Impact of the SARS-CoV-2 pandemic on the mental health of pregnant and postpartum women: an integrative review
Keywords:Social Isolation; Pregnancy; SARS-CoV-2.
Objective: To analyze the impact of the pandemic on the mental health of pregnant and postpartum women, listing the main predictors ofworsening maternal psychiatric clinic. Methods: Integrative Literature Review, which articles were searched in the Scientific Electronic Library Online (SciELO), PUBMED and Latin American and Caribbean Literature (LILACS) databases. Twenty-nine published articles between 2019 and 2021 were included in this study. Results: Due to the advent of the covid-19 pandemic, studies show that pregnant women are experiencing high levels of anxiety and depressive symptoms, diverging from pre-covid period in which such psychiatric disorders had a lower incidence of reported cases. Furthermore, longer periods of quarantine are related to more severe psychological distress. Also, it was possible to observe in the literature that women who already had compromised mental health from the beginning of pregnancy are at increased risk of developing postpartum depression, in which cases breastfeeding until the 3rd month of the puerperium is a protective factor. Final Considerations: Added to all the changes and adaptations already expected in pregnancy, pregnant women deal with the side effects of covid-19. Thus, there is a direct relationship between the SARS-CoV-2 pandemic and the serious psychological challenges, which generate a potential increase in the incidence of anxiety, depression among pregnant women, as well as postpartum depression in postpartum women.
Almeida, M., Shrestha, A. D., Stojanac, D., & Miller, L. J. (2020). The impact of the COVID-19 pandemic on women’s mental health. Archives of women's mental health, 1-8.
An, R., Chen, X., Wu, Y., Liu, J., Deng, C., Liu, Y., & Guo, H. (2021). A survey of postpartum depression and health care needs among Chinese postpartum women during the pandemic of COVID-19. Archives of Psychiatric Nursing, 35(2), 172–177. https://doi.org/10.1016/j.apnu.2021.02.001
Bandhu Kalanidhi, K., Ranjan, P., Sarkar, S., Kaur, T., Dutt Upadhyay, A., Singh, A., Sahu, A., Khan, M., Vijay Prasad, B., Baitha, U., & Kumar, A. (2021). Development and validation of a questionnaire to assess socio-behavioural impact of COVID-19 on the general population. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 15(2), 601–603. https://doi.org/10.1016/j.dsx.2021.02.019
Brown, A. & Shenker, N. (2021). Experiences of breastfeeding during COVID-19: Lessons for future practical and emotional support. Maternal and Child Nutrition, 17(1), 1–15. https://doi.org/10.1111/mcn.13088
Cabral, S. A. A. de O., Berezin, E. N., Nascimento, M. B. G., & Magalhães, S. S. (2020). O Que Esperar no Tocante à Saúde Materno-Infantil no Pós-Pandemia de Covid-19? / What to Expect About Maternal and Child Health in the Post-Pandemic of covid-19? ID on Line REVISTA de PSICOLOGIA, 14(51). https://doi.org/10.14295/idonline.v14i51.2718
Chatwin, J., Butler, D., Jones, J., James, L., Choucri, L., & McCarthy, R. (2021). Experiences of pregnant mothers using a social media based antenatal support service during the COVID-19 lockdown in the UK: Findings from a user survey. BMJ Open, 11(1), 1–7. https://doi.org/10.1136/bmjopen-2020-040649
Chrzan-Dętkoś, M., Walczak-Kozłowska, T., & Lipowska, M. (2021). The need for additional mental health support for women in the postpartum period in the times of epidemic crisis. BMC Pregnancy and Childbirth, 21(1), 1–9. https://doi.org/10.1186/s12884-021-03544-8
Dib, S., Rougeaux, E., Vázquez-Vázquez, A., Wells, J. C. K., & Fewtrell, M. (2020). Maternal mental health and coping during the COVID-19 lockdown in the UK: Data from the COVID-19 New Mum Study. International Journal of Gynecology and Obstetrics, 151(3), 407–414. https://doi.org/10.1002/ijgo.13397
Duryea, E. L., Adhikari, E. H., Ambia, A., Spong, C., Mcintire, D., Nelson, D. B., & Health, P. (2021). Comparison Between In-Person and Audio-Only Virtual Prenatal Visits and Perinatal Outcomes. JAMA network open. 4(4).
Hocaoglu M., Ayaz R, Gunay T, Akin E, Turgut A, & Karateke A. (2020). Anxiety and post-traumatic stress disorder symptoms in pregnant women during the covid-19 pandemic’s delay phase. Psychiatria Danubina [revista en Internet] 2020 [acceso 17 de febrero de 2021]; 32(3-4): 521-526. 32(3), 521–526. http://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol32_no3-4/dnb_vol32_no3-4_521.pdf
Javiera Fuenzalida, C., Caterina Solari, G., Marcelo Farías, J., Rocío Naveas, P., & José Andrés Poblete, L. (2020). Evaluation of a remote control model for pregnant and post-partum patients with SARS-CoV-2infection. Revista Chilena de Obstetricia y Ginecologia, 85, S35–S49. https://doi.org/10.4067/S0717-75262020000700007
Khoury, J. E., Atkinson, L., Bennett, T., Jack, S. M., & Gonzalez, A. (2021). COVID-19 and mental health during pregnancy: The importance of cognitive appraisal and social support. Journal of Affective Disorders, 282(December 2020), 1161–1169. https://doi.org/10.1016/j.jad.2021.01.027
Lebel, C., MacKinnon, A., Bagshawe, M., Tomfohr-Madsen, L., & Giesbrecht, G. (2020). Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of Affective Disorders, 277(July), 5–13. https://doi.org/10.1016/j.jad.2020.07.126
Li, C., Huo, L., Wang, R., Qi, L., Wang, W., Zhou, X., Zhou, Y., & Zhang, X. (2021). The prevalence and risk factors of depression in prenatal and postnatal women in China with the outbreak of CoronaVirus Disease 2019. Journal of Affective Disorders, 282(January), 1203–1209. https://doi.org/10.1016/j.jad.2021.01.019
Ministério da Saúde, Brasil. (2020). Manual de Recomendações para a Assistência à Gestante e Puérpera frente à Pandemia de Covid-19 (recurso eletrônico ed.). Secretaria de Atenção Primária à Saúde. Departamento de Ações Programáticas e Estratégicas. http://220.127.116.11/dab/docs/portaldab/documentos/corona/manual_recomendacoes_gestantes_covid19.pdf
Mizrak Sahin, B., & Kabakci, E. N. (2021). The experiences of pregnant women during the COVID-19 pandemic in Turkey: A qualitative study. Women and Birth, 34(2), 162–169. https://doi.org/10.1016/j.wombi.2020.09.022
Mortazavi, F., Mehrabad, M., & KiaeeTabar, R. (2021). Pregnant Women ’ s Well-being and Worry During the COVID-19 Pandemic : A Comparative Study. BMC Pregnancy and CHildbirth, 4(21), 1–22.
Nanjundaswamy, M. H., Shiva, L., Desai, G., Ganjekar, S., Kishore, T., Ram, U., Satyanarayana, V., Thippeswamy, H., & Chandra, P. S. (2020). COVID-19-related anxiety and concerns expressed by pregnant and postpartum women—a survey among obstetricians. Archives of Women’s Mental Health, 23(6), 787–790. https://doi.org/10.1007/s00737-020-01060-w.
Naurin, E., Markstedt, E., Stolle, D., Enström, D., Wallin, A., Andreasson, I., Attebo, B., Eriksson, O., Martinsson, K., Elden, H., Linden, K., & Sengpiel, V. (2021). Pregnant under the pressure of a pandemic: a large-scale longitudinal survey before and during the COVID-19 outbreak. European Journal of Public Health, 31(1), 7–13. https://doi.org/10.1093/eurpub/ckaa223
Organização Mundial da Saúde (2020). OMS- perguntas e respostas sobre COVID-19, gravidez, parto e amamentação. UNA-SUS. Retrieved July 27, 2021. https://www.unasus.gov.br/noticia/oms-perguntas-e-respostas-sobre-covid-19-gravidez-parto-e-amamentacao
Pinos, Morales, VC, Tupiza, SM, Terán, EC e de Aguinaga, RR (2020). Amamentação durante a Pandemia COVID-19: Revisão Narrativa. Ecuadorian Journal of Pediatrics , 21 (1)
Preis, H., Mahaffey, B., & Lobel, M. (2020). Psychometric properties of the Pandemic-Related Pregnancy Stress Scale (PREPS). Journal of Psychosomatic Obstetrics and Gynecology, 41(3), 191–197. https://doi.org/10.1080/0167482X.2020.1801625
Reforma, L. G., Mph, C. D., Collier, A. Y., Mph, B. J. W., Shainker, S. A., Ms, D. O., Golen, T. H., Herlihy, M., Np, A. L., & Mph, C. A. Z. (2020). A multidisciplinary telemedicine model for management. The American Journal of Obstetrics & Gynecology MFM, 2019(January), 100180. https://doi.org/10.1016/j.ajogmf.2020.100180
Saadati, N., Afshari, P., Boostani, H., Beheshtinasab, M., Abedi, P., & Maraghi, E. (2021). Health anxiety and related factors among pregnant women during the COVID-19 pandemic: a cross-sectional study from Iran. BMC Psychiatry, 21(1), 1–7. https://doi.org/10.1186/s12888-021-03092-7
Salehi, L., Rahimzadeh, M., Molaei, E., Zaheri, H., & Esmaelzadeh-Saeieh, S. (2020). The relationship among fear and anxiety of COVID-19, pregnancy experience, and mental health disorder in pregnant women: A structural equation model. Brain and Behavior, 10(11), 1–8. https://doi.org/10.1002/brb3.1835
Shatilla Misquita, M., Gomes da Silva, P., De Abreu Braz, G., De Almeida Gomes Sousa, A. B., Fontele Catunda Melo, D., & Nellie de Paula Melo, F. (2020). Atendimento de gestantes na atenção primária a saúde pela enfermagem durante a pandemia do SARS-COV-2. Nursing (São Paulo), 23(269), 4723–4730. https://doi.org/10.36489/nursing.2020v23i269p4723-4730
Sinaci, S., Ozden Tokalioglu, E., Ocal, D., Atalay, A., Yilmaz, G., Keskin, H. L., Erdinc, S. O., Sahin, D., & Moraloglu Tekin, O. (2020). Does having a high-risk pregnancy influence anxiety level during the COVID-19 pandemic? European Journal of Obstetrics and Gynecology and Reproductive Biology, 255, 190–196. https://doi.org/10.1016/j.ejogrb.2020.10.055
Taubman–Ben-Ari, O., Chasson, M., Abu Sharkia, S., & Weiss, E. (2020). Distress and anxiety associated with COVID-19 among Jewish and Arab pregnant women in Israel. Journal of Reproductive and Infant Psychology, 38(3), 340–348. https://doi.org/10.1080/02646838.2020.1786037
Trapani Júnior, A., Vanhoni, L. R., Silveira, S. K., & Marcolin, A. C. (2020). Protocolo de atenção ao parto, puerpério e aborto durante a pandemia COVID-19. Revista Brasileira de Ginecologia e Obstetricia, 42(6), 349–355. https://doi.org/10.1055/s-0040-1713587
Yirmiya, K., Yakirevich-Amir, N., Preis, H., Lotan, A., Atzil, S., & Reuveni, I. (2021). Women’s depressive symptoms during the covid-19 pandemic: The role of pregnancy. International Journal of Environmental Research and Public Health, 18(8). https://doi.org/10.3390/ijerph18084298
Zhao, S. Z., Wong, J. Y. H., Wu, Y., Choi, E. P. H., Wang, M. P., & Lam, T. H. (2020). Social distancing compliance under covid-19 pandemic and mental health impacts: A population-based study. International Journal of Environmental Research and Public Health, 17(18), 1–11. https://doi.org/10.3390/ijerph17186692
Zheng, Q. X., Jiang, X. M., Lin, Y., Liu, G. H., Lin, Y. P., Kang, Y. L., & Liu, X. W. (2020). The influence of psychological response and security sense on pregnancy stress during the outbreak of coronavirus disease 2019: A mediating model. Journal of Clinical Nursing, 29(21–22), 4248–4257. https://doi.org/10.1111/jocn.15460
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Copyright (c) 2021 Martha Laura Leão dos Santos Silva; Livia Rocha Santos; Bruna Maria de Carvalho Pereira; Ana Vitória Meireles Veiga; Daniela Winckler Mass ; Marinice Saraiva Attem; Lúcia Maria de Sousa Aguiar dos Santos
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