Mental health status of pregnant and breastfeeding women during the COVID‐19 pandemic—A multinational cross‐sectional study
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| Title: | Mental health status of pregnant and breastfeeding women during the COVID‐19 pandemic—A multinational cross‐sectional study |
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| Authors: | Valentine Lambelet, Alice Panchaud, Brian Cleary, Titia Hompes, Ursula Winterfeld, Veerle Foulon, Fergal O'Shaughnessy, Léo Pomar, Hedvig Nordeng, Jonathan Luke Richardson, Michael Ceulemans, Elin Ngo, Anneke Passier |
| Source: | Acta Obstet Gynecol Scand Acta obstetricia et gynecologica Scandinavica International United States Acta obstetricia et gynecologica Scandinavica, vol. 100, no. 7, pp. 1219-1229 Ceulemans, Michael; Foulon, Veerle; Ngo, Elin; Panchaud Monnat, Alice; Winterfeld, Ursula; Pomar, Léo; Lambelet, Valentine; Cleary, Brian; O'Shaughnessy, Fergal; Passier, Anneke; Richardson, Jonathan L; Hompes, Titia; Nordeng, Hedvig (2021). Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic-A multinational cross-sectional study. Acta obstetricia et gynecologica Scandinavica, 100(7), pp. 1219-1229. Wiley-Blackwell 10.1111/aogs.14092 <http://dx.doi.org/10.1111/aogs.14092> Acta Obstetricia et Gynecologica Scandinavica |
| Publisher Information: | Wiley, 2021. |
| Publication Year: | 2021 |
| Subject Terms: | STRESS, SYMPTOMS, breastfeeding, Epidemiology, coronavirus, Anxiety, stress, 0302 clinical medicine, 5. Gender equality, Pregnancy, Risk Factors, Obstetrics and Gynaecology, ANXIETY, RISK, OUTCOMES, 4204 Midwifery, Depression, BREASTFEEDING, 3215 Reproductive medicine, Pregnancy Outcome, Obstetrics & Gynecology, General Medicine, DEPRESSION, anxiety, PREVALENCE, 3. Good health, Perinatal Care, PREGNANCY, Breast Feeding, Mental Health, depression, Female, pregnancy, Life Sciences & Biomedicine, Adult, PERCEIVED STRESS, 610 Medicine & health, 1117 Public Health and Health Services, ANTENATAL DEPRESSION, 03 medical and health sciences, 360 Social problems & social services, Peripartum Period, Humans, Anxiety/diagnosis, Anxiety/epidemiology, Anxiety/etiology, Breast Feeding/methods, Breast Feeding/psychology, COVID-19/epidemiology, COVID-19/prevention & control, COVID-19/psychology, Depression/diagnosis, Depression/epidemiology, Depression/etiology, Ireland/epidemiology, Mental Health/statistics & numerical data, Perinatal Care/methods, Perinatal Care/statistics & numerical data, Peripartum Period/psychology, Pregnancy Outcome/epidemiology, Pregnancy Outcome/psychology, Psychiatric Status Rating Scales, SARS-CoV-2, Socioeconomic Factors, Stress, Psychological/diagnosis, Stress, Psychological/epidemiology, Stress, Psychological/etiology, United Kingdom/epidemiology, COVID-19, Obstetrics & Reproductive Medicine, Science & Technology, United Kingdom, Coronavirus, 1114 Paediatrics and Reproductive Medicine, Ireland, Stress, Psychological |
| Description: | IntroductionEvidence on perinatal mental health during the coronavirus disease 2019 (COVID‐19) pandemic and its potential determinants is limited. Therefore, this multinational study aimed to assess the mental health status of pregnant and breastfeeding women during the pandemic, and to explore potential associations between depressive symptoms, anxiety, and stress and women's sociodemographic, health, and reproductive characteristics.Material and methodsA cross‐sectional, web‐based study was performed in Ireland, Norway, Switzerland, the Netherlands, and the UK between 16 June and 14 July 2020. Pregnant and breastfeeding women up to 3 months postpartum who were older than 18 years of age were eligible. The online, anonymous survey was promoted through social media and hospital websites. The Edinburgh Depression Scale (EDS), the Generalized Anxiety Disorder seven‐item scale (GAD‐7), and the Perceived Stress Scale (PSS) were used to assess mental health status. Regression model analysis was used to identify factors associated with poor mental health status.ResultsIn total, 9041 women participated (including 3907 pregnant and 5134 breastfeeding women). The prevalence of major depressive symptoms (EDS ≥ 13) was 15% in the pregnancy cohort and and 13% the breastfeeding cohort. Moderate to severe generalized anxiety symptoms (GAD ≥ 10) were found among 11% and 10% of the pregnant and breastfeeding women. The mean (±SD) PSS scores for pregnant and breastfeeding women were 14.1 ± 6.6 and 13.7 ± 6.6, respectively. Risk factors associated with poor mental health included having a chronic mental illness, a chronic somatic illness in the postpartum period, smoking, having an unplanned pregnancy, professional status, and living in the UK or Ireland.ConclusionsThis multinational study found high levels of depressive symptoms and generalized anxiety among pregnant and breastfeeding women during the COVID‐19 outbreak. The study findings underline the importance of monitoring perinatal mental health during pandemics and other societal crises to safeguard maternal and infant mental health. |
| Document Type: | Article Other literature type |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 1600-0412 0001-6349 |
| DOI: | 10.1111/aogs.14092 |
| DOI: | 10.48350/154669 |
| Access URL: | https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/aogs.14092 https://pubmed.ncbi.nlm.nih.gov/33475148 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/aogs.14092 https://www.scilit.net/article/d41e1884f429ea5108134febcfd64b66?action=show-references https://search.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/es/covidwho-1039800 https://europepmc.org/article/PMC/PMC8014496 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014496 https://pubmed.ncbi.nlm.nih.gov/33475148/?fc=20200522082306&ff=20210121135404&v=2.14.2 http://hdl.handle.net/10147/631181 https://serval.unil.ch/notice/serval:BIB_F78C3540DE58 https://serval.unil.ch/resource/serval:BIB_F78C3540DE58.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_F78C3540DE586 https://boris.unibe.ch/154669/ |
| Rights: | CC BY NC ND Wiley TDM URL: http://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
| Accession Number: | edsair.doi.dedup.....558307fc9a538edd2c07b28444263d5f |
| Database: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstract: | IntroductionEvidence on perinatal mental health during the coronavirus disease 2019 (COVID‐19) pandemic and its potential determinants is limited. Therefore, this multinational study aimed to assess the mental health status of pregnant and breastfeeding women during the pandemic, and to explore potential associations between depressive symptoms, anxiety, and stress and women's sociodemographic, health, and reproductive characteristics.Material and methodsA cross‐sectional, web‐based study was performed in Ireland, Norway, Switzerland, the Netherlands, and the UK between 16 June and 14 July 2020. Pregnant and breastfeeding women up to 3 months postpartum who were older than 18 years of age were eligible. The online, anonymous survey was promoted through social media and hospital websites. The Edinburgh Depression Scale (EDS), the Generalized Anxiety Disorder seven‐item scale (GAD‐7), and the Perceived Stress Scale (PSS) were used to assess mental health status. Regression model analysis was used to identify factors associated with poor mental health status.ResultsIn total, 9041 women participated (including 3907 pregnant and 5134 breastfeeding women). The prevalence of major depressive symptoms (EDS ≥ 13) was 15% in the pregnancy cohort and and 13% the breastfeeding cohort. Moderate to severe generalized anxiety symptoms (GAD ≥ 10) were found among 11% and 10% of the pregnant and breastfeeding women. The mean (±SD) PSS scores for pregnant and breastfeeding women were 14.1 ± 6.6 and 13.7 ± 6.6, respectively. Risk factors associated with poor mental health included having a chronic mental illness, a chronic somatic illness in the postpartum period, smoking, having an unplanned pregnancy, professional status, and living in the UK or Ireland.ConclusionsThis multinational study found high levels of depressive symptoms and generalized anxiety among pregnant and breastfeeding women during the COVID‐19 outbreak. The study findings underline the importance of monitoring perinatal mental health during pandemics and other societal crises to safeguard maternal and infant mental health. |
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| ISSN: | 16000412 00016349 |
| DOI: | 10.1111/aogs.14092 |