Maternity care changes and postpartum mental health during the COVID-19 pandemic: a Spanish cross-sectional study.

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  • Additional Information
    • Source:
      Publisher: Taylor & Francis Country of Publication: England NLM ID: 8501885 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-672X (Electronic) Linking ISSN: 02646838 NLM ISO Abbreviation: J Reprod Infant Psychol Subsets: MEDLINE
    • Publication Information:
      Publication: Abingdon : Taylor & Francis
      Original Publication: Lincoln, England : Society for Reproductive and Infant Psychology, c1983-
    • Subject Terms:
      COVID-19*/psychology ; COVID-19*/epidemiology ; Stress Disorders, Post-Traumatic*/epidemiology ; Stress Disorders, Post-Traumatic*/psychology ; Depression, Postpartum*/epidemiology ; Depression, Postpartum*/psychology ; Mental Health* ; Anxiety*/epidemiology ; Anxiety*/psychology ; Postpartum Period*/psychology; Humans ; Female ; Cross-Sectional Studies ; Spain/epidemiology ; Adult ; Pregnancy ; Maternal Health Services ; SARS-CoV-2 ; Pandemics ; Young Adult
    • Abstract:
      Background: The coronavirus disease 2019 (COVID-19) pandemic led to abrupt changes in maternity care, but the impact of these changes has not yet been deeply evaluated. This study aimed to assess the impact of the unexpected changes in maternity care due to the COVID-19 pandemic on postpartum mental health (depression, anxiety and posttraumatic stress disorder).
      Methods: A cross-sectional, web-based study was conducted in Spain during the second half of 2020. The eligibility criteria were women≥18 years with a child≤6 months. The Edinburgh Postnatal Depression Scale (EPDS), the Generalized Anxiety Disorder-7 Screener (GAD-7) and a subset of the PTSD checklist (PCL-5) were used to assess postpartum mental health. Information regarding sociodemographic characteristics and maternity care changes was collected, and multivariate regression models were used.
      Results: Among 1781 participants, 29.3% and 33% had clinically significant depressive and anxiety symptoms, respectively. The most prevalent unexpected changes reported were related to the exclusion of supportive relatives during birth and postpartum. Changes reported during birth showed a minor association with PTSD symptomatology, and those that occurred during the postpartum period were associated with clinical depression, anxiety and PTSD symptoms.
      Conclusions: The unexpected changes in maternity care due to the COVID-19 pandemic, especially those that occurred during the postpartum period, increased the risk of mental health problems.
    • Contributed Indexing:
      Keywords: COVID-19; Depression; GENERALIZED ANXIETY; MATERNAL HEALTH SERVICES; PTSD
    • Publication Date:
      Date Created: 20230130 Date Completed: 20240605 Latest Revision: 20240605
    • Publication Date:
      20240605
    • Accession Number:
      10.1080/02646838.2023.2171375
    • Accession Number:
      36710435