Changes to women's childbirth plans during the COVID-19 pandemic and posttraumatic stress symptoms: a cross-national study.
Birth
Childbirth plan
Mental health
Postpartum
Posttraumatic stress disorder
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:
16 Dec 2023
16 Dec 2023
Historique:
received:
29
03
2023
accepted:
16
11
2023
medline:
16
12
2023
pubmed:
16
12
2023
entrez:
15
12
2023
Statut:
aheadofprint
Résumé
A considerable number of women giving birth during COVID-19 pandemic reported being concerned about changes to their childbirth plans and experiences due to imposed restrictions. Research prior to the pandemic suggests that women may be more at risk of post-traumatic stress symptoms (PTSS) due to unmet expectations of their childbirth plans. Therefore, this study aimed to examine if the mismatch between women's planned birth and actual birth experiences during COVID-19 was associated with women's postpartum PTSS. Women in the postpartum period (up to 6 months after birth) across 11 countries reported on childbirth experiences, mental health, COVID-19-related factors, and PTSS (PTSD checklist DSM-5 version) using self-report questionnaires (ClinicalTrials.gov: NCT04595123). More than half (64%) of the 3532 postpartum women included in the analysis reported changes to their childbirth plans. All changes were significantly associated with PTSS scores. Participants with one and two changes to their childbirth plans had a 12% and 38% increase, respectively, in PTSS scores compared to those with no changes (Exp(β) = 1.12; 95% CI [1.06-1.19]; p < 0.001 and Exp(β) = 1.38; 95% CI [1.29-1.48]; p < 0.001). In addition, the effect of having one change in the childbirth plan on PTSS scores was stronger in primigravida than in multigravida (Exp(β) = 0.86; 95% CI [0.77-0.97]; p = 0.014). Changes to women's childbirth plans during the COVID-19 pandemic were common and associated with women's postpartum PTSS score. Developing health policies that protect women from the negative consequences of unexpected or unintended birth experiences is important for perinatal mental health.
Identifiants
pubmed: 38102527
doi: 10.1007/s00737-023-01403-3
pii: 10.1007/s00737-023-01403-3
doi:
Banques de données
ClinicalTrials.gov
['NCT04595123']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Fundação para a Ciência e a Tecnologia
ID : UIDB/04750/2020
Organisme : Fundação para a Ciência e a Tecnologia
ID : UIDB/05380/2020
Organisme : Fundação para a Ciência e a Tecnologia
ID : SFRH/BPD/117597/2016
Organisme : Fundação para a Ciência e a Tecnologia
ID : NORTE-06-3559-FSE-000044
Organisme : Fundação para a Ciência e a Tecnologia
ID : UIDB/PSI/01662/2020
Organisme : Mission Interface Program from the Resilience and Recuperation Plan
ID : 01/C05-i02 /2022
Organisme : Cost Action KP-06-KOST/14
ID : 16.12.2020
Organisme : Cost Action KP-06-KOST/14
ID : FNI
Organisme : UK's National Institute for Health and Care Research (NIHR)
ID : Academic Clinical Lecturer
Informations de copyright
© 2023. The Author(s).
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