Investigation on the mental health status of pregnant women in China during the Pandemic of COVID-19

Purpose. Research shows that smoking during pregnancy is related to mental health diagnoses. The purpose of this study was to assess whether current general mental health status is related to current smoking status in pregnant women after controlling for other factors related to both mental health and tobacco use during pregnancy. Methods. This cross-sectional analysis used 2017 Behavioral Risk Factor Surveillance Survey (BRFSS) data for 621 pregnant women aged 18-38 from Florida (N=136), Kansas (N=116), Minnesota (N=105), Nebraska (N=90), New York (N=78), and Utah (N=96). Multiple logistic regression analysis was used to assess the relationship between current mental health status and current tobacco use, while controlling for state, depression diagnosis, routine checkup, healthcare plan, age, marital status, ethnicity/race, education level, income level, and employment status. Results. Overall, very few participants reported current smoking (6%) and about one-third reported low or moderate mental health status in the past 30 days. Adjusted results indicated that those who reported high mental health status were about 3 times less likely (OR=0.29, 95% CI=0.09, 0.88) to report current smoking status compared to those who reported low mental health status. Conclusions. Overall, current mental health status was highly related to current smoking status in pregnant women. Clinicians in obstetrics may expect a very low proportion of pregnant women to report smoking and up to one-third to report low or moderate current general mental health status. Given that current mental health issues and current tobacco use may harm both mother and child, be highly related in pregnant women, and change throughout the pregnancy, pregnant women should be screened automatically for both at each visit.

Download Full-text

An epidemiological study to assess the mental health status of pregnant women in a tertiary care hospital, Srinagar, Jammu and Kashmir, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20172355 ◽

2017 ◽

Vol 6 (6) ◽

pp. 2580

Author(s):

Bilal Ur Rehman ◽

Javid Ahmad ◽

Rauf Ur Rashid Kaul ◽

Mohammad Kaleem ul Haque

Keyword(s):

Mental Health ◽

Developing Countries ◽

Health Status ◽

Depressive Disorder ◽

Pregnant Women ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Antenatal Clinic ◽

Mental Health Status ◽

Care Hospital

Background: Pregnancy is a major psychological, as well as physiological event; women may find themselves unable to cope with additional demands of pregnancy. Mental illness during pregnancy-whether anxiety, depression or more severe psychiatric disorders-can have a significant negative impact on a mother and her baby. Poor psychological health has been associated with low birth weight, premature birth, perinatal and infant death, postnatal depression, as well as long term behavioural and psychological impacts on the child. Depressive disorders are a common source of disability among women. Mental health problems during pregnancy and postpartum periods are one of the alarming health issue among women. Community-based epidemiological data on antenatal depression from developing countries is scarce. This study was conducted to assess the mental health status of pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar (J and K).Methods: A cross sectional study was conducted over a period of six months from 1stSeptember 2016 to 28th February 2017 among randomly selected pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar. A total of 200 pregnant women formed the study subjects. Data was collected by interviewing the pregnant women using pre-designed, pre-tested, semi-structured questionnaire. Data was analysed using Statistical Programme for the social science (SPSS) version 19.0.Results: Amongst the study population, prevalence of depressive disorder was 26%. The depression was significantly increasing with advancing pregnancy and advancing age. Socio-economic status and depression was associated statistically significant (p=0.024). Women with bad relationship with in laws had significantly more depression compared to those who had good relationship with in laws (P=0.0037). The association between parity and depressive disorder was statistically insignificant(P=0,7144).Conclusions: When we care for mother we care for two live and live without psychological consideration is completely materialistic. A depressive symptom occurs commonly during 2nd and 3rd trimester of pregnancy, drawing attention to a need to screen for depression during antenatal care. Maternal health policies, a priority in developing countries, must integrate maternal depression as a disorder of public health importance. Intervention should target women in the early antenatal period.

Download Full-text

The mental health status and approaches of accessing antenatal care information among pregnant women during COVID-19 epidemic：a cross-sectional study in China (Preprint)

Journal of Medical Internet Research ◽

10.2196/18722 ◽

2020 ◽

Author(s):

Hong Jiang ◽

Longmei Jin ◽

Xu Qian ◽

Xu Xiong ◽

Xuena La ◽

...

Keyword(s):

Mental Health ◽

Health Status ◽

Antenatal Care ◽

Pregnant Women ◽

Cross Sectional Study ◽

Mental Health Status ◽

Sectional Study ◽

Cross Sectional ◽

Care Information

Download Full-text

The mental health status and access to antenatal care information among pregnant women during COVID-19 epidemic: a cross-sectional study in China (Preprint)

10.2196/preprints.18722 ◽

2020 ◽

Author(s):

Hong Jiang ◽

Longmei Jin ◽

Xu Qian ◽

Xu Xiong ◽

Xuena La ◽

...

Keyword(s):

Mental Health ◽

Social Media ◽

Health Status ◽

Antenatal Care ◽

Pregnant Women ◽

Perceived Stress ◽

Mental Health Status ◽

Anxiety And Depression ◽

Social Media Platforms ◽

Care Information

BACKGROUND China is the first country experienced the large scale of COVID-19 epidemic. To interrupt the transmission, social distancing strategies were required. Many routine health care services were severely disrupted, including antenatal care services. The mental health status as well as how pregnant women reacted to the situation, where and how did they obtain antenatal care information are unknown. OBJECTIVE This study aimed to determine mental health status by measuring perceived stress, anxiety and depression, to explore approaches of obtaining antenatal health information and to determine their associations with the mental health status among pregnant women during COVID-19 epidemic in China. METHODS We conducted an online survey to assess mental health status among pregnant women and collected information on approaches of accessing antenatal care information during the COVID-19 epidemic from February 5 to 28, 2020. RESULTS A total of 1,873 women from 22 provinces/regions of China participated in the survey. The occurrence of experiencing perceived stress, anxiety and depression among pregnant women was 89.1% (95% CI: 87.6%, 90.4%), 18.1% (95% CI: 16.4%, 19.9%) and 45.9% (95% CI: 43.6%, 48.1%), respectively. Hospitals’ official accounts in the Chinese social media platforms WeChat and Weibo were the most popular channels for pregnant women to obtain antenatal care information. Access to antenatal care information and services via the hospitals’ official social media accounts were associated with a significantly lower risk of suffering from stress (adjusted odds ratio (aOR)=0.47, 95% confidence interval (CI): 0.30 to 0.73, P=0.001), anxiety (aOR=0.52, 95% CI: 0.40 to 0.68, P<0.001) and depression (aOR=0.72, 95% CI: 0.58 to 0.90, P=0.003). CONCLUSIONS During the COVID-19 epidemic, occurrence of experiencing perceived stress, anxiety and depression was high in Chinese pregnant women. Mental health care in the current pandemic is urgently needed to reassure and support pregnant women. Developing specific contents for pregnant women on how to cope in emergency and major disease outbreak via social media platforms could be an effective way to mitigate mental health disorders in future epidemic preparedness and response. CLINICALTRIAL NA

Download Full-text