Jackson Leanne, Greenfield Mari, Payne Elana, Burgess Karen, Oza Munira, Storey Claire, Davies Siân M, De Backer Kaat, Kent-Nye Flora E, Pilav Sabrina, Worrall Semra, Bridle Laura, Khazaezadeh Nina, Rajasingam Daghni, Carson Lauren E, De Pascalis Leonardo, Fallon Victoria, Hartley Julie M, Montgomery Elsa, Newburn Mary, Wilson Claire A, Harrold Joanne A, Howard Louise M, Sandall Jane, Magee Laura A, Sheen Kayleigh S, Silverio Sergio A
Department of Psychology, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, United Kingdom.
Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, United Kingdom.
Front Glob Womens Health. 2024 Feb 21;5:1347388. doi: 10.3389/fgwh.2024.1347388. eCollection 2024.
The COVID-19 pandemic posed a significant lifecourse rupture, not least to those who had specific physical vulnerabilities to the virus, but also to those who were suffering with mental ill health. Women and birthing people who were pregnant, experienced a perinatal bereavement, or were in the first post-partum year (i.e., perinatal) were exposed to a number of risk factors for mental ill health, including alterations to the way in which their perinatal care was delivered.
A consensus statement was derived from a cross-disciplinary collaboration of experts, whereby evidence from collaborative work on perinatal mental health during the COVID-19 pandemic was synthesised, and priorities were established as recommendations for research, healthcare practice, and policy.
The synthesis of research focused on the effect of the COVID-19 pandemic on perinatal health outcomes and care practices led to three immediate recommendations: what to retain, what to reinstate, and what to remove from perinatal mental healthcare provision. Longer-term recommendations for action were also made, categorised as follows: Equity and Relational Healthcare; Parity of Esteem in Mental and Physical Healthcare with an Emphasis on Specialist Perinatal Services; and Horizon Scanning for Perinatal Mental Health Research, Policy, & Practice.
The evidence base on the effect of the pandemic on perinatal mental health is growing. This consensus statement synthesises said evidence and makes recommendations for a post-pandemic recovery and re-build of perinatal mental health services and care provision.
新冠疫情造成了重大的人生历程中断,这不仅对那些本身就有特定身体易感性的人影响巨大,对那些患有精神疾病的人也是如此。怀孕、经历围产期丧亲之痛或处于产后第一年(即围产期)的女性和产妇面临着诸多心理健康风险因素,包括围产期护理提供方式的改变。
一份共识声明源自专家的跨学科合作,综合了新冠疫情期间围产期心理健康合作研究的证据,并确定了优先事项,作为对研究、医疗实践和政策的建议。
对新冠疫情对围产期健康结果和护理实践影响的研究综合得出了三项直接建议:围产期心理保健提供中应保留什么、恢复什么以及去除什么。还提出了长期行动建议,分类如下:公平与关系型医疗保健;精神与身体保健中的平等尊重,重点是专科围产期服务;以及围产期心理健康研究、政策与实践的前瞻性扫描。
关于疫情对围产期心理健康影响的证据基础正在不断扩大。这份共识声明综合了上述证据,并为疫情后围产期心理健康服务和护理提供的恢复与重建提出了建议。