Department Woman-Mother-Child, Lausanne University Hospital, Switzerland.
Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Belgium.
Swiss Med Wkly. 2021 Sep 17;151:w30009. doi: 10.4414/smw.2021.w30009. eCollection 2021 Sep 13.
Information on the impact of the COVID-19 pandemic on pregnancy and breastfeeding experiences, as well as on perinatal mental health in Switzerland is limited. In Switzerland, there are few national studies and little information. Using an anonymous online survey accessible after the first wave of the outbreak in Switzerland, we have investigated how this pandemic affected pregnant and breastfeeding women. Among women who completed the survey, 69.0% (1050/1518) indicated the first wave of the pandemic affected their personal habits, 61.0% (689/1131) were affected in their work and 40.0% (632/1573) reported impaired relations with healthcare services (different denominators correspond to the number of participants who answered the question). 36.8% (110/299) of women reported an impact of the pandemic on their current pregnancy experience or breastfeeding experience (8.2%, 46/555). Overall, 11.6% (170/1467) of participants who completed the validated screening tests for mental health symptoms (Edinburgh Postnatal Depression Scale, Generalized Anxiety Disorder 7, Perceived Stress Scale) presented a score compatible with symptoms of major depression, severe anxiety or high perceived stress, which is higher than in the pre-pandemic period according to literature. Risk factors independently associated with impaired mental health were being hospitalized, having symptoms of COVID-19, living with a person with COVID-19 symptoms, having comorbidities, having experienced reduced healthcare services, having restricted usual activities and being a housewife. Protective factors independently associated were a high level of education and living with a partner. Our findings suggest that the COVID-19 pandemic might have significantly affected the well-being and mental health of pregnant and breastfeeding women, directly in the case of exposure, and indirectly as a result of the potential modifications in their life habits and in healthcare facilities.
关于 COVID-19 大流行对瑞士妊娠和哺乳体验以及围产期心理健康的影响的信息有限。在瑞士，全国性研究较少，信息也很少。我们使用瑞士第一波疫情爆发后可访问的匿名在线调查，调查了这场大流行如何影响了孕妇和哺乳期妇女。在完成调查的女性中，69.0%（1050/1518）表示第一波大流行影响了她们的个人习惯，61.0%（689/1131）的工作受到影响，40.0%（632/1573）报告与医疗保健服务的关系受损（不同的分母对应于回答问题的参与者人数）。36.8%（110/299）的女性报告大流行对她们当前的妊娠经历或哺乳经历有影响（8.2%，46/555）。总体而言，完成心理健康症状验证筛选测试（爱丁堡产后抑郁量表、广泛性焦虑症 7 项、感知压力量表）的 1467 名参与者中，11.6%（170/1467）的人表现出与重度抑郁、严重焦虑或高感知压力相符的症状，高于文献中提到的大流行前水平。与心理健康受损相关的独立风险因素包括住院、有 COVID-19 症状、与有 COVID-19 症状的人同住、合并症、医疗保健服务减少、日常活动受限和家庭主妇。与心理健康良好相关的独立保护因素包括较高的教育水平和与伴侣同住。我们的研究结果表明，COVID-19 大流行可能对孕妇和哺乳期妇女的幸福感和心理健康产生重大影响，直接受感染影响，间接受生活习惯和医疗保健设施变化的影响。
