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[Evaluation of Psychological Distress in Obstetric Patients during the Visit Ban in Hospitals in the SARS-CoV-2 Pandemic: A Prospective, Multicentre, Controlled Study].
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- Author(s): Geißler C;Geißler C; Knoerlein J; Knoerlein J; Bohlmann MK; Bohlmann MK; Brandt A; Brandt A; Guluzade D; Guluzade D; Gerber M; Gerber M; Watermann D; Watermann D; Weiz O; Weiz O; König G; König G; Markfeld F; Markfeld F; Klar M; Klar M; Juhasz-Böss I; Juhasz-Böss I; Kunze M; Kunze M
- Source:
Zeitschrift fur Geburtshilfe und Neonatologie [Z Geburtshilfe Neonatol] 2024 Feb; Vol. 228 (1), pp. 80-87. Date of Electronic Publication: 2023 Nov 06.- Publication Type:
Multicenter Study; English Abstract; Journal Article- Language:
German - Source:
- Additional Information
- Transliterated Title: Evaluation der psychischen Belastung geburtshilflicher Patientinnen während des Besuchsverbots der Kliniken im Rahmen der SARS-CoV-2-Pandemie: Eine prospektive, multizentrische, kontrollierte Studie.
- Source: Publisher: Ferdinand Enke Verlag Country of Publication: Germany NLM ID: 9508901 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-1651 (Electronic) Linking ISSN: 09482393 NLM ISO Abbreviation: Z Geburtshilfe Neonatol Subsets: MEDLINE
- Publication Information: Original Publication: Stuttgart : Ferdinand Enke Verlag, c1995-
- Subject Terms:
- Abstract: Introduction: Risk factors for postpartum depression include a lack of social support and perceived social isolation. We would like to determine whether the isolation of inpatients on the maternity wards during Covid-19 leads to increased psychological stress.
Methods: This is a multicentre, controlled study of obstetric patients who gave birth during an inpatient stay. Patients were included during the visitation ban (study group) and after the visitation ban (control group). Psychological stress was evaluated with the Edinburgh Postnatal Depression Scale (EPDS) during the inpatient stay and six to eight weeks postpartum.
Results: A total of 194 women were included, 107 in the study group and 87 in the control group. The overall result of the first EPDS shows a higher score in the study group compared to the control group (7.0 vs. 4.9 points). Primipara show a higher score in the first EPDS compared to multipara (7.28 vs. 4.82). Caesarean section, regardless of isolation, shows a higher score in the first EPDS than vaginal birth (8.42 vs. 5.11). Comparison of vaginal birth shows a higher score only in the study group (5.97 vs. 4.07).
Conclusion: In the context of Covid-19, women giving birth and new mothers, especially primipara, are exposed to increased psychological stress in the clinics. Caesarean section leads to increased psychological stress.
Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht.
(Thieme. All rights reserved.) - Comments: Erratum in: Z Geburtshilfe Neonatol. 2023 Nov 20;:. (PMID: 37984361)
- Contributed Indexing: Local Abstract: [Publisher, German] Zu den Risikofaktoren für eine postpartale Depression zählen fehlende soziale Unterstützung und empfundene soziale Isolation. Wir möchten ermitteln, ob die Isolation der stationären Patientinnen auf den Wöchnerinnenstationen im Rahmen der Corona-Pandemie zu einer erhöhten psychischen Belastung führt. METHODEN UND DURCHFüHRUNG: Es handelt sich um eine multizentrische, kontrollierte Studie geburtshilflicher Patientinnen ab der 35+0 Schwangerschaftswoche, die im Rahmen eines stationären Aufenthaltes geboren haben. Eingeschlossen wurden Patientinnen während des Besuchsverbots (Studiengruppe) sowie im Anschluss an das Besuchsverbot (Kontrollgruppe). Es erfolgte die Erhebung psychischer Belastung durch den Edinburgh Postnatal Depression Scale (EPDS) während des stationären Aufenthaltes und sechs bis acht Wochen postpartal. [Publisher, German] Insgesamt konnten 194 Frauen eingeschlossen werden, 107 in die Studien-, 87 in die Kontrollgruppe. Im Gesamtergebnis des ersten EPDS zeigt sich ein höherer Score in der Studiengruppe im Vergleich zur Kontrollgruppe (7,0 vs. 4,9 Punkte).Primipara zeigen einen höheren Score im ersten EPDS im Vergleich zu Multipara (7,28 vs. 4,82 Punkte).Frauen, die per Sectio caesarea entbinden, weisen unabhängig von der Isolation einen höheren Wert im ersten EPDS auf als Frauen, die vaginal entbinden (8,42 vs. 5,11 Punkte). Vergleicht man nur die Frauen, die vaginal entbinden, zeigt sich weiterhin ein erhöhter EPDS-Score in der Studiengruppe (5,97 vs. 4,07 Punkte). [Publisher, German] Im Rahmen der SARS-CoV-2-Pandemie sind Gebärende und Wöchnerinnen, hierunter vor allem Primipara, erhöhtem psychischen Stress in den Kliniken ausgesetzt. Die Entbindung per Sectio caesarea führt zu erhöhter psychischer Belastung unabhängig vom Besuchsverbot der Kliniken.
- Publication Date: Date Created: 20231106 Date Completed: 20240214 Latest Revision: 20240214
- Publication Date: 20240214
- Accession Number: 10.1055/a-2180-7507
- Accession Number: 37931900
- Transliterated Title:
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