ranging unmedicated midwife-attended birth.

Язык: Английский

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Pandemic Stress and Its Correlates among Pregnant Women during the Second Wave of COVID-19 in Poland

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(21), С. 11140 - 11140

Опубликована: Окт. 23, 2021

The ongoing COVID-19 pandemic has created numerous stressful conditions, especially for vulnerable populations such as pregnant women. Pandemic-related pregnancy stress consists of two dimensions: associated with feeling unprepared birth due to the (Preparedness Stress), and related fears perinatal infection (Perinatal Infection Stress). purpose our study was elucidate association between various factors-sociodemographic, obstetric, pandemic-related, situational-and in its dimensions during second wave Polish

Язык: Английский

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