Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Neonatal Intensive Care Unit, 20122 Milan, Italy.
Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy.
Int J Environ Res Public Health. 2021 Jun 11;18(12):6347. doi: 10.3390/ijerph18126347.
Changes in perinatal care occurring during the coronavirus disease 2019 (COVID-19) pandemic may negatively affect mothers' mental health and breastfeeding. This study, performed between April and May 2020, aimed to investigate the effect of restricted partners' visiting policies on non-infected mother's anxiety symptoms, the perceived postpartum support, and the breastfeeding outcomes at discharge. A cross-sectional study was conducted in a neonatal tertiary referral center in northern Italy during Italy's lockdown. We enrolled mothers with a negative nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), adequate oral and written comprehension of the Italian language, and absence of underlying maternal or neonatal clinical conditions. Maternal anxiety levels were assessed through the State-Trait Anxiety Inventory-Form Y (STAI-Y). Maternal perception of staff's support was evaluated by the Nurse Parent Support Tool (NPST). A STATE-A (concurrent emotional state after a specific situation) score ≥ 40 was considered indicative of clinically significant symptoms of anxiety. A total of 109 mothers completed the study. Mean STATE-A score was ≥40 in 42% of mothers, and median NPST score was 4.23. Mothers separated from their partner had a mean STATE-A score ≥ 40 in a higher percentage of cases than those who were not (51% vs. 30%, = 0.03) and a lower perception of caregiver support. A NPST score ≤4.23, partner 's absence during the hospital stay and primiparity were independently associated with a STATE-A score ≥ 40. Breastfeeding rates at discharge were not influenced by maternal anxiety levels and partner's restricted policies. Instead, they were influenced by mode of delivery, a well-known risk factor, and pre-pandemic intention to breastfeed. Our study demonstrates the positive impact of a partner's presence on maternal mental health and perception of caregiver support.
在 2019 年冠状病毒病（COVID-19）大流行期间，围产期护理的变化可能会对母亲的心理健康和母乳喂养产生负面影响。本研究旨在调查限制伴侣探视政策对非感染母亲焦虑症状、产后感知支持以及出院时母乳喂养结果的影响，于 2020 年 4 月至 5 月在意大利封锁期间在意大利北部的一家新生儿三级转诊中心进行。我们招募了鼻咽拭子对严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）检测为阴性、有足够的意大利语口头和书面理解能力且不存在潜在的母婴临床情况的母亲。采用状态-特质焦虑量表-Y（STAI-Y）评估母亲的焦虑水平。通过护士父母支持工具（NPST）评估母亲对员工支持的感知。STATE-A（特定情况后即时的情绪状态）评分≥40 被认为有临床显著焦虑症状。共有 109 名母亲完成了这项研究。42%的母亲的平均 STATE-A 评分≥40，中位数 NPST 评分为 4.23。与未与伴侣分开的母亲相比，与伴侣分开的母亲 STATE-A 评分≥40 的比例更高（51%比 30%，=0.03），且对护理人员支持的感知更低。NPST 评分≤4.23、住院期间伴侣不在场和初产妇是 STATE-A 评分≥40 的独立相关因素。母乳喂养率在出院时不受母亲焦虑水平和伴侣限制政策的影响。相反，它们受分娩方式的影响，分娩方式是一个已知的风险因素，并且受到大流行前母乳喂养的意愿的影响。我们的研究表明，伴侣的存在对母亲的心理健康和对护理人员支持的感知有积极影响。
