Psychological impact of Covid - 19 among mothers during perinatal period: An exploratory study

Anandhi, Amaranathan; Lakshmipriya, K; Ponnuraja, C; Padmanaban, S; Bhaskar, Adhin

doi:10.33545/gynae.2021.v5.i1b.792

Cited by 6 publications

(9 citation statements)

References 33 publications

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“…Our updated literature search found 35 relevant studies ( Table S1 ). Eight studies each have been reported from Europe and American continents, and 17 studies are reported from Asia, of which only one study ( Anandhi et al, 2021 that assessed anxiety in pregnant women who were COVID positive, compared to those who were COVID negative) was from India. Antenatal anxiety during the COVID-19 pandemic has been found to be related to employment status ( Ceulemans et al, 2021 , Wu et al, 2020 ), educational level ( Effati-Daryani et al, 2020 , Mappa et al, 2020 , Mei et al, 2020 ), income ( Berthelot et al, 2020 , Liu et al, 2020 , Patabendige et al, 2020 , Wu et al, 2020 ), parity ( Hamzehgardeshi et al, 2021 , Ding et al, 2021 , Mappa et al, 2020 , Wu et al, 2020 ) and trimester ( Saadati et al, 2021 , Saccone et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Anxiety among pregnant women during the COVID-19 pandemic in India − A multicentric study

Tikka

Parial²,

Pattojoshi

et al. 2021

Asian Journal of Psychiatry

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While higher anxiety during antenatal period cause several maternal and foetal health related complications, lower anxiety levels are found to be associated with lesser “precautionary behaviours” and consequently greater risk of infection, during the COVID-19 pandemic. In this study, we aimed to assess rates and determinants of generalized anxiety at the time of the pandemic as well as anxiety that was specific to the context of being pregnant during the COVID-19 pandemic. (COVID-19-antenatal anxiety) in Indian women. This hospital-based, cross-sectional study using face-to-face interviews was conducted at antenatal clinics of five medical college hospitals in India. The Generalized Anxiety Disorder-7 scale (GAD −7) and a customized scale to assess antenatal COVID-19 anxiety along with other tools that assessed social support and COVID-19-risk perception were administered to 620 pregnant women. We found that the percentage of women with moderate or severe anxiety based on GAD −7 was 11.1%. Multivariate analysis showed that higher COVID-19-risk perception, greater antenatal COVID-19 anxiety and lower perceived support significantly predicted moderate and severe generalized anxiety. Greater number of weeks of gestation, lower education, semiurban habitat and lower perceived social support were significant predictors of antenatal COVID-19 anxiety. We conclude that the rates of anxiety in pregnant women though not very high, still warrant attention and specific interventions.

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Section: Introductionmentioning

confidence: 99%

Anxiety among pregnant women during the COVID-19 pandemic in India − A multicentric study

Tikka

Parial²,

Pattojoshi

et al. 2021

Asian Journal of Psychiatry

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“…In contrast, another study was conducted between July and October 2020 when the public restrictions in India began to be waived off and better management strategies for pregnant became operational. Kotabagi et al also reported that the mean scores of anxiety in pregnant women reduced during the tail end of the pandemic (first wave) [16].Further, access to antenatal care and to outdoor spaces, which were deemed not only to reduce vulnerability to stress but also improve resilience among pregnant women Preis et al were possible during the "unlocking" of public restrictions in India during the study period [17]. The resultant higher sense of well-being and relief after lockdown may have decreased rates of anxiety.…”

Section: Discussionmentioning

confidence: 96%

Prevalence of Anxiety Disorders among Antenatal Women in a Rural Area Adjacent to Chennai

Kannappan¹,

Mannam

Vaishali

et al. 2021

JPRI

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Aim: Antenatal anxiety and depression are major health problems all over the world. Research conducted during pandemics found that pregnant women are more vulnerable psychologically. The aim of the study is to estimate the prevalence of anxiety level during the COVID-19 pandemic among pregnant women Study Design: A Cross sectional study design Place and Duration of Study: was done on pregnant women attending the antenatal clinic at the rural area adjacent to Chennai, India between april 2021 to October 2021. Methadology: This study was conducted among 74 pregnant women coming for antenatal checkups in the Rural area adjacent to Chennai. Hamilton – Anxiety Scale (HAM-A) was applied after initial psychiatry work up to all women who were selected for the interview. The statistically significant P value was < 0.05. Results: The sociodemographic variables have been found as significant contributors in explaining the variability of the prevalence rates of antenatal depression. According to the findings, less than 1/3rd of pregnant women experience depression as a result of life circumstances such as economic crises in order to support their families. These were identified as significant risk variables (P>0.05). And also, this study identified those who receiving insufficient socioeconomic assistance were more likely to experience multiple psychological discomfort [atleast 1] than women who got appropriate economic support. (r = -0.112, P < 0.001) Conclusion: COVID-19 infection during pregnancy was associated with increased levels of generalized anxiety scores. Patient-tailored psychological support should be a mainstay of comprehensive antenatal medical care in order to avoid anxiety- related complications.

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“…14 Anandhi et al in their study, compared depression, anxiety, and stress among covid positive and negative antenatal women using the Depression, Anxiety and Stress Scale -21 (DASS-21). 15 They found that all pregnant women, irrespective of their COVID status, had a significant psychological impact.…”

Section: Discussionmentioning

confidence: 99%

Screening of prenatal depression and anxiety among antenatal women and their association with fear of Coronavirus disease during the COVID-19 pandemic in Coastal Karnataka, India

Siddiqua

Poojari

Praharaj

2022

Int J Reprod Contracept Obstet Gynecol

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Background: A vulnerable population like pregnant mothers may have several concerns and anxieties about the impact of coronavirus disease 2019 (COVID-19) infection on pregnancy outcomes and the unborn fetus. However, there is no definitive information on the effect of COVID‐19 on the mental health of pregnant women in our population. We aimed to study the prevalence of depression, anxiety, and COVID-19 related anxiety among antenatal women during the COVID-19 pandemic.Methods: This was a cross-sectional study performed on all antenatal women irrespective of their trimester. Depression, anxiety and COVID-19 related anxiety were assessed using Patient Health Questionnaire-9, Generalized Anxiety Disorder-7 and COVID-19 Anxiety Syndrome scale respectively.Results: 381 antenatal women responded to the questionnaire. Though the prevalence of clinically significant anxiety and depression was 1.3% and 1%, 74% of them had subsyndromal anxiety and 80.6% had subsyndromal depression. Those with significant anxiety scores had higher COVID-19 anxiety. In contrast, those with significant depression had lower COVID-19 anxiety. Antenatal women who feared of various complications in pregnancy due to COVID-19 (like preterm birth, anomalous baby, fetal growth restriction, fear of getting infected with Coronavirus) had significantly higher COVID-19 anxiety.Conclusions: The prevalence of clinically significant anxiety and depression was 1.3% and 1%. However, three fourth of the participants suffered from subsyndromal anxiety and depression. Therefore, there is a need to identify antenatal women with subsyndromal anxiety and depression and provide psychosocial support to them during the crisis. Good communication, reassurance, providing care and support to pregnant women should be prioritized during the COVID-19 pandemic to avoid increased levels of anxiety and depression.

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Psychological impact of Covid - 19 among mothers during perinatal period: An exploratory study

Cited by 6 publications

References 33 publications

Anxiety among pregnant women during the COVID-19 pandemic in India − A multicentric study

Anxiety among pregnant women during the COVID-19 pandemic in India − A multicentric study

Prevalence of Anxiety Disorders among Antenatal Women in a Rural Area Adjacent to Chennai

Screening of prenatal depression and anxiety among antenatal women and their association with fear of Coronavirus disease during the COVID-19 pandemic in Coastal Karnataka, India

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