Dataset Information

Geotemporal analysis of perinatal care changes and maternal mental health: an example from the COVID-19 pandemic.

ABSTRACT: Our primary objective was to document COVID-19 induced changes to perinatal care across the USA and examine the implication of these changes for maternal mental health. We performed an observational cross-sectional study with convenience sampling using direct patient reports from 1918 postpartum and 3868 pregnant individuals collected between April 2020 and December 2020 from 10 states across the USA. We leverage a subgroup of these participants who gave birth prior to March 2020 to estimate the pre-pandemic prevalence of specific birthing practices as a comparison. Our primary analyses describe the prevalence and timing of perinatal care changes, compare perinatal care changes depending on when and where individuals gave birth, and assess the linkage between perinatal care alterations and maternal anxiety and depressive symptoms. Seventy-eight percent of pregnant participants and 63% of postpartum participants reported at least one change to their perinatal care between March and August 2020. However, the prevalence and nature of specific perinatal care changes occurred unevenly over time and across geographic locations. The separation of infants and mothers immediately after birth and the cancelation of prenatal visits were associated with worsened depression and anxiety symptoms in mothers after controlling for sociodemographic factors, mental health history, number of pregnancy complications, and general stress about the COVID-19 pandemic. Our analyses reveal widespread changes to perinatal care across the US that fluctuated depending on where and when individuals gave birth. Disruptions to perinatal care may also exacerbate mental health concerns, so focused treatments that can mitigate the negative psychiatric sequelae of interrupted care are warranted.

SUBMITTER: Hendrix CL

PROVIDER: S-EPMC9375091 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Geotemporal analysis of perinatal care changes and maternal mental health: an example from the COVID-19 pandemic.

Hendrix Cassandra L CL Werchan Denise D Lenniger Carly C Ablow Jennifer C JC Amstadter Ananda B AB Austin Autumn A Babineau Vanessa V Bogat G Anne GA Cioffredi Leigh-Anne LA Conradt Elisabeth E Crowell Sheila E SE Dumitriu Dani D Elliott Amy J AJ Fifer William W Firestein Morgan M Gao Wei W Gotlib Ian I Graham Alice A Gregory Kimberly D KD Gustafsson Hanna H Havens Kathryn L KL Hockett Christine C Howell Brittany R BR Humphreys Kathryn L KL Jallo Nancy N King Lucy S LS Kinser Patricia A PA Levendosky Alytia A AA Lonstein Joseph S JS Lucchini Maristella M Marcus Rachel R Monk Catherine C Moyer Sara S Muzik Maria M Nuttall Amy K AK Potter Alexandra S AS Rogers Cynthia C Salisbury Amy A Shuffrey Lauren C LC Smith Beth A BA Smyser Christopher D CD Smith Lynne L Sullivan Elinor E Zhou Judy J Brito Natalie H NH Thomason Moriah E ME

Archives of women's mental health 20220813 5

Our primary objective was to document COVID-19 induced changes to perinatal care across the USA and examine the implication of these changes for maternal mental health. We performed an observational cross-sectional study with convenience sampling using direct patient reports from 1918 postpartum and 3868 pregnant individuals collected between April 2020 and December 2020 from 10 states across the USA. We leverage a subgroup of these participants who gave birth prior to March 2020 to estimate the ...[more]

PMID: 35962855

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Project description:Numerous nations have implemented lockdown measures in response to the COVID-19 pandemic. As a consequence of the lockdown on daily living, social participation, and health service accessibility, vulnerable people, for example, new mothers, may experience an increase in mental health problems. This cross-sectional survey was conducted to investigate the impact of the COVID-19 pandemic lockdown on Thai new mothers and the variables affecting their mental health. The survey data were collected from 903 Thai mothers with infants aged 0-12 months using an online platform and a face-to-face interview questionnaire survey between 17 July and 17 October 2020, during the first nationwide COVID-19 lockdown period. For the final analysis, there were 862 participants who completed all of the questions. The full exploratory analysis was performed by multivariable linear regression to identify the variables influencing maternal mental health. Our study demonstrated that new mothers reported feeling a high extent to some extent of worry (44.9%), increased appetite (40.4%), becoming easily annoyed or irritable (39.1%), and feeling down (33.5%), whereas 82.7% felt able to cope with the first lockdown situation. Practiced relaxation techniques were associated with positive maternal mental health (adjusted β = 1.05, 95% CI 0.57 to 1.52, p < 0.001). The perceived impact of the COVID-19 lockdown was on the household's ability to pay for rent, to make mortgage payments (adjusted β = -1.59, 95% CI -2.87 to -0.36, p = 0.011), the household's ability to pay for other essentials, such as utilities and medication (adjusted β = -1.99, 95% CI -3.16 to -0.81, p = 0.001), household crowding after lockdown (adjusted β = -3.46, 95% CI -4.86 to -2.06, p < 0.001), and not going outside or doing outdoor activities (adjusted β = -2.22, 95% CI -3.35 to -1.08, p < 0.001). These impacts were significantly associated with negative mental health. In conclusion, our results emphasize the critical need for continuous monitoring of maternal mental health and developing an effective response strategy and activity for promoting maternal mental health under the stress of repetitive lockdowns and increased economic pressures.

Dataset Information

Geotemporal analysis of perinatal care changes and maternal mental health: an example from the COVID-19 pandemic.

Publications

Geotemporal analysis of perinatal care changes and maternal mental health: an example from the COVID-19 pandemic.

Similar Datasets

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