The COVID-19 Pandemic Impacted Maternal Mental Health Differently Depending on Pregnancy Status and Trimester of Gestation.

Journal: International journal of environmental research and public health

Volume: 19

Issue: 5

Year of Publication: 2022

Affiliated Institutions:  Faculty of Pharmacy, University of Montreal, Montreal, QC HT J, Canada. Research Center, CHU Sainte-Justine, Montreal, QC HT C, Canada. Health Sciences Department, Université du Québec en Abitibi-Témiscamingue, Rouyn-Noranda, QC JX E, Canada. Faculty of Medicine, McGill University, Montreal, QC HG M, Canada. Department of Epidemiology & Biostatistics, Western University, London, ON NA W, Canada. Department of Family Medicine, Protestant University in Congo, Kinshasa II, Democratic Republic of the Congo. Department of Medicine, - Katz Group Centre for Pharmacy and Health Research, University of Alberta, Edmonton, AL TG R, Canada. College of Medicine, Department of Community Health and Epidemiology, University of Saskatcheawan, Saskatoon, SK SN E, Canada. Yale Child Study Center, Department of OB/GYN and Reproductive Sciences, Yale School of Medicine, New Haven, CT , USA. College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB RE W, Canada. Manitoba Center for Health Policy, Winnipeg, MB RE P, Canada. Department of Obstetrics & Gynaecology, University of British Columbia, Vancouver, BC VT Z, Canada. Department of Pediatrics, School of Population and Public Health, University of BC, Vancouver, BC VT Z, Canada. Department of Clinical Epidemiology, UMR CNRS, Clinical Investigation Centre, Inserm-Hospices Civils de Lyon, Claude Bernard University Lyon , Lyon, France. Faculty of Medicine, Université Claude Bernard Lyon , Lyon, France. Divisions of Clinical Epidemiology and Rheumatology, McGill University Health Centre, Montreal, QC HA G, Canada. Dispensaire Diététique de Montréal/Montreal Diet Dispensary, Montreal, QC HH J, Canada. Department of Anesthesiology and Pain Medicine, CIUSSS de l'Est de l'Ile de Montreal, Maisonneuve-Rosemont Hospital, University of Montreal, Montreal, QC HT M, Canada. Research Center, Maisonneuve-Rosemont Hospital, CIUSSS de l'Est de l'Ile de Montreal, Montreal, QC HT M, Canada.

Abstract summary 

Introduction: We aimed to measure the impact of the COVID-19 pandemic on maternal mental health, stratifying on pregnancy status, trimester of gestation, and pandemic period/wave. Methods: Pregnant persons and persons who delivered in Canada during the pandemic, >18 years, were recruited, and data were collected using a web-based strategy. The current analysis includes data on persons enrolled between 06/2020−08/2021. Maternal sociodemographic indicators, mental health measures (Edinburgh Perinatal Depression Scale (EPDS), Generalized Anxiety Disorders (GAD-7), stress) were self-reported. Maternal mental health in pregnant women (stratified by trimester, and pandemic period/wave at recruitment) was compared with the mental health of women who had delivered; determinants of severe depression were identified with multivariate logistic regression models. Results: 2574 persons were pregnant and 626 had already delivered at recruitment. Participants who had delivered had significantly higher mean depressive symptom scores compared to those pregnant at recruitment (9.1 (SD, 5.7) vs. 8.4 (SD, 5.3), p = 0.009). Maternal anxiety (aOR 1.51; 95%CI 1.44−1.59) and stress (aOR 1.35; 95%CI 1.24−1.48) were the most significant predictors of severe maternal depression (EDPS ˃ 13) in pregnancy. Conclusion: The COVID-19 pandemic had a significant impact on maternal depression during pregnancy and in the post-partum period. Given that gestational depression/anxiety/stress has been associated with preterm birth and childhood cognitive problems, it is essential to continue following women/children, and develop strategies to reduce COVID-19′s longer-term impact.

Authors & Co-authors:  Bérard Anick A Gorgui Jessica J Tchuente Vanina V Lacasse Anaïs A Gomez Yessica-Haydee YH Côté Sylvana S King Suzanne S Muanda Flory F Mufike Yves Y Boucoiran Isabelle I Nuyt Anne Monique AM Quach Caroline C Ferreira Ema E Kaul Padma P Winquist Brandace B O'Donnell Kieran J KJ Eltonsy Sherif S Chateau Dan D Zhao Jin-Ping JP Hanley Gillian G Oberlander Tim T Kassai Behrouz B Mainbourg Sabine S Bernatsky Sasha S Vinet Évelyne É Brodeur-Doucet Annie A Demers Jackie J Richebé Philippe P Zaphiratos Valerie V

Study Outcome 

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Statistics
Citations :  Grote N.K., Bridge J.A., Gavin A.R., Melville J.L., Iyengar S., Katon W.J. A Meta-analysis of Depression During Pregnancy and the Risk of Preterm Birth, Low Birth Weight, and Intrauterine Growth Restriction. Arch. Gen. Psychiatry. 2010;67:1012–1024. doi: 10.1001/archgenpsychiatry.2010.111.
Authors :  29
Identifiers
Doi : 2926
SSN : 1660-4601
Study Population
Women
Mesh Terms
COVID-19
Other Terms
COVID-19 pandemic;Edinburgh Perinatal Depression Scale (EPDS);Generalized Anxiety Disorders (GAD-7);maternal mental health;pregnancy and delivery;stress;trimester of pregnancy
Study Design
Study Approach
Country of Study
Publication Country
Switzerland