Geotemporal analysis of perinatal care changes and maternal mental health: an example from the COVID-19 pandemic.

Anxiety / epidemiology COVID-19 / epidemiology Child Cross-Sectional Studies Depression / epidemiology Female Humans Infant Infant, Newborn Mental Health Pandemics Perinatal Care Pregnancy
Coronavirus Depression Mental health Postpartum Pregnancy Prenatal care

Journal

Archives of women's mental health
ISSN: 1435-1102
Titre abrégé: Arch Womens Ment Health
Pays: Austria
ID NLM: 9815663

Informations de publication

Date de publication:
10 2022
Historique:
received: 08 03 2022
accepted: 29 07 2022
pubmed: 14 8 2022
medline: 24 9 2022
entrez: 13 8 2022
Statut: ppublish

Résumé

Our primary objective was to document COVID-19 induced changes to perinatal care across the USA and examine the implication of these changes for maternal mental health. We performed an observational cross-sectional study with convenience sampling using direct patient reports from 1918 postpartum and 3868 pregnant individuals collected between April 2020 and December 2020 from 10 states across the USA. We leverage a subgroup of these participants who gave birth prior to March 2020 to estimate the pre-pandemic prevalence of specific birthing practices as a comparison. Our primary analyses describe the prevalence and timing of perinatal care changes, compare perinatal care changes depending on when and where individuals gave birth, and assess the linkage between perinatal care alterations and maternal anxiety and depressive symptoms. Seventy-eight percent of pregnant participants and 63% of postpartum participants reported at least one change to their perinatal care between March and August 2020. However, the prevalence and nature of specific perinatal care changes occurred unevenly over time and across geographic locations. The separation of infants and mothers immediately after birth and the cancelation of prenatal visits were associated with worsened depression and anxiety symptoms in mothers after controlling for sociodemographic factors, mental health history, number of pregnancy complications, and general stress about the COVID-19 pandemic. Our analyses reveal widespread changes to perinatal care across the US that fluctuated depending on where and when individuals gave birth. Disruptions to perinatal care may also exacerbate mental health concerns, so focused treatments that can mitigate the negative psychiatric sequelae of interrupted care are warranted.

Identifiants

DOI: 10.1007/s00737-022-01252-6 PMID: 35962855 PMC: PMC9375091
pubmed: 35962855
doi: 10.1007/s00737-022-01252-6
pii: 10.1007/s00737-022-01252-6
pmc: PMC9375091
doi:

Types de publication

Journal Article Observational Study Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

943-956

Subventions

Organisme : NIMH NIH HHS
ID : R01 MH126468
Pays : United States
Organisme : NIMH NIH HHS
ID : R37MH10149
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH125870
Pays : United States
Organisme : NIMH NIH HHS
ID : R01MH113883
Pays : United States
Organisme : NIDA NIH HHS
ID : R01DA046224
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050272
Pays : United States
Organisme : NIMH NIH HHS
ID : R01MH117177
Pays : United States
Organisme : NIDA NIH HHS
ID : R34DA050272
Pays : United States
Organisme : NIH HHS
ID : UH3 OD023279
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001881
Pays : United States
Organisme : NICHD NIH HHS
ID : R21 HD090493
Pays : United States
Organisme : NIMH NIH HHS
ID : K01 MH120507
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050291
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050283
Pays : United States
Organisme : NIMH NIH HHS
ID : R01MH126468
Pays : United States
Organisme : NICHD NIH HHS
ID : R03 HD096141
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050287
Pays : United States
Organisme : NIDA NIH HHS
ID : R34DA050291
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH124824
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR003015
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH119070
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR003016
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050254
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050255
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH016434
Pays : United States
Organisme : NIDA NIH HHS
ID : U01 DA055363
Pays : United States
Organisme : NIDA NIH HHS
ID : R34DA050287
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD085990
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH113883
Pays : United States
Organisme : NIMH NIH HHS
ID : R01MH119070
Pays : United States
Organisme : NIDA NIH HHS
ID : R01 DA046224
Pays : United States
Organisme : NIMH NIH HHS
ID : R21 MH111978
Pays : United States
Organisme : NIDA NIH HHS
ID : R34DA050255
Pays : United States
Organisme : NIDA NIH HHS
ID : R34DA050283
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH117177
Pays : United States

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.

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Auteurs

Cassandra L Hendrix (CL)

Department of Child and Adolescent Psychiatry, New York University Medical Center, New York, NY, USA. Cassandra.hendrix@nyulangone.org.
ORCID: 0000-0002-1462-3941

Denise Werchan (D)

Department of Child and Adolescent Psychiatry, New York University Medical Center, New York, NY, USA.

Carly Lenniger (C)

Department of Child and Adolescent Psychiatry, New York University Medical Center, New York, NY, USA.

Jennifer C Ablow (JC)

Department of Psychology, University of Oregon, Eugene, OR, USA.

Ananda B Amstadter (AB)

Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA.

Autumn Austin (A)

Department of Child and Adolescent Psychiatry, New York University Medical Center, New York, NY, USA.

Vanessa Babineau (V)

Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY, USA.

G Anne Bogat (GA)

Department of Psychology, Michigan State University, East Lansing, MI, USA.

Leigh-Anne Cioffredi (LA)

Hospital Pediatrics, University of Vermont Medical Center, Burlington, VT, USA.

Elisabeth Conradt (E)

Department of Psychology, University of Utah, Salt Lake City, UT, USA.

Sheila E Crowell (SE)

Department of Psychology, University of Utah, Salt Lake City, UT, USA.
Department of Psychiatry, University of Utah Medical School, Salt Lake City, UT, USA.
Department of Obstetrics and Gynecology, University of Utah Medical School, Salt Lake City, UT, USA.

Dani Dumitriu (D)

Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.

Amy J Elliott (AJ)

Department of Pediatrics, University of South Dakota School of Medicine, Vermillion, SD, USA.
Avera Research Institute, Sioux Falls, SD, USA.

William Fifer (W)

Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.

Morgan Firestein (M)

Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.

Wei Gao (W)

Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Biomedical Imaging Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Ian Gotlib (I)

Department of Psychology, Stanford University, Stanford, CA, USA.

Alice Graham (A)

Department of Psychiatry, Oregon Health & Sciences University, Portland, OR, USA.

Kimberly D Gregory (KD)

Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Hanna Gustafsson (H)

Department of Psychiatry, Oregon Health & Sciences University, Portland, OR, USA.

Kathryn L Havens (KL)

Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA.

Christine Hockett (C)

Department of Pediatrics, University of South Dakota School of Medicine, Vermillion, SD, USA.
Avera Research Institute, Sioux Falls, SD, USA.

Brittany R Howell (BR)

Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA.
Department of Human Development and Family Science, Virginia Tech University, Blacksburg, VA, USA.

Kathryn L Humphreys (KL)

Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA.

Nancy Jallo (N)

School of Nursing, Virginia Commonwealth University, Richmond, VA, USA.

Lucy S King (LS)

Department of Psychology, Stanford University, Stanford, CA, USA.

Patricia A Kinser (PA)

School of Nursing, Virginia Commonwealth University, Richmond, VA, USA.

Alytia A Levendosky (AA)

Department of Psychology, Michigan State University, East Lansing, MI, USA.

Joseph S Lonstein (JS)

Department of Psychology, Michigan State University, East Lansing, MI, USA.

Maristella Lucchini (M)

Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.

Rachel Marcus (R)

Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Catherine Monk (C)

Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY, USA.
Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.

Sara Moyer (S)

Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA.

Maria Muzik (M)

Department of Psychiatry, University of Michigan Medical Center, Ann Arbor, VA, USA.

Amy K Nuttall (AK)

Human Development and Family Studies, Michigan State University, East Lansing, MI, USA.

Alexandra S Potter (AS)

Department of Psychiatry, University of Vermont, Burlington, VT, USA.

Cynthia Rogers (C)

Department of Psychiatry, Washington University Medical School in Saint Louis, Saint Louis, MO, USA.

Amy Salisbury (A)

School of Nursing, Virginia Commonwealth University, Richmond, VA, USA.

Lauren C Shuffrey (LC)

Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.

Beth A Smith (BA)

Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA.
Developmental Neuroscience and Neurogenetics Program, The Saban Research Institute, Los Angeles, CA, USA.
Division of Research On Children, Youth, and Families, Childrens Hospital Los Angeles, Los Angeles, CA, USA.
Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Christopher D Smyser (CD)

Departments of Neurology, Pediatrics, and Radiology, Washington University Medical School in Saint Louis, Saint Louis, MO, USA.

Lynne Smith (L)

The Lundquist Institute, Department of Pediatrics, Harbor-UCLA Medical Center, Los Angeles, CA, USA.

Elinor Sullivan (E)

Department of Psychiatry, Oregon Health & Sciences University, Portland, OR, USA.

Judy Zhou (J)

Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA.

Natalie H Brito (NH)

Department of Applied Psychology, New York University, New York, NY, USA.

Moriah E Thomason (ME)

Department of Child and Adolescent Psychiatry, New York University Medical Center, New York, NY, USA.
Neuroscience Institute, New York University Medical Center, New York, NY, USA.
Department of Population Health, New York University Medical Center, New York, NY, USA.

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Classifications MeSH

questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Anxiété › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Dépression › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Caractéristiques de la population › Santé › Santé mentale › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Épidémies de maladies › Épidémies › Pandémies › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins périnatals › Geotemporal analysis of perinatal care changes...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Geotemporal analysis of perinatal care changes...