Setting the Agenda for Reproductive and Maternal Health in the Era of COVID-19: Lessons from a Cruel and Radical Teacher

McCloskey, Lois; Amutah‐Onukagha, Ndidiamaka; Bernstein, Judith; Handler, Arden

doi:10.1007/s10995-020-03033-y

Cited by 16 publications

(18 citation statements)

References 37 publications

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“…Because of structural racism, socially vulnerable groups have been disproportionately affected by the pandemic and existing inequities in health care access and outcomes have been exacerbated. 30,31 In this study, we aimed at recruiting a diverse sample of pregnant women (44% non-Hispanic black, 39% non-Hispanic white women) to examine this disparity. To our surprise, we found that non-Hispanic black women had significantly lower odds of depression and anxiety than non-Hispanic white women after adjusting for covariates.…”

Section: Sociodemographic and Clinical Correlates Of Mental Health Outcomesmentioning

confidence: 99%

Mental health among pregnant women with COVID‐19–related stressors and worries in the United States

Liu

Hung

Alberg

et al. 2021

Birth

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Background Few studies have evaluated whether pandemic‐related stressors, worries, and social distancing have affected the mental health of pregnant women during the COVID‐19 pandemic. Methods Data came from an online survey of United States pregnant women (n = 715), conducted in May 2020. The Edinburgh Postnatal Depression Scale and Generalized Anxiety Disorder Scale were used to assess depressive symptoms, thoughts of self‐harm, and moderate or severe anxiety. Multiple logistic regressions were used to examine the associations of COVID‐19 experiences with mental health outcomes. Results Participants were racially diverse. The prevalence of adverse mental health outcomes was 36% for probable depression, 20% for thoughts of self‐harm, and 22% for anxiety. Women who reported family members dying from COVID‐19 had four times higher odds of having thoughts of self‐harm than women who did not experience family death. Depression was more prevalent among women who canceled or reduced medical appointments. Women were more likely to have worse mental health outcomes if they expressed worry about getting financial or emotional/social support, about their pregnancy, or about family or friends. Strict social distancing was positively associated with depression. A higher proportion of adults working from home was inversely associated with depression and thoughts of self‐harm. Conclusion High percentages of pregnant women had symptoms of depression or anxiety, suggesting an urgent need to screen and treat mental health conditions among pregnant women during the pandemic. Pandemic‐related risks and protective factors are relevant to developing tailored interventions to address the mental health of pregnant women during pandemic circumstances.

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Section: Sociodemographic and Clinical Correlates Of Mental Health Outcomesmentioning

confidence: 99%

Mental health among pregnant women with COVID‐19–related stressors and worries in the United States

Liu

Hung

Alberg

et al. 2021

Birth

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“…Therefore, we echo the recent call by maternal health researchers and clinical practitioners in the United States to use the failings of perinatal healthcare provision during the pandemic as a springboard for overhauling how maternal health care is structured and staffed [ 55 ]. As for what that might look like in Canada, the experiences of the women who participated in our study highlight the imperative of increasing capacity for out-of-hospital births and perinatal care while also decentering monitoring and intervention as cornerstones of perinatal care for uncomplicated pregnancies.…”

Section: Discussionmentioning

confidence: 96%

Making good care essential: The impact of increased obstetric interventions and decreased services during the COVID-19 pandemic

Rice

Williams

2022

Women and Birth

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“…Women and birthing people have navigated pregnancies, labor, birth, and the postpartum period with fears about potential infection with COVID-19 generally, and through contact with health care providers when accessing health care 9,10 . The COVID-19 pandemic has also amplified previously existing disparities in birthing care for women and birthing people, who were marginalized or made vulnerable prior to the pandemic 4,11,12 …”

Section: Introductionmentioning

confidence: 99%

Experiences of birthing care during COVID-19: a systematic review protocol

Macdonald

Snelgrove‐Clarke

Ross‐White

et al. 2022

JBI Evidence Synthesis

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Objective:The objective of this review is to explore and understand the birthing care experiences of midwives, nurses, women, and birthing people during COVID-19.Introduction:The COVID-19 pandemic has had implications for providing and receiving birthing care globally. In addition to navigating fears of contracting COVID-19, health care providers and families have had to adapt to changing policies and clinical practices in response to varying recommendations and evidence. These changes, including restrictive visitor policies and mandated mask-wearing, influenced the experience of birthing care. Synthesizing qualitative evidence about the birthing experiences of midwives, nurses, women, and birthing people (people who give birth but who do not identify as women) during COVID-19 can provide important information for policies and decision-making for future global pandemics.Inclusion criteria:Studies including licensed midwives, licensed nurses, women, and birthing people who provided or received birthing care during the COVID-19 pandemic will be considered. Studies published from January 2020 onward will be included. The review will consider all studies that present qualitative data, including, but not limited to, research designs such as phenomenology, ethnography, grounded theory, feminist research, and action research.Methods:The following databases will be searched: MEDLINE, Embase, CINAHL, PsycINFO, and LitCovid. MedArchiv, PsyArXiv, and Google Scholar will be searched for gray literature. Studies will be assessed independently by two reviewers. Any disagreements will be resolved through discussion or with a third reviewer. Data extraction will be completed by two reviewers. The JBI tools and resources will be used for meta-aggregation, including the creation of categories and synthesized findings.Systematic review registration number:PROSPERO CRD42021292832

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Setting the Agenda for Reproductive and Maternal Health in the Era of COVID-19: Lessons from a Cruel and Radical Teacher

Cited by 16 publications

References 37 publications

Mental health among pregnant women with COVID‐19–related stressors and worries in the United States

Mental health among pregnant women with COVID‐19–related stressors and worries in the United States

Making good care essential: The impact of increased obstetric interventions and decreased services during the COVID-19 pandemic

Experiences of birthing care during COVID-19: a systematic review protocol

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