Faculty of Psychology, Lomonosov Moscow State University, 125009 Moscow, Russia.
Int J Environ Res Public Health. 2021 Dec 29;19(1):335. doi: 10.3390/ijerph19010335.
The aim of the study is to investigate the changes in the maternal healthcare system during the pandemic and their associations with maternal mental health in Russia. A sample of Russian women who gave birth during the first year of the COVID-19 pandemic ( = 1645) and matched controls, i.e., women who gave birth before the COVID-19 pandemic ( = 611), completed an anonymous Internet survey about recent childbirth. They were assessed for childbirth-related posttraumatic stress disorder (PTSD) and postpartum depression (PPD). Clinically relevant symptoms of PPD and PTSD were high before the pandemic and showed no significant change during the pandemic ( = 0.48 and = 0.64, respectively). We found a notable increase in the frequency of obstetric violence ( = 0.015) during the pandemic, which, in turn, has a strong correlation with birth-related PTSD and PPD. The problem of ethical communication with patients among maternal healthcare professionals is acute in Russia, and it has been exacerbated by the pandemic. Family and doula support during labor can be a potential protective factor against obstetric violence.
本研究旨在调查疫情期间产妇保健系统的变化及其与俄罗斯产妇心理健康的关系。我们选取了在 COVID-19 大流行第一年分娩的俄罗斯女性（n = 1645）作为病例组，并匹配了对照组，即大流行前分娩的女性（n = 611）。所有女性均通过匿名网络调查完成了关于近期分娩的情况。我们评估了她们分娩相关的创伤后应激障碍（PTSD）和产后抑郁（PPD）。在疫情前，这两种疾病的临床相关症状就很高，而在疫情期间没有明显变化（PTSD： = 0.48；PPD： = 0.64）。我们发现疫情期间产科暴力的频率显著增加（ = 0.015），而这反过来又与分娩相关的 PTSD 和 PPD 有很强的相关性。在俄罗斯，产妇保健专业人员与患者进行伦理沟通的问题很突出，而疫情使这一问题更加严重。分娩期间的家庭和导乐支持可能是对抗产科暴力的潜在保护因素。
