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Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic

Year 2024, Volume: 14 Issue: 3, 611 - 617, 30.09.2024
https://doi.org/10.33808/clinexphealthsci.1193477

Abstract

Objective: This study aimed to determine the prevalence and associated factors of probable depression and probable anxiety in early postpartum women during the COVID-19 pandemic.
Methods: This cross-sectional study was conducted with early postpartum women who applied to a maternity hospital to give birth in Turkey between March-June 2021. Women aged 19-45 years, with 23–42 weeks of gestation, with a singleton pregnancy, and negative for the SARSCoV-2 polymerase chain reaction test were included in the study. The Hospital Anxiety and Depression Scale (HADS) was used to assess the presence of probable depression (HADS depression score >7) and probable anxiety (HADS anxiety score >10). The associations between women’s sociodemographic and obstetric characteristics and depression and anxiety were evaluated using univariate and multivariate analyses.
Results: A total of 450 women were included in the study. Of these, 50.2% (n=226) had probable depression, and 28% (n=126) had probable anxiety. Multivariate analysis revealed that while perceived poor income level increased the odds for the presence of probable depression, unintended pregnancy, anemia, and SARS-CoV2 infection during pregnancy were associated with probable anxiety.
Conclusion: The presence of probable depression and probable anxiety were considerably high among women who had given birth during the pandemic. This study identified the most vulnerable groups in terms of mental health problems among women who were in the early postpartum period during the pandemic. It is essential to develop strategies to prevent and control the mental health problems of these risk groups for future emergency health crises.

References

  • Yan H, Ding Y, Guo W. Mental health of pregnant and postpartum women during the coronavirus disease 2019 pandemic: A systematic review and meta-analysis. Front Psychol. 2020;11:617001. DOI: 10.3389/fpsyg.2020.617001
  • Slomian J, Honvo G, Emonts P, Reginster JY, Bruyère O. Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Womens Health (Lond). 2019;15:174.550.6519844044. DOI:10.1177/174.550.6519844044
  • Field T. Postnatal anxiety prevalence, predictors and effects on development: A narrative review. Infant Behav Dev. 2018;51:24-32. DOI: 10.1016/j.infbeh.2018.02.005
  • Lara-Cinisomo S, Girdler SS, Grewen K, Meltzer-Brody S. A biopsychosocial conceptual framework of postpartum depression risk in immigrant and U.S.-born Latina mothers in the United States. Womens Health Issues. 2016;26(3):336-343. DOI: 10.1016/j.whi.2016.02.006
  • Kotlar B, Gerson E, Petrillo S, Langer A, Tiemeier H. The impact of the COVID-19 pandemic on maternal and perinatal health: Ascoping review. Reprod Health. 2021;18(1):10. DOI: 10.1186/s12978.021.01070-6
  • Aryal S, Pant SB. Maternal mental health in Nepal and its prioritization during COVID-19 pandemic: Missing the obvious. Asian J Psychiatr. 2020;54:102281. DOI: 10.1016/j.ajp.2020.102281
  • Jungari S. Maternal mental health in India duringCOVID-19. Public Health. 2020;185:97-98. DOI: 10.1016/j. puhe.2020.05.062
  • Saccone G, Florio A, Aiello F, Venturella R, De Angelis MC, Locci M, Bifulco G, Zullo F, Di Spiezio Sardo A. Psychological impact of coronavirus disease 2019 in pregnant women. Am J Obstet Gynecol. 2020;223(2):293-295. DOI:10.1016/j.ajog.2020.05.003
  • Giakoumaki O, Vasilaki K, Lili L, Skouroliakou M, Liosis G. The role of maternal anxiety in the early postpartum period: Screening for anxiety and depressive symptomatology in Greece. J Psychosom Obstet Gynaecol. 2009;30(1):21-28. DOI:10.1080/016.748.20802604839
  • Ladekarl M, Olsen NJ, Winckler K, Brødsgaard A, Nøhr EA, Heitmann BL, Specht IO. Early Postpartum Stress, Anxiety, Depression, and Resilience Development among Danish First-Time Mothers before and during First-Wave COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(22). DOI:10.3390/ijerph182211734
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-370. DOI: 10.1111/j.1600-0447.1983.tb09716.x
  • Kahyaoglu Sut H, Kucukkaya B. Anxiety, depression, and related factors in pregnant women during the COVID-19 pandemic in Turkey: A web-based cross-sectional study. Perspect Psychiatr Care. 2021;57(2):860-868. DOI:10.1111/ppc.12627
  • Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirlik çalışması. Turk Psikiyatri Derg. 1997;8(4):280-287 (Turkish).
  • Snaith RP. The Hospital Anxiety And Depression Scale. Health Qual Life Outcomes. 2003;1:29. DOI: 10.1186/1477-7525-1-29
  • Tetik Küçükelçi D. Hastane anksiyete ve depresyon ölçeği (HADS) üzerine bir çalışma. Yaşam Becerileri Psikoloji Dergisi. 2019;3:85-91 (Turkish). DOI: 10.31461/ybpd.560253
  • Royal College of Obstetricians and Gynaecologists. Intrahepatic cholestasis of pregnancy. Published [9 August 2022]. Accessed [4 September 2022]. https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/intrahepaticcholestasis-of-pregnancy-green-top-guideline-no-43/
  • The American College of Obstetricians and Gynecologists. Hypertension in pregnancy: Executive summary. Obstet Gynecol. 2013;122(5):1122-1131. DOI: 10.1097/01.Aog.000.043.7382.03963.88
  • Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol. 1982;144(7):768-773. DOI: 10.1016/0002-9378(82)90349-0
  • Hadlock FP, Harrist RB, Sharman RS, Deter RL, Park SK. Estimation of fetal weight with the use of head, body, and femur measurements—a prospective study. Am J Obstet Gynecol. 1985;151(3):333-337. DOI:10.1016/00029378(85)90298-4
  • Villar J, Cheikh Ismail L, Victora CG, Ohuma EO, Bertino E, Altman DG, Lambert A, Papageorghiou AT, Carvalho M, Jaffer YA, Gravett MG, Purwar M, Frederick IO, Noble AJ, Pang R, Barros FC, Chumlea C, Bhutta ZA, Kennedy SH. International standards for newborn weight, length, and head circumference by gestational age and sex: The Newborn Cross-Sectional Study of the INTERGROWTH-21st Project. Lancet. 2014;384(9946):857-868. DOI:10.1016/s0140-6736(14)60932-6
  • Zhang Y, Muyiduli X, Wang S, Jiang W, Wu J, Li M, Mo M, Jiang S, Wang Z, Shao B, Shen Y, Yu Y. Prevalence and relevant factors of anxiety and depression among pregnant women in a cohort study from south-east China. J Reprod Infant Psychol. 2018;36(5):519-529. DOI: 10.1080/02646.838.2018.1492098
  • Chen Q, Li W, Xiong J, Zheng X. Prevalence and risk factors associated with postpartum depression during the COVID-19 pandemic: A literature review and meta-analysis. Int J Environ Res Public Health. 2022;19(4). DOI:10.3390/ijerph19042219
  • Safi-Keykaleh M, Aliakbari F, Safarpour H, Safari M, Tahernejad A, Sheikhbardsiri H, Sahebi A. Prevalence of postpartum depression in women amid the COVID-19 pandemic: A systematic review and meta-analysis. Int J Gynaecol Obstet. 2022;157(2):240-247. DOI: 10.1002/ijgo.14129
  • Mariño-Narvaez C, Puertas-Gonzalez JA, Romero-Gonzalez B, Peralta-Ramirez MI. Giving birth during the COVID-19 pandemic: The impact on birth satisfaction and postpartum depression. Int J Gynaecol Obstet. 2021;153(1):83-88. DOI:10.1002/ijgo.13565
  • Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: A preliminary study. J Matern Fetal Neonatal Med. 2022;35(2):205-211. DOI:10.1080/14767.058.2020.1763946
  • Moyer CA, Compton SD, Kaselitz E, Muzik M. Pregnancy related anxiety during COVID-19: a nationwide survey of 2740 pregnant women. Arch Womens Ment Health. 2020;23(6):757-765. DOI: 10.1007/s00737.020.01073-5
  • Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis. Br J Psychiatry. 2017;210(5):315-323. DOI: 10.1192/bjp.bp.116.187179
  • Javaid MK, Khanum Z, Parveen A, Rashid A, Iftikhar M, Kaleem R. Psychological Impact in Covid Positive Pregnant Females. Pakistan J Medical Health Sci. 2022;16(02):318-320. DOI:10.53350/pjmhs22162318
  • Yakşi N, Taştekin N. Effects of novel coronavirus (COVID-19) pandemic on pregnant psychology. International Journal of Current Medical and Biological Sciences. 2022;2(1):1-14. DOI:10.5281/zenodo.6055276
  • Kochan M, Demirci AD, Kabukcuoglu K. The postpartum period during the COVID-19 pandemic: investigating Turkish women’s postpartum support and postpartum-specific anxiety. J Perinat Med. 2022;50(3):261-269. DOI: 10.1515/jpm-2021-0238
  • Hocaoglu M, Ayaz R, Gunay T, Akin E, Turgut A, Karateke A. Anxiety and post-traumatic stress disorder symptoms in pregnant women during the COVID-19 pandemic’s delay phase. Psychiatr Danub. 2020;32(3-4):521-526. DOI:10.24869/psyd.2020.521
Year 2024, Volume: 14 Issue: 3, 611 - 617, 30.09.2024
https://doi.org/10.33808/clinexphealthsci.1193477

Abstract

References

  • Yan H, Ding Y, Guo W. Mental health of pregnant and postpartum women during the coronavirus disease 2019 pandemic: A systematic review and meta-analysis. Front Psychol. 2020;11:617001. DOI: 10.3389/fpsyg.2020.617001
  • Slomian J, Honvo G, Emonts P, Reginster JY, Bruyère O. Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Womens Health (Lond). 2019;15:174.550.6519844044. DOI:10.1177/174.550.6519844044
  • Field T. Postnatal anxiety prevalence, predictors and effects on development: A narrative review. Infant Behav Dev. 2018;51:24-32. DOI: 10.1016/j.infbeh.2018.02.005
  • Lara-Cinisomo S, Girdler SS, Grewen K, Meltzer-Brody S. A biopsychosocial conceptual framework of postpartum depression risk in immigrant and U.S.-born Latina mothers in the United States. Womens Health Issues. 2016;26(3):336-343. DOI: 10.1016/j.whi.2016.02.006
  • Kotlar B, Gerson E, Petrillo S, Langer A, Tiemeier H. The impact of the COVID-19 pandemic on maternal and perinatal health: Ascoping review. Reprod Health. 2021;18(1):10. DOI: 10.1186/s12978.021.01070-6
  • Aryal S, Pant SB. Maternal mental health in Nepal and its prioritization during COVID-19 pandemic: Missing the obvious. Asian J Psychiatr. 2020;54:102281. DOI: 10.1016/j.ajp.2020.102281
  • Jungari S. Maternal mental health in India duringCOVID-19. Public Health. 2020;185:97-98. DOI: 10.1016/j. puhe.2020.05.062
  • Saccone G, Florio A, Aiello F, Venturella R, De Angelis MC, Locci M, Bifulco G, Zullo F, Di Spiezio Sardo A. Psychological impact of coronavirus disease 2019 in pregnant women. Am J Obstet Gynecol. 2020;223(2):293-295. DOI:10.1016/j.ajog.2020.05.003
  • Giakoumaki O, Vasilaki K, Lili L, Skouroliakou M, Liosis G. The role of maternal anxiety in the early postpartum period: Screening for anxiety and depressive symptomatology in Greece. J Psychosom Obstet Gynaecol. 2009;30(1):21-28. DOI:10.1080/016.748.20802604839
  • Ladekarl M, Olsen NJ, Winckler K, Brødsgaard A, Nøhr EA, Heitmann BL, Specht IO. Early Postpartum Stress, Anxiety, Depression, and Resilience Development among Danish First-Time Mothers before and during First-Wave COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(22). DOI:10.3390/ijerph182211734
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-370. DOI: 10.1111/j.1600-0447.1983.tb09716.x
  • Kahyaoglu Sut H, Kucukkaya B. Anxiety, depression, and related factors in pregnant women during the COVID-19 pandemic in Turkey: A web-based cross-sectional study. Perspect Psychiatr Care. 2021;57(2):860-868. DOI:10.1111/ppc.12627
  • Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirlik çalışması. Turk Psikiyatri Derg. 1997;8(4):280-287 (Turkish).
  • Snaith RP. The Hospital Anxiety And Depression Scale. Health Qual Life Outcomes. 2003;1:29. DOI: 10.1186/1477-7525-1-29
  • Tetik Küçükelçi D. Hastane anksiyete ve depresyon ölçeği (HADS) üzerine bir çalışma. Yaşam Becerileri Psikoloji Dergisi. 2019;3:85-91 (Turkish). DOI: 10.31461/ybpd.560253
  • Royal College of Obstetricians and Gynaecologists. Intrahepatic cholestasis of pregnancy. Published [9 August 2022]. Accessed [4 September 2022]. https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/intrahepaticcholestasis-of-pregnancy-green-top-guideline-no-43/
  • The American College of Obstetricians and Gynecologists. Hypertension in pregnancy: Executive summary. Obstet Gynecol. 2013;122(5):1122-1131. DOI: 10.1097/01.Aog.000.043.7382.03963.88
  • Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol. 1982;144(7):768-773. DOI: 10.1016/0002-9378(82)90349-0
  • Hadlock FP, Harrist RB, Sharman RS, Deter RL, Park SK. Estimation of fetal weight with the use of head, body, and femur measurements—a prospective study. Am J Obstet Gynecol. 1985;151(3):333-337. DOI:10.1016/00029378(85)90298-4
  • Villar J, Cheikh Ismail L, Victora CG, Ohuma EO, Bertino E, Altman DG, Lambert A, Papageorghiou AT, Carvalho M, Jaffer YA, Gravett MG, Purwar M, Frederick IO, Noble AJ, Pang R, Barros FC, Chumlea C, Bhutta ZA, Kennedy SH. International standards for newborn weight, length, and head circumference by gestational age and sex: The Newborn Cross-Sectional Study of the INTERGROWTH-21st Project. Lancet. 2014;384(9946):857-868. DOI:10.1016/s0140-6736(14)60932-6
  • Zhang Y, Muyiduli X, Wang S, Jiang W, Wu J, Li M, Mo M, Jiang S, Wang Z, Shao B, Shen Y, Yu Y. Prevalence and relevant factors of anxiety and depression among pregnant women in a cohort study from south-east China. J Reprod Infant Psychol. 2018;36(5):519-529. DOI: 10.1080/02646.838.2018.1492098
  • Chen Q, Li W, Xiong J, Zheng X. Prevalence and risk factors associated with postpartum depression during the COVID-19 pandemic: A literature review and meta-analysis. Int J Environ Res Public Health. 2022;19(4). DOI:10.3390/ijerph19042219
  • Safi-Keykaleh M, Aliakbari F, Safarpour H, Safari M, Tahernejad A, Sheikhbardsiri H, Sahebi A. Prevalence of postpartum depression in women amid the COVID-19 pandemic: A systematic review and meta-analysis. Int J Gynaecol Obstet. 2022;157(2):240-247. DOI: 10.1002/ijgo.14129
  • Mariño-Narvaez C, Puertas-Gonzalez JA, Romero-Gonzalez B, Peralta-Ramirez MI. Giving birth during the COVID-19 pandemic: The impact on birth satisfaction and postpartum depression. Int J Gynaecol Obstet. 2021;153(1):83-88. DOI:10.1002/ijgo.13565
  • Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: A preliminary study. J Matern Fetal Neonatal Med. 2022;35(2):205-211. DOI:10.1080/14767.058.2020.1763946
  • Moyer CA, Compton SD, Kaselitz E, Muzik M. Pregnancy related anxiety during COVID-19: a nationwide survey of 2740 pregnant women. Arch Womens Ment Health. 2020;23(6):757-765. DOI: 10.1007/s00737.020.01073-5
  • Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis. Br J Psychiatry. 2017;210(5):315-323. DOI: 10.1192/bjp.bp.116.187179
  • Javaid MK, Khanum Z, Parveen A, Rashid A, Iftikhar M, Kaleem R. Psychological Impact in Covid Positive Pregnant Females. Pakistan J Medical Health Sci. 2022;16(02):318-320. DOI:10.53350/pjmhs22162318
  • Yakşi N, Taştekin N. Effects of novel coronavirus (COVID-19) pandemic on pregnant psychology. International Journal of Current Medical and Biological Sciences. 2022;2(1):1-14. DOI:10.5281/zenodo.6055276
  • Kochan M, Demirci AD, Kabukcuoglu K. The postpartum period during the COVID-19 pandemic: investigating Turkish women’s postpartum support and postpartum-specific anxiety. J Perinat Med. 2022;50(3):261-269. DOI: 10.1515/jpm-2021-0238
  • Hocaoglu M, Ayaz R, Gunay T, Akin E, Turgut A, Karateke A. Anxiety and post-traumatic stress disorder symptoms in pregnant women during the COVID-19 pandemic’s delay phase. Psychiatr Danub. 2020;32(3-4):521-526. DOI:10.24869/psyd.2020.521
There are 31 citations in total.

Details

Primary Language English
Subjects Preventative Health Care
Journal Section Articles
Authors

Pınar Kumru 0000-0002-8905-1909

Seyhan Hıdıroğlu 0000-0001-8656-4613

Alican Sarısaltık 0000-0002-7317-404X

Ebru Çöğendez 0000-0001-7062-3076

Betül Yılmazer 0000-0002-6067-9866

Hümeyra Erol 0000-0003-2788-6561

Turhan Şalva 0000-0002-5143-5069

Pınar Ay 0000-0002-3303-1343

Early Pub Date September 27, 2024
Publication Date September 30, 2024
Submission Date October 24, 2022
Published in Issue Year 2024 Volume: 14 Issue: 3

Cite

APA Kumru, P., Hıdıroğlu, S., Sarısaltık, A., Çöğendez, E., et al. (2024). Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic. Clinical and Experimental Health Sciences, 14(3), 611-617. https://doi.org/10.33808/clinexphealthsci.1193477
AMA Kumru P, Hıdıroğlu S, Sarısaltık A, Çöğendez E, Yılmazer B, Erol H, Şalva T, Ay P. Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic. Clinical and Experimental Health Sciences. September 2024;14(3):611-617. doi:10.33808/clinexphealthsci.1193477
Chicago Kumru, Pınar, Seyhan Hıdıroğlu, Alican Sarısaltık, Ebru Çöğendez, Betül Yılmazer, Hümeyra Erol, Turhan Şalva, and Pınar Ay. “Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic”. Clinical and Experimental Health Sciences 14, no. 3 (September 2024): 611-17. https://doi.org/10.33808/clinexphealthsci.1193477.
EndNote Kumru P, Hıdıroğlu S, Sarısaltık A, Çöğendez E, Yılmazer B, Erol H, Şalva T, Ay P (September 1, 2024) Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic. Clinical and Experimental Health Sciences 14 3 611–617.
IEEE P. Kumru, S. Hıdıroğlu, A. Sarısaltık, E. Çöğendez, B. Yılmazer, H. Erol, T. Şalva, and P. Ay, “Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic”, Clinical and Experimental Health Sciences, vol. 14, no. 3, pp. 611–617, 2024, doi: 10.33808/clinexphealthsci.1193477.
ISNAD Kumru, Pınar et al. “Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic”. Clinical and Experimental Health Sciences 14/3 (September 2024), 611-617. https://doi.org/10.33808/clinexphealthsci.1193477.
JAMA Kumru P, Hıdıroğlu S, Sarısaltık A, Çöğendez E, Yılmazer B, Erol H, Şalva T, Ay P. Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic. Clinical and Experimental Health Sciences. 2024;14:611–617.
MLA Kumru, Pınar et al. “Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic”. Clinical and Experimental Health Sciences, vol. 14, no. 3, 2024, pp. 611-7, doi:10.33808/clinexphealthsci.1193477.
Vancouver Kumru P, Hıdıroğlu S, Sarısaltık A, Çöğendez E, Yılmazer B, Erol H, Şalva T, Ay P. Prevalence and Associated Factors of Mental Health Problems Among Peripartum Women During the COVID-19 Pandemic. Clinical and Experimental Health Sciences. 2024;14(3):611-7.

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