Moms Are Not OK: COVID-19 and Maternal Mental Health.
Margie H. Davenport,Sarah Meyer,Victoria L Meah,Morgan C Strynadka,Rshmi Khurana +4 more
- Vol. 1, pp 1
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TLDR
This rapid response survey identifies a substantial increase in the likelihood of maternal depression and anxiety during the COVID-19 pandemic, which highlights the strong need for heightened assessment and treatment of maternal mental health.Abstract:
Introduction: Depression and anxiety affect one in seven women during the perinatal period, and are associated with increased risk of preterm delivery, reduced mother-infant bonding, and delays in cognitive/emotional development of the infant. With this survey we aimed to rapidly assess the influence of the COVID-19 pandemic and subsequent physical distancing/isolation measures on the mental health and physical activity of pregnant and postpartum women. Methods: Between April 14 and May 8, 2020, we recruited women who were pregnant or within the first year after delivery to participate in an online survey. This included questionnaires on self-reported levels of depression/depressive symptoms (Edinburgh Postnatal Depression Survey; EPDS), anxiety (State-Trait Anxiety Inventory; STAI-State), and physical activity. Current and pre-pandemic values were assessed for each. Results: Of 900 eligible women, 520 (58%) were pregnant and 380 (42%) were in the first year after delivery. Sixty-four percent of women reported reduced physical activity with the onset of isolation measures, while 15% increased, and 21% had no change to their physical activity. An EPDS score >13 (indicative of depression) was self-identified in 15% of respondents pre-pandemic and in 40.7% currently (mean ± SD; 7.5 ± 4.9 vs. 11.2 ± 6.3, respectively; p 40) was identified in 29% of women before the pandemic (mean STAI = 34.5 ± 11.4) vs. 72% of women currently (mean STAI = 48.1 ± 13.6; p < 0.01, large effect). However, women engaging in at least 150 min of moderate intensity physical activity (meeting current guidelines) during the pandemic had significantly lower scores for both anxiety and depression than those who did not (p < 0.01, large and small effect, respectively). Discussion: This rapid response survey identifies a substantial increase in the likelihood of maternal depression and anxiety during the COVID-19 pandemic. This highlights the strong need for heightened assessment and treatment of maternal mental health. However, these data also suggest that physical activity, which has previously been shown to reduce depression and depressive symptoms in pregnancy, may be associated with better mental health during the pandemic.read more
Citations
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Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis.
John Allotey,Elena Stallings,Mercedes Bonet,Magnus Yap,Shaunak Chatterjee,Tania Kew,Luke Debenham,Anna Clavé Llavall,A. Dixit,D. Zhou,Rishab Balaji,Siang Ing Lee,X. Qiu,M. Yuan,Dyuti Coomar,Madelon van Wely,Elizabeth van Leeuwen,Elena Kostova,Heinke Kunst,Asma Khalil,Simon Tiberi,Vanessa Brizuela,Nathalie Broutet,Edna Kara,Caron Kim,Anna Thorson,Olufemi T Oladapo,Lynne M. Mofenson,Javier Zamora,Shakila Thangaratinam +29 more
TL;DR: Pregnant and recently pregnant women are less likely to manifest covid-19 related symptoms of fever and myalgia than non-pregnant women of reproductive age, and high intensive care women without high risk of disease are potentially more likely to be risk factors for covid19 Pre-existing comorbidity.
Journal ArticleDOI
Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection: The INTERCOVID Multinational Cohort Study.
José Villar,José Villar,Shabina Ariff,Robert B. Gunier,Ramachandran Thiruvengadam,Stephen Rauch,Alexey Kholin,Paola Roggero,Paola Roggero,Federico Prefumo,Marynéa Silva do Vale,Jorge Arturo Cardona-Perez,Nerea Maiz,Irene Cetin,Valeria Savasi,Philippe Deruelle,Sarah Rae Easter,Joanna Sichitiu,Constanza P. Soto Conti,Ernawati Ernawati,Mohak Mhatre,Jagjit S Teji,Becky Liu,Carola Capelli,Manuela Oberto,Laura Salazar,Michael G. Gravett,Paolo Cavoretto,Vincent Bizor Nachinab,Hadiza S Galadanci,Daniel Oros,Adejumoke I. Ayede,Adejumoke I. Ayede,Loïc Sentilhes,Babagana Bako,Mónica Savorani,Hellas Cena,Perla K. García-May,Saturday J. Etuk,Roberto Casale,Sherief Abd-Elsalam,Satoru Ikenoue,Muhammad Aminu,Carmen Vecciarelli,Eduardo Alfredo Duro,Eduardo Alfredo Duro,Mustapha Ado Usman,Yetunde O. John-Akinola,Yetunde O. John-Akinola,Ricardo Nieto,Enrico Ferrazi,Zulfiqar A Bhutta,Ana Langer,Stephen Kennedy,Stephen Kennedy,Aris T. Papageorghiou,Aris T. Papageorghiou,Aris T. Papageorghiou +57 more
TL;DR: In this paper, the authors evaluated the risks associated with COVID-19 in pregnancy on maternal and neonatal outcomes compared with not-infected, concomitant pregnant individuals.
Journal ArticleDOI
Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection: The INTERCOVID Multinational Cohort Study
Joseba Louzao Villar,Shabina Ariff,Robert B. Gunier,Ramachandran Thiruvengadam,Stephen Rauch,Alexey Kholin,Paola Roggero,Federico Prefumo,M. S. do Vale,Jorge Arturo Cardona-Pérez,Nerea Maiz,Irene Cetin,Valeria Savasi,Philippe Deruelle,Sarah Rae Easter,Joanna Sichitiu,Constanza Soto Conti,Ernawati Ernawati,Mohak Mhatre,Jagjit S Teji,Becky Liu,Carol A. Capelli,Manuela Oberto,Laura Salazar,Michael G. Gravett,Paolo Cavoretto,Vincent Bizor Nachinab,Hadiza S Galadanci,Daniel Oros,Adejumoke I. Ayede,Loïc Sentilhes,Babagana Bako,Monica Savorani,Hellas Cena,Perla K. García-May,Saturday J. Etuk,Roberto Casale,Sherief Abd-Elsalam,Satoru Ikenoue,Muhammad Aminu,Carmen Vecciarelli,Eduardo Alfredo Duro,Mustapha A Usman,Yetunde O. John-Akinola,R M Nieto,Enrico Ferrazi,Zulfiqar A Bhutta,Ana Langer,Stephen Kennedy,Aris T. Papageorghiou +49 more
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Journal ArticleDOI
COVID-19 pandemic and maternal mental health: a systematic review and meta-analysis.
TL;DR: Evidence is provided that the COVID-19 pandemic significantly increases the risk of anxiety among women during pregnancy and perinatal period and support measures should be considered for women during pregnant or postpartum to guarantee mental health for this susceptible population.
Journal ArticleDOI
Experiences of breastfeeding during COVID-19: Lessons for future practical and emotional support
Amy Brown,Natalie S. Shenker +1 more
TL;DR: The findings are vital in understanding how to support those women who may be grieving their loss of breastfeeding and are affected by their negative experiences and how to learn from those with a positive experience to make sure all breastfeeding women are better supported if similar future events arise.
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