Boromarajonani College of Nursing Chakriraj, Thailand.
University of Plymouth, UK.
Inquiry. 2024 Jan-Dec;61:469580241301521. doi: 10.1177/00469580241301521.
What is the impact of Covid-19 upon the mental health and well-being of women during pregnancy and during the perinatal period?
empirical primary research; maternal mental health and wellbeing; perinatal period; Covid-19; English or Thai language; studies from December 2019-September 2021, updated March 2024.
secondary research, commentary, grey literature. Databases searched: CINAHL, Cochrane, JBI, Medline, PsycINFO, Clinical Key and Web of Science. Studies were assessed for bias using tools aligned with study design. A convergent integrated approach was taken whereby quantitative data was combined with qualitative data, synthesised simultaneously using Braun and Clarke Six Steps to Thematical Analysis and presented as narrative. Forty-two studies were included. Overall level of methodological quality of studies was 14 rated good, 28 fair. Overarching themes: "Impact" and "Emotional Impact." Themes: demographic impact; mental health and socio-economic factors; obstetric factors; pre-morbidity; maternity service delivery; relationships; fear and worry, grief and loss. Commonality suggested some evidence for increased risk and prevalence for perinatal mental illness to pre-pandemic levels.
lack/perceived lack of social support; high-risk pregnancy, complex obstetric history; prior mental illness; maternity service delivery, quality and safety; fear and worry. Results confer perinatal mental illness prominent during the pandemic though many did not suggest prevalence higher than pre-pandemic levels, or directly associated. Several factors compound risk. A small number of protective factors are identified. The dynamic processes of risk and protection need to be understood within the specific context in which they operate. The authors received no financial support for the research, authorship, and/or publication of this article. The study was not registered.
Covid-19 对孕妇和围产期女性的心理健康和幸福感有何影响？
实证性原始研究；孕产妇心理健康和幸福感；围产期；Covid-19；英语或泰语；研究时间为 2019 年 12 月至 2021 年 9 月，更新于 2024 年 3 月。
二次研究、评论、灰色文献。检索数据库：CINAHL、Cochrane、JBI、Medline、PsycINFO、Clinical Key 和 Web of Science。使用与研究设计一致的工具评估研究偏倚。采用收敛综合方法，将定量数据与定性数据结合，同时使用 Braun 和 Clarke 六步主题分析进行综合，并以叙述形式呈现。纳入 42 项研究。研究的总体方法学质量水平为 14 项评为良好，28 项评为一般。主要主题为“影响”和“情绪影响”。主题包括：人口统计学影响；心理健康和社会经济因素；产科因素；孕前疾病；孕产服务提供；人际关系；恐惧和担忧，悲伤和失落。共性表明，一些证据表明，围产期精神疾病的风险和患病率增加到了大流行前的水平。
缺乏/感知缺乏社会支持；高危妊娠、复杂产科史；既往精神疾病；孕产服务提供、质量和安全；恐惧和担忧。结果表明，大流行期间围产期精神疾病较为突出，但许多研究并未表明其患病率高于大流行前水平，或与大流行直接相关。有几个因素增加了风险。确定了少数保护因素。需要在其运作的具体背景下理解风险和保护的动态过程。作者在研究、作者身份和/或本文发表方面没有获得任何财务支持。该研究未注册。
