Chadha Kanchi, Slouha Ethan, Oladipo Antonia
Obstetrics and Gynecology, Hackensack University Medical Center, Hackensack, USA.
Obstetrics and Gynecology, St. George's University School of Medicine, St. George's, GRD.
Cureus. 2025 May 15;17(5):e84185. doi: 10.7759/cureus.84185. eCollection 2025 May.
Postpartum depression (PPD) is screened by the Edinburgh Postnatal Depression Scale (EPDS), where a score of 10 - 12 indicates possibly having PPD and a score of ≥ 13 indicates PPD. This publication aims to describe the impact of the COVID-19 pandemic on the hospital length of stay (LOS) of parturients following a PPD diagnosis.
The CDC identified five peak months of COVID-19 cases in NJ between January 2020 and March 2022; 10,967 parturients at Hackensack University Medical Center (HUMC) filled out the EPDS after delivery and were split into two groups based on their EPDS scores: 10-12 and ≥ 13. Groups were then correlated with the five peak months, assessing the LOS via the t-score and one-way ANOVA.
Across the five peak months, 71 (3.67%) were found to have an EDPS of ≥ 10, with 71.8% in group 1 and 28.2% in group 2. In these months, the average LOS was 2.2 days, significantly less than the LOS in patients with an EDPS of ≥ 10 (p = 0.03). The average LOS in groups 1 and 2 was 2.57 and 2.4 days, respectively, with no significant difference. Conclusion: The difference in the LOS, not accounting for extenuating factors, means that individuals with possible or diagnosed PPD had a longer stay, which may be associated with proper psychiatric care being employed prior to discharge. Further research assessing the LOS for PPD following COVID-19 may elucidate whether proper care is still being given for PPD following delivery.
产后抑郁症（PPD）通过爱丁堡产后抑郁量表（EPDS）进行筛查，其中得分10 - 12表明可能患有PPD，得分≥13表明患有PPD。本出版物旨在描述2019年冠状病毒病（COVID - 19）大流行对PPD诊断后产妇住院时间（LOS）的影响。
美国疾病控制与预防中心（CDC）确定了2020年1月至2022年3月新泽西州COVID - 19病例的五个高峰月；哈肯萨克大学医学中心（HUMC）的10967名产妇在分娩后填写了EPDS，并根据她们的EPDS得分分为两组：10 - 12分和≥13分。然后将这些组与五个高峰月进行关联，通过t检验和单因素方差分析评估住院时间。
在这五个高峰月中，发现71例（3.67%）的EPDS得分≥10，其中第1组占71.8%，第2组占28.2%。在这些月份中，平均住院时间为2.2天，显著短于EPDS得分≥10的患者的住院时间（p = 0.03）。第1组和第2组的平均住院时间分别为2.57天和2.4天，无显著差异。结论：在不考虑情有可原因素的情况下，住院时间的差异意味着可能患有或已确诊PPD的个体住院时间更长，这可能与出院前采用适当的精神科护理有关。进一步评估COVID - 19后PPD住院时间的研究可能会阐明分娩后是否仍在为PPD提供适当的护理。
