Pandemic-related pregnancy stress and anxiety among women pregnant during the coronavirus disease 2019 pandemic

Preis, Heidi; Mahaffey, Brittain; Heiselman, Cassandra; Lobel, Marci

doi:10.1016/j.ajogmf.2020.100155

Cited by 147 publications

(185 citation statements)

References 5 publications

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“…A survey of pregnant women in May 2020 showed that the prevalence of anxiety was 78.9%, with 21.7% of those surveyed experiencing severe anxiety ( Preis et al, 2020 ). High risk pregnancy (aOR 1.52, 95% CI 1.06–2.19), abuse history (aOR 1.85, 95% CI 1.24–2.75), and pandemic-related stress surrounding birth preparedness (aOR 1.75, 95% CI 1.35–2.26) and SARS-CoV-2 infection (aOR 1.55, 95% CI 1.28–1.88), were predictive of higher levels of anxiety ( Preis et al, 2020 ). It remains to be seen whether long-term mental health effects will persist after the Covid-19 pandemic, but these too will likely be influenced by gender.…”

Section: Psychological Response To Stressmentioning

confidence: 99%

Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review

Connor

Madhavan

Mokashi

et al. 2020

Social Science & Medicine

431

387

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Background The Covid-19 pandemic is straining healthcare systems in the US and globally, which has wide-reaching implications for health. Women experience unique health risks and outcomes influenced by their gender, and this narrative review aims to outline how these differences are exacerbated in the Covid-19 pandemic. Observations It has been well described that men suffer from greater morbidity and mortality once infected with SARS-CoV-2. This review analyzed the health, economic, and social systems that result in gender-based differences in the areas healthcare workforce, reproductive health, drug development, gender-based violence, and mental health during the Covid-19 pandemic. The increased risk of certain negative health outcomes and reduced healthcare access experienced by many women are typically exacerbated during pandemics. We assess data from previous disease outbreaks coupled with literature from the Covid-19 pandemic to examine the impact of gender on women's SARS-CoV-2 exposure and disease risks and overall health status during the Covid-19 pandemic. Conclusions Gender differences in health risks and implications are likely to be expanded during the Covid-19 pandemic. Efforts to foster equity in health, social, and economic systems during and in the aftermath of Covid-19 may mitigate the inequitable risks posed by pandemics and other times of healthcare stress.

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Section: Psychological Response To Stressmentioning

confidence: 99%

Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review

Connor

Madhavan

Mokashi

et al. 2020

Social Science & Medicine

431

387

View full text Add to dashboard Cite

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“…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;…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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

2020

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Background: Prenatal and postnatal mental disorders can exert severe adverse influences on mothers, fetuses, and children. However, the effect of the coronavirus disease 2019 (COVID-19) pandemic on the mental health of pregnant and postpartum women remains unclear.Methods: Relevant studies that were published from January 1, 2019 to September 19, 2020 were identified through the systematic search of the PubMed, EMBASE, and Web of Science databases. Quality assessment of included studies, random-effects meta-analysis, sensitivity analysis, and planned subgroup analysis were performed.Results: A total of 23 studies conducted with 20,569 participants during the COVID-19 pandemic and with 3,677 pregnant women before the COVID-19 pandemic were included. The prevalence rates of anxiety, depression, psychological distress, and insomnia among pregnant women during the COVID-19 pandemic were 37% (95% confidence interval [CI] 25–49%), 31% (95% CI 20–42%), 70% (95% CI 60–79%), and 49% (95% CI 46–52%), respectively. The prevalence of postpartum depression was 22% (95% CI 15–29%). Multigravida women and women in the first and third trimesters of pregnancy were more vulnerable than other pregnant women. The assessment of the associations between the COVID-19 pandemic and mental health problems revealed that the pooled relative risks of anxiety and depression in pregnant women were 1.65 (95% CI: 1.25–2.19) and 1.08 (95% CI: 0.80–1.46), respectively.Conclusions: The prevalence rates of mental disorders among pregnant and postpartum women during the COVID-19 pandemic were high. Timely and tailored interventions should be applied to mitigate mental problems among this population of women, especially multigravida women and women in the first and third trimesters of pregnancy.

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“…Some participants discussed the challenges of discussing mood related concerns over the telephone. There is emerging evidence to suggest that pregnant women are experiencing significant anxiety during the pandemic [9][10][11]. Further local and national strategies should be considered by policy makers to help further support this group of women.…”

Section: Implications Of Findingsmentioning

confidence: 99%

Women’s perceptions of COVID-19 and their healthcare experiences: a qualitative thematic analysis of a national survey of pregnant women in the United Kingdom

Karavadra

Stöckl

Prosser-Snelling

et al. 2020

BMC Pregnancy Childbirth

143

205

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Background The aim of this national survey was to explore pregnant women’s perceptions of COVID-19 and their healthcare experiences. Methods Through patient and public involvement, a questionnaire was developed and advertised via the BBC website, Twitter and other online media during May 2020. The findings were analysed by qualitative thematic analysis. Women who are currently pregnant, or who have delivered during the COVID-19 pandemic were invited to partake in a national online survey. Results One thousand four hundred fifty-one participants replied to the online questionnaire. Participants provided significant insight into the perceived barriers to seeking healthcare during this pandemic. These include ‘not wanting to bother anyone’, ‘lack of wider support from allied healthcare workers’ and the influence of the media. Other concerns included the use of virtual clinics antenatally and their acceptability to patients, the presence of birthing partners, and the way in which information is communicated about rapidly changing and evolving services. The influence of the media has also had a significant impact on the way women perceive hospital care in light of COVID-19 and for some, this has shaped whether they would seek help. Conclusions This is the first ever reported study in the United Kingdom to explore pregnant women’s perceptions of COVID-19 and their subsequent healthcare experiences. It has also provided insight into perceived barriers into seeking care as well as maternal concerns antenatally, intrapartum and postpartum.

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Pandemic-related pregnancy stress and anxiety among women pregnant during the coronavirus disease 2019 pandemic

Cited by 147 publications

References 5 publications

Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review

Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review

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

Women’s perceptions of COVID-19 and their healthcare experiences: a qualitative thematic analysis of a national survey of pregnant women in the United Kingdom

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