Universidad Complutense de Madrid, Madrid, Spain.
Universidad Francisco de Vitoria, Madrid, Spain.
Women Birth. 2022 May;35(3):254-261. doi: 10.1016/j.wombi.2021.01.007. Epub 2021 Jan 16.
Previous studies have shown that perinatal distress has a negative influence on pregnancy outcome and the physiological development of the baby.
The aim of this study was to describe the effects of the COVID-19 pandemic on maternal perinatal mental health in Spain.
Seven hundred and twenty-four women (N=450 pregnancy, N=274 postpartum) were recruited online during the pandemic. The Edinburgh Postnatal Depression Scale, the Positive and Negative Affect Schedule, and the Satisfaction With Life Scale were administered. Variables related to sociodemographic information, the COVID-19 pandemic, and perinatal care were also assessed.
The results showed that 58% of women reported depressive symptoms. Moreover, 51% of women reported anxiety symptoms. On the other hand, a regression analysis for life satisfaction showed that besides the perception about their own health, marital status or being a health practitioner were also significant predictors during pregnancy. However, perception about baby's health and sleep, perception about their own health, and marital status were significant predictors of life satisfaction during the postpartum stage.
Women assessed during the COVID-19 pandemic reported high rates of psychological distress.
These results highlight the need of clinical support during this period. Knowing the routes to both distress and well-being may help maternity services to effectively cope with the pandemic.
先前的研究表明围产期的不适会对妊娠结局和婴儿的生理发育产生负面影响。
本研究旨在描述 COVID-19 大流行对西班牙产妇围产期心理健康的影响。
在大流行期间,通过在线招募了 724 名女性(N=450 例妊娠,N=274 例产后)。采用爱丁堡产后抑郁量表、正性和负性情绪量表以及生活满意度量表进行评估。还评估了与社会人口学信息、COVID-19 大流行和围产期保健相关的变量。
结果显示,58%的女性报告有抑郁症状。此外,51%的女性报告有焦虑症状。另一方面,生活满意度的回归分析表明,除了对自己健康的感知外,婚姻状况或是否为健康从业者也是妊娠期间的重要预测因素。然而,对婴儿健康和睡眠的感知、对自己健康的感知以及婚姻状况是产后阶段生活满意度的重要预测因素。
在 COVID-19 大流行期间接受评估的女性报告了较高水平的心理困扰。
这些结果强调了在此期间提供临床支持的必要性。了解困扰和幸福感的途径可能有助于孕产服务部门有效应对大流行。