Depressive symptomer og fødselsopplevelse hos spedbarnsmødre under covid-19-pandemien

Eberhard‐Gran, Malin; Engelsen, Lena Yri; Al-Zirqi, Iqbal; Vangen, Siri

doi:10.4045/tidsskr.21.0450

Cited by 11 publications

(14 citation statements)

References 12 publications

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“…18 However, the observed prevalence was not as high as reported by another study from Norway. 19 This discrepancy could be explained by the differences in study design, methodology and timing of the survey. The study by Eberhard-Gran et al 19 was based on an online survey conducted during the last week of April 2021, when the pandemic situation was more serious than during June to September 2020, when our study was conducted, a time with the fewest newly infected cases and most liberal restrictions.…”

Section: Background Characteristics Of the Study Populationmentioning

confidence: 99%

Impact of the COVID‐19 pandemic on women's perinatal mental health and its association with personality traits: An observational study

Birkelund

Rasmussen

Schwank

et al. 2023

Acta Obstet Gynecol Scand

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Introduction The burden of perinatal mental health problems was expected to increase during the COVID‐19 pandemic. We prospectively investigated the impact of the COVID‐19 pandemic on the mental health of pregnant and postpartum women in Norway and explored associations with their sociodemographic characteristics and personality traits. Material and methods Sociodemographic information and the self‐reported impact of pandemic on wellbeing of pregnant women was collected using an online survey. To assess women's mental health, two validated questionnaires, the Edinburgh Postpartum Depression Scale (EPDS) and the Generalized Anxiety Disorder‐7 item Scale (GAD‐7), were used prenatally and postnatally. Personality traits were evaluated using HumanGuide, a web‐based ipsative psychological evaluation instrument. Results 772 women were included prenatally, of which 526 also responded to the survey 4–6 weeks postnatally. The median age was 29 years, 53.6% of the women were nulliparous when enrolled, and 35.1% worked in the healthcare sector. The median EPDS (6.0; interquartile range [IQR] 3.0–10.0 vs 6.0; IQR: 3.0–10.0) and the median GAD‐7 (5.0; IQR 2.0–9.0 vs 5.0; IQR 2.0–9.0) were similar pre‐and postnatally. Prenatally, the proportion of women scoring ≥13 on EPDS and ≥10 on GAD‐7 was 14.5% (112/772) and 21.5% (166/772), whereas the postnatal figures were 15.6% (82/526) and 21.5% (113/526), respectively. The differences were not significant (P = 0.59 and P = 0.99). Being <25 years of age, being on pre‐pregnancy psychotherapy or psychotropic medication, frequent voluntary isolation, perception of maternity care not proceeding normally, avoiding seeking medical assistance due to fear of infection and having negative economic consequences during the COVID19 pandemic significantly increased the risk of both anxiety (GAD‐7 ≥10) and depression (EPDS ≥13). Nullipara had a higher risk of anxiety, whereas being a healthcare worker had a lower risk. The personality trait factors Power (P = 0.008), Quality (P = 0.008), Stability (P < 0.001) and Contacts (P < 0.001) were significant predictors of depression among pregnant women, whereas the Quality (P = 0.005) and Contacts (P = 0.003) were significant predictors of anxiety. Conclusions During the initial phase of the COVID‐19 pandemic, the prevalence of depression (EPDS ≥ 13) and anxiety (GAD‐7 ≥ 10) was 14.5% and 21.5%, respectively, among Norwegian pregnant women. Certain sociodemographic characteristics and personality traits were significant predictors of depression and anxiety.

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Section: Background Characteristics Of the Study Populationmentioning

confidence: 99%

Impact of the COVID‐19 pandemic on women's perinatal mental health and its association with personality traits: An observational study

Birkelund

Rasmussen

Schwank

et al. 2023

Acta Obstet Gynecol Scand

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“…Notably, a recent study from Norway found that one in three women who gave birth during the pandemic scored high on depressive symptoms compared with 10% in the prepandemic reference population. 12 …”

Section: Discussionmentioning

confidence: 99%

“… 11 Another study with data from the first year of the pandemic found that one in three women reported a high depression score after giving birth during the pandemic and a high percentage reported lack of follow‐up for maternal mental health. 12 These findings are of concern since negative childbirth experiences can severely impact the future health and well‐being of mothers and their newborns. Studies have found that a negative birth experience is associated with post‐traumatic stress disorder, shorter periods of breastfeeding, and women choosing to have fewer subsequent children.…”

Section: Introductionmentioning

confidence: 99%

Quality of health care around the time of childbirth during the COVID‐19 pandemic: Results from the IMAgiNE EURO study in Norway and trends over time

Nedberg

Vik

Kongslien

et al. 2022

Intl J Gynecology & Obste

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Objective To describe maternal perception of the quality of maternal and newborn care (QMNC) in facilities in Norway during the first year of COVID‐19 pandemic. Methods Women who gave birth in a Norwegian facility from March 1, 2020, to October 28, 2021, filled out a structured online questionnaire based on 40 WHO standards‐based quality measures. Quantile regression analysis was performed to assess changes in QMNC index over time. Results Among 3326 women included, 3085 experienced labor. Of those, 1799 (58.3%) reported that their partner could not be present as much as needed, 918 (29.8%) noted inadequate staff numbers, 183 (43.6%) lacked a consent request for instrumental vaginal birth (IVB), 1067 (34.6%) reported inadequate communication from staff, 78 (18.6%) reported fundal pressure during IVB, 670 (21.7%) reported that they were not treated with dignity, and 249 (8.1%) reported experiencing abuse. The QMNC index increased gradually over time (3.68 points per month, 95% CI, 2.83–4.53 for the median), with the domains of COVID‐19 reorganizational changes and experience of care displaying the greatest increases, while provision of care was stable over time. Conclusion Although several measures showed high QMNC in Norway during the first year of the COVID‐19 pandemic, and a gradual improvement over time, several findings suggest that gaps in QMNC exist. These gaps should be addressed and monitored.

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“…The same need for knowledge is also demonstrated by midwifery students, as the subject of mental illness during pregnancy does not occupy a prominent place in the midwifery curriculum (11,12). Furthermore, recent research shows a significant increase in mental illness among pregnant women during the pandemic caused by Covid-19 and prolonged isolation with minimal face-to-face contact with their midwives (13,14).…”

Section: Introductionmentioning

confidence: 94%

Midwives’ descriptions of strategies and requirements when following up pregnant women at risk of developing perinatal depression - a qualitative study

Fuglestein

Fredagsvik

Pajalić

2023

JHSCI

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Introduction: According to the guidelines, health-care personnel should have routines to identify depression and anxiety,but no screening tool is required. The aim of the study is to describe how midwives in antenatal care describe strategiesand requirements when following up pregnant women at risk of developing perinatal depression. Methods: Study is designed as qualitative descriptive study. It includes authorized midwives who work in prenatal carein Western Norway (n = 11) were interviewed between October 21 and November 02, 2021. Verbatim transcribedinterviews were analyzed using manifest qualitative content analysis. The study was performed in accordance with theConsolidated Criteria for Reporting Qualitative Research. Results: The manifest content analysis revealed three categories: (1) Midwife as haven, (2) Growing into the professionalrole as a midwife and (3) Organizational challenges in antenatal care. The midwives also expressed that they feltthey were saddled with a great responsibility that could be a lot to bear. Clinical experience was highlighted as essentialsources of self-confidence in work. Conclusion: Identified categories confirm some crucial issues in midwifery-led maternity care, such as the need for continuousprofessional training, clear local guidelines, and sufficient time for consultation with women at risk of developingperinatal depression. The findings also reflect the importance of early detection of these women to offer support andassistance throughout pregnancy and after delivery.

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Depressive symptomer og fødselsopplevelse hos spedbarnsmødre under covid-19-pandemien

Cited by 11 publications

References 12 publications

Impact of the COVID‐19 pandemic on women's perinatal mental health and its association with personality traits: An observational study

Impact of the COVID‐19 pandemic on women's perinatal mental health and its association with personality traits: An observational study

Quality of health care around the time of childbirth during the COVID‐19 pandemic: Results from the IMAgiNE EURO study in Norway and trends over time

Midwives’ descriptions of strategies and requirements when following up pregnant women at risk of developing perinatal depression - a qualitative study

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