Choi Kristen R, Records Kathryn, Low Lisa Kane, Alhusen Jeanne L, Kenner Carole, Bloch Joan Rosen, Premji Shahirose Sadrudin, Hannan Jean, Anderson Cindy M, Yeo Seonae, Cynthia Logsdon M
J Obstet Gynecol Neonatal Nurs. 2020 Sep;49(5):409-415. doi: 10.1016/j.jogn.2020.07.004. Epub 2020 Aug 12.
The COVID-19 pandemic has led to disruptions in health care in the perinatal period and women's childbirth experiences. Organizations that represent health care professionals have responded with general practice guidelines for pregnant women, but limited attention has been devoted to mental health in the perinatal period during a pandemic. Evidence suggests that in this context, significant psychological distress may have the potential for long-term psychological harm for mothers and infants. For infants, this risk may extend into early childhood. In this commentary, we present recommendations for practice, research, and policy related to mental health in the perinatal period. These recommendations include the use of a trauma-informed framework to promote social support and infant attachment, use of technology and telehealth, and assessment for mental health needs and experiences of violence.
新冠疫情导致围产期医疗保健中断,影响了女性的分娩体验。代表医疗保健专业人员的组织已针对孕妇发布了一般实践指南,但在疫情期间,围产期心理健康受到的关注有限。有证据表明,在这种情况下,严重的心理困扰可能会对母亲和婴儿造成长期心理伤害。对于婴儿来说,这种风险可能会持续到幼儿期。在这篇评论中,我们针对围产期心理健康提出了实践、研究和政策方面的建议。这些建议包括采用创伤知情框架来促进社会支持和婴儿依恋、利用技术和远程医疗,以及评估心理健康需求和暴力经历。