Buonsenso Danilo, Malorni Walter, Turriziani Colonna Arianna, Morini Sofia, Sbarbati Martina, Solipaca Alessandro, Di Mauro Antonio, Carducci Brigida, Lanzone Antonio, Moscato Umberto, Costa Simonetta, Vento Giovanni, Valentini Piero
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy.
Front Pediatr. 2022 Apr 12;10:790518. doi: 10.3389/fped.2022.790518. eCollection 2022.
The aim of this study is to assess the impact of the COVID-19 pandemic on mental health, type of delivery, and neonatal feeding of pregnant women with or without SARS-CoV-2 infection during gestation.
The study was conducted online, and anonymous survey was distributed to mothers that delivered during the COVID-19 pandemic.
The survey was completed by 286 women, and 64 women (22.4%) had COVID-19 during pregnancy. Women that had SARS-CoV-2 infection during pregnancy or at time of delivery had a significantly higher probability of being separated from the newborn ( < 0.0001) and a significantly lower probability of breastfeeding ( < 0.0001). The Edinburg Postnatal Depression Scale, to assess if mothers had symptoms of postnatal depression, showed that items suggestive of postnatal depression were relatively frequent in the whole cohort. However, women with SARS-CoV-2 infection during pregnancy reported higher probability of responses suggestive of postnatal depression in eight out of 10 items, with statistically significant differences in three items.
The COVID-19 pandemic affected the type of delivery and breastfeeding of pregnant women, particularly when they had SARS-CoV-2 infection. This, in turn, had an impact on the psychological status of the interviewed mothers, aspects that could benefit of special support.
本研究旨在评估2019冠状病毒病大流行对妊娠期感染或未感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的孕妇心理健康、分娩方式及新生儿喂养的影响。
本研究通过在线方式进行，向在2019冠状病毒病大流行期间分娩的母亲发放匿名调查问卷。
286名女性完成了调查，其中64名女性（22.4%）在孕期感染了2019冠状病毒病。孕期或分娩时感染SARS-CoV-2的女性与新生儿分离的可能性显著更高（<0.0001），母乳喂养的可能性显著更低（<0.0001）。用于评估母亲是否有产后抑郁症状的爱丁堡产后抑郁量表显示，提示产后抑郁的项目在整个队列中相对常见。然而，孕期感染SARS-CoV-2的女性在10项中的8项中报告有提示产后抑郁反应的可能性更高，其中3项有统计学显著差异。
2019冠状病毒病大流行影响了孕妇的分娩方式和母乳喂养，尤其是当她们感染SARS-CoV-2时。这反过来又对受访母亲的心理状态产生了影响，这些方面可能需要特殊支持。
