Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 13 , ISSUE 3 ( May-June, 2021 ) > List of Articles

RESEARCH ARTICLE

Effects of COVID-19 Pandemic on Mental Health Status of COVID-positive Pregnant Women in a COVID Care Center: A Prospective Observational Study

Deepali P Kale, Trupti K Nadkarni, Amol P Pawar, Pooja M Shah, Vandana Bansal, Mehrnoosh Jassawala, Minnie Bodhanwala

Keywords : Anxiety, COVID-19, Depression, Edinburgh postpartum depression scale, Pandemic, Postpartum, Pregnancy

Citation Information : Kale DP, Nadkarni TK, Pawar AP, Shah PM, Bansal V, Jassawala M, Bodhanwala M. Effects of COVID-19 Pandemic on Mental Health Status of COVID-positive Pregnant Women in a COVID Care Center: A Prospective Observational Study. J South Asian Feder Obs Gynae 2021; 13 (3):167-173.

DOI: 10.5005/jp-journals-10006-1904

License: CC BY-NC 4.0

Published Online: 09-09-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: The global pandemic of the novel coronavirus disease 2019 (COVID-19) has created a public health emergency straining the entire human race. The population of antenatal and postnatal women is subjected to additional anxiety and psychological stress due to issues related to the pandemic like the public health measures, such as quarantine, and anxiety about the health of the fetus. Aim: To study the prevalence of depression and anxiety in antenatal and postnatal women during the COVID-19 pandemic. Materials and methods: We have screened 300 women in a COVID-19 care center for psychological depression and anxiety. The Edinburgh postpartum depression scale (EPDS) and also a self-reported questionnaire with COVID-specific anxiety questionnaire with eight items related to the COVID -9 pandemic were answered in graded response scale from 1 to 5. The clinical records identifying high-risk factors along with EPDS score and anxiety response were analyzed. EPDS greater than 13 was suggestive of probable depression. Anxiety questions were analyzed according to the percentage of questions that have been marked as ‘much’ and ‘very much’ responses. Results: Among 300 women, the prevalence of depression was 43.3%. The anxiety question marked by 39% of women was about worries of the health of fetus graded as “very much” followed by that regarding the worries about delivery marked by 25.3% of women as very much. Conclusion: The increased psychological distress among pregnant women irrespective of COVID-19 status is significant. The preventive mental health strategies should be integrated with antenatal and postnatal care of women during the pandemic.


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  1. Wang C, Horby PW, Hayden FG, et al. A novel coronavirus outbreak of global health concern. Lancet 2020;395(10223):470–473. DOI: 10.1016/S0140-6736(20)30185-9.
  2. Guardino C, Schetter CD. Understanding pregnancy anxiety: concepts, correlates and consequences. Zero Three 2014;34(4):12–21. eric.ed.gov/id =EJ1125704.
  3. National Institute for Health and Care Excellence. Antenatal and postnatal mental health: clinical management and service guidance (CG192). NICE; 2014.
  4. Upadhyay RP, Chowdhury R, Salehi A, et al. Postpartum depression in India: a systematic review and meta-analysis. Bull World Health Organ 2017;95(10):706–717C. DOI: 10.2471/BLT.17.192237.
  5. Field T. Postpartum depression effects on early interactions, parenting, and safety practices: a review. Infant Behav Dev 2010;33(1):1–6. DOI: 10.1016/j.infbeh.2009.10.005.
  6. Surkan PJ, Kennedy CE, Hurley KM, et al. Maternal depression and early childhood growth in developing countries: systematic review and meta-analysis. Bull World Health Organ 2011;89(8):608–615D. DOI: 10.2471/BLT.11.088187.
  7. Sohr-Preston SL, Scaramella LV. Implications of timing of maternal depressive symptoms for early cognitive and language development. Clin Child Fam Psychol Rev 2006;9(1):65–83. DOI: 10.1007/s10567-006-0004-2.
  8. Dwenda G. The effectiveness of various postpartum depression treatments and the impact of antidepressant drugs on nursing infants. J Am Board Fam Med 2003;16(5):372–382. DOI: 10.3122/jabfm.16.5.372.
  9. Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry 2017;210(5):315–323. DOI: 10.1192/bjp.bp.116.187179.
  10. Ghebreyesus TA. Addressing mental health needs: an integral part of COVID-19 response. World Psychiatry 2020;19(2):129–130. DOI: 10.1002/wps.20768.
  11. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 1987;150:782–786. DOI: 10.1192/bjp.150.6.782.
  12. Murray D, Cox JL. Screening for depression during pregnancy with the Edinburgh Depression Scale (EDDS). J Reprod Infant Psychol 1990;8(2):99–107. DOI: 10.1080/02646839008403615.
  13. Khanlari S, Am BB, Ogbo FA, et al. Re-examination of perinatal mental health policy frameworks for women signaling distress on the Edinburgh Postnatal Depression Scale (EPDS) completed during their antenatal booking-in consultation: a call for population health intervention. BMC Pregnancy Childbirth 2019;19(1):221. DOI: 10.1186/s12884-019-2378-4.
  14. Taubman-Ben-Ari O, Chasson M, Sharika SA, et al. Distress and anxiety associated with COVID-19 among Jewish and Arab pregnant women in Israel. J Reprod Infant Psychol 2020;38(3):340–348. DOI: 10.1080/02646838.2020.1786037.
  15. Khapre M, Dhande N, Mudey A. Validity and reliability of Marathi version of Edinburgh postnatal depression scale as a screening tool for post natal depression. Ntl J Community Med 2017;8(3):116–121. www.njcmindia.org.
  16. Matthey S, Fisher J, Rowe H. Using the Edinburgh postnatal depression scale to screen for anxiety disorders: conceptual and methodological considerations. J Affect Disord 2013;146(2):224–230. DOI: 10.1016/j.jad.2012.09.009.
  17. Government of Maharashtra Department of Revenue and Forest, Disaster Management, Relief and Rehabilitation, Mantralaya, Mumbai- 400 032 No: DMU/2020/CR. 92/DisM-l, Dated: 2nd May 2020.
  18. Ceulemans M, Hompes T, Foulon V. Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic: a call for action. Int J Gynecol Obstet 2020;151(1):146–147. DOI: 10.1002/ijgo.13295.
  19. Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. J Matern Fetal Neonatal Med 2020:1–7. DOI: 10.1080/14767058.2020.1763946.
  20. Lebel C, MacKinnon A, Bagshawe M, et al. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic [published correction appears in J Affect Disord 2021 Jan 15;279:377–379]. J Affect Disord 2020;277:5–13. DOI: 10.1016/j.jad.2020.07.126.
  21. Ceulemans M, Foulon V, Ngo E, et al. Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic: a multinational cross-sectional study. Acta Obstet Gynecol Scand 2021. DOI: 10.1111/aogs.14092.
  22. Ng J, Sham A, Tang PL, et al. SARS: pregnant women's fears and perceptions. Br J Midwifery 2004;12(11):698–702. DOI: 10.12968/bjom.2004.12.11.16710.
  23. Jiang H, Jin L, Qian X, et al. Maternal mental health status and approaches for accessing antenatal care information during the COVID-19 epidemic in China: cross-sectional study. J Med Internet Res 2021;23(1):e18722. DOI: 10.2196/18722.
  24. Antenatal care for uncomplicated pregnancies Clinical guideline [CG62] 26/03/2008, last updated February 2019.
  25. Liu X, Chen M, Wang Y, et al. Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID-19 outbreak: a cross-sectional study. BJOG 2020;127(10):1229–1240. DOI: 10.1111/1471-0528.16381.
  26. Nelson AM. Transition to motherhood. J Obstet Gynecol Neonatal Nurs 2003;32(4):465–477. DOI: 10.1177/0884217503255199. PMID: 12903696.
  27. Schwank SE, Chung HF, Hsu M, et al. Mental health of Urban Mothers (MUM) study: a multicentre randomised controlled trial, study protocol. BMJ Open 2020;10(11):e041133. DOI: 10.1136/bmjopen-2020-041133.
  28. Ravaldi C, Wilson A, Ricca V, et al. Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy. Women Birth 2020:S1871-5192(20)30280-8. DOI: 10.1016/j.wombi.2020.07.002. PMID: 32684343; PMCID: PMC7357495.
  29. Wickberg B, Bendix M, Wetterholm MB, et al. Perinatal mental health around the world: priorities for research and service development in Sweden. BJ Psych Int 2019;17(4):87–91. DOI: 10.1192/bji.2020.15.
  30. Lau Y, Htun TP, Wong SN, et al. Therapist-supported internet-based cognitive behavior therapy for stress, anxiety, and depressive symptoms among postpartum women: a systematic review and meta-analysis. J Med Internet Res 2017;19(4):e138. DOI: 10.2196/jmir.6712.
  31. Thorsteinsson EB, Loi NM, Farr K. Changes in stigma and help-seeking in relation to postpartum depression: non-clinical parenting intervention sample. Peer J 2018;6:e5893. DOI: 10.7717/peerj.5893. PMID: 30425892; PMCID: PMC6230434.
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