Psychological impact of the COVID‐19 pandemic among pregnant women in Sri Lanka

Patabendige, Malitha; Gamage, Madhawa M.; Weerasinghe, Manuj C.; Jayawardane, Asanka

doi:10.1002/ijgo.13335

Cited by 73 publications

(105 citation statements)

References 7 publications

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“…A total of 23 studies (Ayaz et al, 2020;Berthelot et al, 2020;Ceulemans et al, 2020;Durankuş and Aksu, 2020;Farewell et al, 2020;Gu et al, 2020;He et al, 2020;Lebel et al, 2020;Li et al, 2020;Liu et al, 2020;Mappa et al, 2020;Matsushima and Horiguchi, 2020;Oskovi-Kaplan et al, 2020;Parra-Saavedra et al, 2020;Patabendige et al, 2020;Preis et al, 2020;Saccone et al, 2020;Sade et al, 2020;Silverman et al, 2020;Wu et al, 2020b;Yue et al, 2020;Zanardo et al, 2020;Zhang and Ma, 2020) performed with 20 569 participants (16,797 pregnant women and 3,772 postpartum women) during the COVID-19 pandemic and with 3,677 pregnant women before the COVID-19 pandemic were included in this systematic review and metaanalysis. A total of 19 studies (Ceulemans et al, 2020;Durankuş and Aksu, 2020;Farewell et al, 2020;He et al, 2020;Lebel et al, 2020;Li et al, 2020;Liu et al, 2020;Mappa et al, 2020;Matsushima and Horiguchi, 2020;Oskovi-Kaplan et al, 2020;Parra-Saavedra et al, 2020;Patabendige et al, 2020;Preis et al, 2020;Saccone et al, 2020;…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…A total of 19 studies (Ceulemans et al, 2020;Durankuş and Aksu, 2020;Farewell et al, 2020;He et al, 2020;Lebel et al, 2020;Li et al, 2020;Liu et al, 2020;Mappa et al, 2020;Matsushima and Horiguchi, 2020;Oskovi-Kaplan et al, 2020;Parra-Saavedra et al, 2020;Patabendige et al, 2020;Preis et al, 2020;Saccone et al, 2020;Sade et al, 2020;Silverman et al, 2020;Wu et al, 2020b;Yue et al, 2020;Zhang and Ma, 2020) were cross-sectional, and 4 (Ayaz et al, 2020;Berthelot et al, 2020;Gu et al, 2020;Zanardo et al, 2020) were case-control studies. Among the 23 studies, 7 were located in China (Gu et al, 2020;He et al, 2020;Li et al, 2020;Liu et al, 2020;Wu et al, 2020b;Yue et al, 2020;Zhang and Ma, 2020), 3 were implemented in America (Farewell et al, 2020;Preis et al, 2020;Silverman et al, 2020), 3 were performed in Turkey (Ayaz et al, 2020;Durankuş and Aksu, 2020;Oskovi-Kaplan et al, 2020), 3 were undertaken in Italy (Mappa et al, 2020;Saccone et al, 2020;…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…The pooled prevalence of anxiety among pregnant women was 37% (95% CI 25-49%, I 2 = 99.4%) as shown in Figure 2. After excluding studies with a high risk of bias, 11 studies with a low risk of bias (Ayaz et al, 2020;Berthelot et al, 2020;Ceulemans et al, 2020;Lebel et al, 2020;Liu et al, 2020;Mappa et al, 2020;Parra-Saavedra et al, 2020;Patabendige et al, 2020;Preis et al, 2020;Saccone et al, 2020;Yue et al, 2020) showed a pooled prevalence of anxiety among pregnant women of 34% (95% CI 22-47%, I 2 = 99.4%). In sensitivity analysis, 5 studies (Berthelot et al, 2020;Ceulemans et al, 2020;Li et al, 2020;Saccone et al, 2020; Yue et al, 2020) affected the pooled prevalence of anxiety among pregnant women by over 2%.…”

Section: Anxiety Prevalencementioning

confidence: 99%

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Mental Health of Pregnant and Postpartum Women During the Coronavirus Disease 2019 Pandemic: A Systematic Review and Meta-Analysis

2020

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Background: Prenatal and postnatal mental disorders can exert severe adverse influences on mothers, fetuses, and children. However, the effect of the coronavirus disease 2019 (COVID-19) pandemic on the mental health of pregnant and postpartum women remains unclear.Methods: Relevant studies that were published from January 1, 2019 to September 19, 2020 were identified through the systematic search of the PubMed, EMBASE, and Web of Science databases. Quality assessment of included studies, random-effects meta-analysis, sensitivity analysis, and planned subgroup analysis were performed.Results: A total of 23 studies conducted with 20,569 participants during the COVID-19 pandemic and with 3,677 pregnant women before the COVID-19 pandemic were included. The prevalence rates of anxiety, depression, psychological distress, and insomnia among pregnant women during the COVID-19 pandemic were 37% (95% confidence interval [CI] 25–49%), 31% (95% CI 20–42%), 70% (95% CI 60–79%), and 49% (95% CI 46–52%), respectively. The prevalence of postpartum depression was 22% (95% CI 15–29%). Multigravida women and women in the first and third trimesters of pregnancy were more vulnerable than other pregnant women. The assessment of the associations between the COVID-19 pandemic and mental health problems revealed that the pooled relative risks of anxiety and depression in pregnant women were 1.65 (95% CI: 1.25–2.19) and 1.08 (95% CI: 0.80–1.46), respectively.Conclusions: The prevalence rates of mental disorders among pregnant and postpartum women during the COVID-19 pandemic were high. Timely and tailored interventions should be applied to mitigate mental problems among this population of women, especially multigravida women and women in the first and third trimesters of pregnancy.

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Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Anxiety Prevalencementioning

confidence: 99%

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Mental Health of Pregnant and Postpartum Women During the Coronavirus Disease 2019 Pandemic: A Systematic Review and Meta-Analysis

2020

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“…Most of the studies published in the last months on the effect of the Covid-19 pandemic on pregnancy and childbirth have mainly focused on medical conditions and risk factors and have attempted to pinpoint the measures and clinical recommendations required to contain the Covid-19 spread (e.g., Chen et al, 2020;Liang and Acharya, 2020). The scant literature that has addressed the psychological impact of the Covid-19 pandemic on expectant and postpartum women has found higher levels of anxiety and depressive symptoms among participants when compared to similar cohorts assessed before the outbreak (Ceulemans et al, 2020;Lebel et al, 2020;Liu et al, 2020;Patabendige et al, 2020). An Italian study investigating the psychological effects of the pandemic on pregnant women found a significant change in their expectations toward pregnancy and childbirth as well as an increase in their concerns and distress, especially if they had a previous history of psychological distress in press (Ravaldi et al, 2020).…”

Section: Psychological Well-being During the Covid-19 Pandemicmentioning

confidence: 99%

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

2020

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The birth of a child is a critical and potentially stressful experience for women, entailing several changes both at the individual and interpersonal level. This event can lead to different forms of distress, ranging in intensity and duration. Many studies highlighted medical, psychological, and social variables as risk factors potentially influencing the onset or aggravation of perinatal maternal conditions. The current pandemic emergency and the restrictive measures adopted by local governments to prevent the spread of the coronavirus infection may negatively affect mothers-to-be and new mothers potentially increasing the likelihood of anxiety, depressive or post-traumatic symptoms to develop. Moreover, the forced quarantine combined with the limited access to professional or family support may increase feelings of fatigue and isolation. The present study aims to investigate women's psychological well-being during pregnancy and in the first months after childbirth, integrating the evaluation of some traditionally studied variables with the specificities of the current situation. 575 Italian women have been administered an online self-report questionnaire assessing the presence of anxiety disorders, depressive and post-traumatic symptoms as well as the expectations toward childbirth (for mothersto-be) or the subjective experience of childbirth (for postpartum women). Findings revealed a higher percentage of women than that reported in the literature scored above the clinical cutoff both during pregnancy and postpartum on a series of measures of psychological well-being, thus demonstrating that this period was perceived as particularly challenging and stressful and had significant impact on the women's wellbeing. Moreover, some socio-demographic, medical, and pandemic-related variables, especially the lack of presence and support from one's partner during labor and delivery as well as in the first days postpartum was found to predict women's mental health. These findings suggest the need for developing specific interventions targeted at women who cannot benefit from the support of their partners or family.

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“…Pooled prevalence of anxietyA total of 31 studies reported the prevalence of anxiety during COVID-19 in different samples from South Asian countries[46][47][48][49][50][51][52][53][54][55][56]58,59,[61][62][63][64][65][66]68,69,[71][72][73][74][75][76][77][78][79][80] . These studies used different scales to measureanxiety in respective samples, including the Generalized Anxiety Disorder 7-item (GAD-7) scale (n = 16), Depression, Anxiety and Stress Scale -21 Items (DASS-21) scales (n = 9), Hospital Anxiety and Depression Scale (HADS) (n = 4), Patient Health Questionnaire-4 (PHQ-4) (n = 1), and Self Reporting Questionnaire 20-items (SRQ-20) scale (n = 1).…”

mentioning

confidence: 99%

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Hossain¹,

Rahman²,

Trisha³

et al. 2020

Preprint

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Introduction: The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. Pre-pandemic studies suggest a high prevalence of common mental disorders, including anxiety and depression in South Asian countries, which may aggravate during this pandemic. This systematic meta-analytic review was conducted to estimate the pooled prevalence of anxiety and depression in South Asian countries during the COVID-19 pandemic. Method: We systematically searched for cross-sectional studies on eight major bibliographic databases and additional sources up to October 12, 2020, that reported the prevalence of anxiety or depression in any of the eight South Asian countries. A random-effects model was used to calculate the pooled proportion of anxiety and depression. Results: A total of 35 studies representing 41,402 participants were included in this review. The pooled prevalence of anxiety in 31 studies with a pooled sample of 28,877 was 41.3% (95% confidence interval [CI]: 34.7-48.1, I2 = 99.18%). Moreover, the pooled prevalence of depression was 34.1% (95% CI: 28.9-39.4, I2 = 99%) among 37,437 participants in 28 studies. Among the South Asian countries, India had a higher number of studies, whereas Bangladesh and Pakistan had a higher pooled prevalence of anxiety and depression. No studies were identified from Afghanistan, Bhutan, and Maldives. Studies in this review had high heterogeneity and varying prevalence across sub-groups. Conclusion: South Asian countries have high prevalence rates of anxiety and depression, suggesting a heavy psychosocial burden during this pandemic. Clinical and public mental health interventions should be prioritized alongside improving the social determinants of mental health in these countries. Lastly, a low number of studies with high heterogeneity requires further research exploring the psychosocial epidemiology during COVID-19, which may inform better mental health policymaking and practice in South Asia.

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Psychological impact of the COVID‐19 pandemic among pregnant women in Sri Lanka

Abstract: The COVID‐19 pandemic has caused increased rates of perinatal anxiety and depression in pregnant women with no known COVID‐19 infection in Sri Lanka.

Cited by 73 publications

References 7 publications

Mental Health of Pregnant and Postpartum Women During the Coronavirus Disease 2019 Pandemic: A Systematic Review and Meta-Analysis

Mental Health of Pregnant and Postpartum Women During the Coronavirus Disease 2019 Pandemic: A Systematic Review and Meta-Analysis

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

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