Birth Experience, Postpartum PTSD and Depression before and during the Pandemic of COVID-19 in Russia

Yakupova, Vera А.; Suarez, Anna; Kharchenko, Anna

doi:10.3390/ijerph19010335

Cited by 18 publications

(47 citation statements)

References 39 publications

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“…Furthermore, both An ( An et al, 2021 ) and Wan ( Xing et al, 2021 ) reported that during the first wave of COVID-19 in Wuhan, China, the prevalence of postpartum depression was higher. Outside of these two opposing conclusions, Yakupova ( Yakupova et al, 2021 )[OR:0.93(95 % CI 0.77–1.12)] believes that there is no connection between the increasing prevalence of PPD and COVID-19.…”

Section: Introductionmentioning

confidence: 99%

Association between depressive symptoms in the postpartum period and COVID-19: A meta-analysis

Lin

Chen²,

Wang³

et al. 2023

Journal of Affective Disorders

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Section: Introductionmentioning

confidence: 99%

Association between depressive symptoms in the postpartum period and COVID-19: A meta-analysis

Lin

Chen²,

Wang³

et al. 2023

Journal of Affective Disorders

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“…Of the 676 women who gave birth in Mobini hospital during the study period, 67 women were excluded from the study of whom two women were COVID positive, 27 had a preterm birth, 35 women had an infant in NICU, four women experienced severe postpartum hemorrhage, and eight women did not consent to participate in the study. Overall, 601 women participated in the study.…”

Section: Resultsmentioning

confidence: 99%

“…But because this is a cross-sectional study, we cannot conclude a causal relationship between the two factors. In a study in Russia, the rate of having a support person at labor decreased from 58% in the pre-pandemic period to 27% in the pandemic due to the COVID-19 restrictions (35). Results of a study in the US indicate that the number of support persons during birth predicted birth satisfaction (29).…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study of low birth satisfaction among Iranian postpartum women during COVID-19 epidemics’ fifth wave

Mortazavi

Mehrabadi

2022

Preprint

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Background : Birth dissatisfaction may increase the risk for postpartum depression and requests for an elective cesarean for the next birth. The outbreak of COVID-19 pandemic has had a considerable impact on the healthcare systems and their users in many aspects. We investigated predictors of birth satisfaction in a sample of Iranian postpartum women during the COVID-19 epidemics’ fifth wave. Methods : This cross-sectional study was conducted on 601 postpartum women admitted to postpartum wards of Mobini maternity hospital using a convenience sampling method between 2 Aug and 18 September 2021. We collected data on socio-demographic, obstetric, labor and birth, and psychological variables. We used the general linear model and multiple linear regression analyses to determine predictors of birth satisfaction. Results : The mean birth satisfaction score was 28.6±7.3. The percentages of mothers who gave birth by elective and emergency cesarean were 19.5% and 10.8%, respectively. Overall predictors of birth satisfaction were emergency cesarean [-7.463(-9.310, -5.616), instrumental birth [-3.571(-6.907, -0.235)], episiotomy [-2.227 ( -3.591, -0.862)], Entonox analgesia [-1.548(-2.726, -0.371)], Well-being score < 50 [-1.812(-3.146, -0.478)], fear of COVID -19 [-1.216(-2.288,, -0.144)], low satisfaction with pregnancy -2.539(-3.952, -1.127) and low satisfaction with spouse’s support [-2.419(-4.598, -0.240)]. Conclusions : During the pandemic, fear of COVID -19, low level of well-being, low satisfaction with pregnancy and low satisfaction with spouse’s support as well as women's experience of emergency cesarean, instrumental birth, episiotomy, and Entonox analgesia, are exerting negative influences on birth satisfaction. To improve birth satisfaction and thus maternal mental health interventions to lower fear of contracting COVID -19 and reduce rates of episiotomy, emergency cesarean, and instrumental birth are recommended.

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“…An exceptionally traumatic period due to COVID-19 pandemic marked by separation, loss of freedom [ 45 ], concern about the impact of Covid-19 on pregnancy or possible vertical transmission [ 46 ], could be a risk factor for the development of PTSD in postpartum women. There was a recommendation to separate the infant and the mother right after delivery in case of the mother’s positive COVID-19 test [ 46 ]. These restrictions may lead to a lack of support during and after childbirth, as well as maternal perinatal mental health issues [ 46 ].…”

Section: Introductionmentioning

confidence: 99%

“…There was a recommendation to separate the infant and the mother right after delivery in case of the mother's positive COVID-19 test [46]. These restrictions may lead to a lack of support during and after childbirth, as well as maternal perinatal mental health issues [46]. However, most literatures on perinatal PTSD using diagnostic measures have been conducted in high-and middle-income countries [19,28,[47][48][49][50] and there is no research in this regard in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal path analysis for the directional association of depression, anxiety and posttraumatic stress disorder with their comorbidities and associated factors among postpartum women in Northwest Ethiopia: A cross-lagged autoregressive modelling study

2022

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Introduction Vulnerability for depression, anxiety and posttraumatic stress disorder symptoms due to perceived traumatic birth increase during the postpartum period. Traumatic birth has been defined as an event occurring during labour and birth that may be a serious threat to the life and safety of the mother and/or child. However, the comorbidity and multimorbidity of depression, anxiety and PTSD with their direct and indirect predictors is not well investigated in the postpartum period. In addition, the longitudinal directional association of depression, anxiety and PTSD with their comorbidities is not studied in Ethiopia. Objective The aim of this study was to assess prevalence of postnatal comorbid and multimorbid anxiety, depression and PTSD. It also aimed to determine the directional association of postnatal anxiety, depression and PTSD with the comorbidity and multimorbidity of these mental health problems over time and to explore the factors that are directly or indirectly associated with comorbidity and multimorbidity of anxiety, depression and PTSD. Methods A total of 775 women were included at the first, second and third follow-up of the study (6th, 12th and 18th week of postpartum period) during October, 2020 –March, 2021. A cross-lagged autoregressive path analysis was carried out using Stata 16.0 software in order to determine the autoregressive and cross-lagged effects of depression, anxiety and PTSD with their comorbidities. In addition, a linear structural equation modelling was also carried out to determine the direct and indirect effects of independent variables on the comorbidities of depression, anxiety and PTSD. Results Comorbidity of anxiety with depression was the most common (14.5%, 12.1% and 8.1%) at the 6th, 12th and 18th week of postnatal period respectively. With regard to the direction of association, comorbidity of PTSD (due to perceived traumatic birth) with depression, PTSD with anxiety, depression with anxiety and triple comorbidity predicted depression and anxiety in subsequent waves of measurement. Direct and indirect maternal morbidity, fear of childbirth and perceived traumatic childbirth were found to have a direct and indirect positive association with comorbidities of depression, anxiety and PTSD. In contrast, higher parity, higher family size and higher social support had a direct and indirect negative association with these mental health disorders. Conclusion Postnatal mental health screening, early diagnosis and treatment of maternal morbidities, developing encouraging strategies for social support and providing adequate information about birth procedures and response to mothers’ needs during childbirth are essential to avert comorbidity of anxiety, depression and PTSD in the postpartum period.

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Birth Experience, Postpartum PTSD and Depression before and during the Pandemic of COVID-19 in Russia

Cited by 18 publications

References 39 publications

Association between depressive symptoms in the postpartum period and COVID-19: A meta-analysis

Association between depressive symptoms in the postpartum period and COVID-19: A meta-analysis

A cross-sectional study of low birth satisfaction among Iranian postpartum women during COVID-19 epidemics’ fifth wave

Longitudinal path analysis for the directional association of depression, anxiety and posttraumatic stress disorder with their comorbidities and associated factors among postpartum women in Northwest Ethiopia: A cross-lagged autoregressive modelling study

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