Developmental Psychobiology Lab, IRCCS Mondino Foundation, via Mondino 2, 27100, Pavia, Italy.
Department of Pediatrics, ASST Lodi, Lodi, Italy.
Matern Child Health J. 2022 Nov;26(11):2308-2317. doi: 10.1007/s10995-022-03540-0. Epub 2022 Sep 24.
The COVID-19 pandemic resulted in a particularly adverse and stressful environment for expecting mothers, possibly enhancing feelings of anxiety and parenting stress. The present work assesses mothers' anxiety levels at delivery and parenting stress after 3 months as moderated by home-visiting sessions.
Women (n = 177) in their second or third trimester of pregnancy during the COVID-19 lockdown were enrolled in northern Italy and split into those who did and did not receive home visits. After 3 months, the association between anxiety at delivery and parenting stress was assessed with bivariate correlations in the whole sample and comparing the two groups.
Higher anxiety at birth correlated with greater perceived stress after 3 months. Mothers who received at least one home-visiting session reported lower parenting stress at 3 months than counterparts who did not receive home visits. CONCLUSIONS FOR PRACTICE: The perinatal period is a sensitive time window for mother-infant health, especially during a critical time like the COVID-19 pandemic. We suggest that home-visiting programs could be beneficial during global healthcare emergencies to promote maternal well-being after delivery.
COVID-19 大流行给孕妇带来了特别不利和紧张的环境，可能会增加她们的焦虑感和育儿压力。本研究评估了分娩时母亲的焦虑水平和 3 个月后的育儿压力，并通过家访进行了调节。
在 COVID-19 封锁期间，意大利北部招募了处于妊娠第二或第三阶段的女性（n=177），并将她们分为接受家访和不接受家访的两组。3 个月后，在整个样本中进行了分娩时焦虑与育儿压力之间的相关性的双变量相关性分析，并对两组进行了比较。
分娩时的焦虑程度越高，3 个月后的感知压力越大。至少接受过一次家访的母亲在 3 个月时的育儿压力比没有接受家访的母亲低。
围产期是母婴健康的敏感时期，尤其是在 COVID-19 大流行等关键时期。我们建议，在全球卫生保健紧急情况下，家访项目可能对促进产后母亲的幸福感有益。
