COVID-19 and Anxiety in Perinatal Women

Najam, Rehana; Chawla, Nivedita; Lalwani, Astha; Varshney, Rohit Kumar; Parmar, Seema Singh

doi:10.34172/jcs.2022.07

Cited by 9 publications

(9 citation statements)

References 14 publications

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“…In some patients, this becomes a vicious cycle ruining their normal life. 18 - 20 In line with the results of the current study, horror, and stigma are directly related to each other, and labeling a patient with COVID-19 increases the patients’ anxiety and fear, which consequently weakens the patient’s immune system and makes their condition worse. 21 The results of another study showed those who are sick or quarantined may experience shame, guilt, or stigma.…”

Section: Discussionsupporting

confidence: 80%

Lived Experiences of the Patients with COVID-19: A Hermeneutic Phenomenology

et al. 2022

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Introduction: The COVID-19 pandemic is a considerable challenge for infected patients who require more attention for recovery. Therefore, this study aimed to explore the lived experience of patients with COVID-19. Methods: This qualitative, hermeneutic phenomenological study was conducted in the southeast of Iran from March to May 2020. The data were purposefully collected from 16 patients with COVID-19. Data were collected using in-depth semi-structured telephone interviews and analyzed using the Van Manen method. Results: The lived experiences of patients were categorized into five themes, including incredible clinical symptoms of COVID-19, horror and stigma, bad memories of hospitalization, trust in God and hope as recovery agents from COVID-19, and reborn after recovery from COVID-19. Conclusion: Patients with COVID-19 have experienced variety of physical and psychosocial challenges. Health care providers have to supply appropriate strategies to fulfill the infected patients needs in such a crisis.

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Section: Discussionsupporting

confidence: 80%

Lived Experiences of the Patients with COVID-19: A Hermeneutic Phenomenology

et al. 2022

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“…Najam R, et al in their study in India described that dysfunctional anxiety was found in 18.3% of antenatal women and 14.6% of postnatal women. This difference is due to different study settings 25 .…”

Section: Discussionmentioning

confidence: 99%

“…Total score ranging from 1-4 signifies minimal or no depression. Mild depression is interpreted by (5-9) score, moderate depression by (10)(11)(12)(13)(14) score, moderately severe depression by (15)(16)(17)(18)(19) score and severe depression by (20)(21)(22)(23)(24)(25)(26)(27) score. In this study, depression was categorized as minimal to mild depression (PHQ-9 score <10) and moderate to severe depression (PHQ-9 score ≥ 10).…”

Section: Methodsmentioning

confidence: 99%

Impact of COVID-19 on mental health of pregnant women in Punjab, Pakistan

Maqbool¹,

Manzoor²,

Farman³

et al. 2022

PJMHS

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Background: Maternal depression and anxiety can predispose the women to higher risk of complications. The COVID-19 pandemic is a unique stressor which may affect the mental and psychological well-being of pregnant women. Aim: To determine prevalence of depression and anxiety and related factors in pregnant women during COVID-19. Methods: This multicenter analytical cross-sectional study was carried out from August 2021 to December 2021 in six cities of Pakistan. Two stage sampling technique was used to include sample of 400 pregnant women. Patient Health Questionnaire-9 (PHQ-9) and Corona virus Anxiety Scale (CAS) were used to measure depression and anxiety level along with self-constructed questionnaire to record socio-demographic profile. Data entry and analysis was done in SPSS version 23. Association between variables was assessed by applying Chi square test and strength of association was measured by binary logistic regression. p-value ≤ 0.05 was taken as statistically significant. Results: Mean age of participants was 27.25±5.22 years. The mean gestational age was 23.5±9.6 weeks. About 37.1% had mild depression. Moderate depression was found in 7.8% and moderately severe depression in 0.5% participants. Significant association was found between depression and no physical activity (p value=0.02), not having spouse support (p value=0.03), perceived vulnerability to get COVID (p value=0.004) and fear of infection to baby (p value=0.05). Only 3.25% participants had dysfunctional anxiety. Conclusion: Findings of the study would be helpful for policy makers to launch health awareness campaigns about regular physical activity, role of social support and seeking medical advice for mental well-being during pregnancy. Keywords: COVID-19, Anxiety, Depression, Mental health, Pregnancy

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“…Data from the literature indicates that the pandemic has had a significant impact on maternal depression during pregnancy and in the postpartum period. 11 , 12 …”

Section: Introductionmentioning

confidence: 99%

“…Data from the literature indicates that the pandemic has had a significant impact on maternal depression during pregnancy and in the postpartum period. 11,12 Given that approximately 140 million babies are born every year worldwide, 13 PPD is a major public health challenge because of its importance for both maternal and child health. Anesthesiologists are concerned about short-and long-term adverse birth stressors and events in both mothers and babies.…”

Section: Introductionmentioning

confidence: 99%

Childbirth Pain, Labor Epidural Analgesia, and Postpartum Depression: Recent Evidence and Future Directions

Du¹,

Liu²,

Xu³

et al. 2022

JPR

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Pregnancy and childbirth are major life events for women and their families, characterized by physical, psychological, and emotional changes that can trigger anxiety, depression, and mental disorders in susceptible individuals. Acute labor pain is an independent risk factor for persistent pain in the postpartum period and is associated with depressive disorders. Epidural analgesia is a well-established technique that has commonly been regarded as the gold standard in pain management during labor. Although the relationships between labor pain, labor epidural analgesia, and postpartum depression have been studied by many investigators, the results of these studies are conflicting. Some literature suggest that labor epidural analgesia is associated with a reduction in the incidence of postpartum depression; however, other studies have failed to demonstrate this association. Unmet analgesic needs expectations, unmet birth expectations, and/or the quality of social support during labor may contribute to postpartum depression. The limitations of the published studies included differential misclassification of study variables and residual confounding, variations in the diagnosis of depression, and incomplete history data. Thus, future studies should include information on sociodemographic and patient-level variables and assessments of pain during labor or in the postpartum period. Better management of labor pain should be provided to prevent long-term morbidity and improve maternal and neonatal outcomes. Anesthesiologists could collaboratively work with obstetricians and perinatal psychiatrists to ensure that hospitals prioritize screening and treatment for postpartum depression.

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COVID-19 and Anxiety in Perinatal Women

Cited by 9 publications

References 14 publications

Lived Experiences of the Patients with COVID-19: A Hermeneutic Phenomenology

Lived Experiences of the Patients with COVID-19: A Hermeneutic Phenomenology

Impact of COVID-19 on mental health of pregnant women in Punjab, Pakistan

Childbirth Pain, Labor Epidural Analgesia, and Postpartum Depression: Recent Evidence and Future Directions

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