Early pregnancy mood before and during COVID-19 community restrictions among women of low socioeconomic status in New York City: a preliminary study

Abstract

To explore the mental health consequences of COVID-19-related social restrictions on pregnant women living in low socioeconomic status. Prenatal women appearing at the Mount Sinai Hospital Ambulatory Practice were screened for mood symptomatology from February 2, 2020, through June 12, 2020. An improvement in prenatal mood was observed following social restrictions compared to before the pandemic. The impact of COVID-19 remains largely unknown and may be useful towards understanding the needs of pregnant women living in poverty.

Mental Health of Pregnant and Postpartum Women During the Coronavirus Disease 2019 Pandemic: A Systematic Review and Meta-Analysis

“…A total of 23 studies (Ayaz et al, 2020;Berthelot et al, 2020;Ceulemans et al, 2020;Durankuş and Aksu, 2020;Farewell et al, 2020;Gu et al, 2020;He et al, 2020;Lebel et al, 2020;Li et al, 2020;Liu et al, 2020;Mappa et al, 2020;Matsushima and Horiguchi, 2020;Oskovi-Kaplan et al, 2020;Parra-Saavedra et al, 2020;Patabendige et al, 2020;Preis et al, 2020;Saccone et al, 2020;Sade et al, 2020;Silverman et al, 2020;Wu et al, 2020b;Yue et al, 2020;Zanardo et al, 2020;Zhang and Ma, 2020) performed with 20 569 participants (16,797 pregnant women and 3,772 postpartum women) during the COVID-19 pandemic and with 3,677 pregnant women before the COVID-19 pandemic were included in this systematic review and metaanalysis. A total of 19 studies (Ceulemans et al, 2020;Durankuş and Aksu, 2020;Farewell et al, 2020;He et al, 2020;Lebel et al, 2020;Li et al, 2020;Liu et al, 2020;Mappa et al, 2020;Matsushima and Horiguchi, 2020;Oskovi-Kaplan et al, 2020;Parra-Saavedra et al, 2020;Patabendige et al, 2020;Preis et al, 2020;Saccone et al, 2020;…”

“…A total of 19 studies (Ceulemans et al, 2020;Durankuş and Aksu, 2020;Farewell et al, 2020;He et al, 2020;Lebel et al, 2020;Li et al, 2020;Liu et al, 2020;Mappa et al, 2020;Matsushima and Horiguchi, 2020;Oskovi-Kaplan et al, 2020;Parra-Saavedra et al, 2020;Patabendige et al, 2020;Preis et al, 2020;Saccone et al, 2020;Sade et al, 2020;Silverman et al, 2020;Wu et al, 2020b;Yue et al, 2020;Zhang and Ma, 2020) were cross-sectional, and 4 (Ayaz et al, 2020;Berthelot et al, 2020;Gu et al, 2020;Zanardo et al, 2020) were case-control studies. Among the 23 studies, 7 were located in China (Gu et al, 2020;He et al, 2020;Li et al, 2020;Liu et al, 2020;Wu et al, 2020b;Yue et al, 2020;Zhang and Ma, 2020), 3 were implemented in America (Farewell et al, 2020;Preis et al, 2020;Silverman et al, 2020), 3 were performed in Turkey (Ayaz et al, 2020;Durankuş and Aksu, 2020;Oskovi-Kaplan et al, 2020), 3 were undertaken in Italy (Mappa et al, 2020;Saccone et al, 2020;…”

“…The pooled prevalence of depression among pregnant women was 31% (95% CI 20-42%, I 2 = 99.4%) as shown in Figure 3. After excluding studies with a high risk of bias, 11 studies with a low risk of bias (Berthelot et al, 2020;Ceulemans et al, 2020;Durankuş and Aksu, 2020;He et al, 2020;Lebel et al, 2020;Matsushima and Horiguchi, 2020;Parra-Saavedra et al, 2020;Patabendige et al, 2020;Sade et al, 2020;Silverman et al, 2020;Wu et al, 2020b) were included. These studies showed a pooled prevalence of depression among pregnant women of 27% (95% CI 17-40%, I 2 = 99.5%).…”

“…These studies showed a pooled prevalence of depression among pregnant women of 27% (95% CI 17-40%, I 2 = 99.5%). Through sensitivity analysis, 2 studies (He et al, 2020;Silverman et al, 2020) were found to affect the pooled prevalence of depression among pregnant women by over 2%. After excluding these 2 studies, the recalculated prevalence of depression among pregnant women was 29% (95% CI 23-35%, I 2 = 97.8%).…”

“…Each of the 7 remaining studies took place in a different country. For used scales (Supplementary Figure 5), 7 studies (Durankuş and Aksu, 2020;He et al, 2020;Lebel et al, 2020;Matsushima and Horiguchi, 2020;Sade et al, 2020;Silverman et al, 2020;Wu et al, 2020b) applied the Edinburgh Postpartum Depression Scale with a pooled prevalence rate of depression among pregnant women of 31% (95% CI: 15-49%, I 2 = 99.6%). Each of the 6 remaining studies utilized a different scale.…”