Perinatal Center for Maternity and Neonates, Yokohama City University Medical Center, Yokohama, Japan.
Department of Biostatistics, Yokohama City University School of Medicine, Yokohama, Japan.
J Obstet Gynaecol Res. 2021 Jun;47(6):2126-2130. doi: 10.1111/jog.14776. Epub 2021 Mar 23.
This study aimed to clarify how the COVID-19 pandemic impacts psychological stress levels in postpartum women in Yokohama, Japan.
We retrospectively compared the rates of positive screening tests for postpartum depression (Edinburgh Postnatal Depression Scale score of 9 or more or self-injury factors) and liaison/psychiatric intervention rates between pre-pandemic and pandemic groups of postpartum women who delivered a live birth at our tertiary perinatal center in Yokohama, Japan between January 2019 and May 2020. Those whose postpartum health screening was performed in 2019 (March-June 2019) were considered the pre-pandemic group, and those whose screening was performed between March and June 2020 were considered the pandemic group. Adjustments were made for maternal background, pregnancy, and delivery outcomes, including a history of psychiatric disorders, complications, preterm delivery, NICU admission, and maternal postpartum complications, and the data were analyzed using a logistic regression analysis.
Postpartum health screenings were performed on 339 women before the pandemic and 279 women during the pandemic. Positive screening rates for postpartum depression did not change before and during the pandemic (adjusted odds ratio 1.48, 95% confidence interval 0.885-2.46).
There was no apparent increase in maternal psychological stress due to the COVID-19 pandemic in Yokohama, Japan. Postpartum women responded differently in settings with varied levels of disease severity and social restrictions.
本研究旨在明确 COVID-19 大流行如何影响日本横滨产后女性的心理压力水平。
我们回顾性比较了在日本横滨一家三级围产中心分娩的产后女性中，在大流行前和大流行期间，通过产后健康筛查发现患有产后抑郁症（爱丁堡产后抑郁量表评分 9 分或以上或有自伤因素）的阳性筛查率以及联络/精神科干预率。那些在 2019 年（3 月至 6 月）进行产后健康筛查的被认为是大流行前组，而那些在 2020 年 3 月至 6 月期间进行筛查的被认为是大流行组。调整了母亲背景、妊娠和分娩结局，包括精神疾病史、并发症、早产、NICU 入院和母亲产后并发症，并使用逻辑回归分析对数据进行分析。
大流行前进行了 339 次产后健康筛查，大流行期间进行了 279 次。产后抑郁症的阳性筛查率在大流行前后没有变化（调整后的优势比 1.48，95%置信区间 0.885-2.46）。
在日本横滨，COVID-19 大流行并没有明显增加产妇的心理压力。在疾病严重程度和社会限制程度不同的环境中，产后女性的反应不同。
