scholarly journals Prenatal care disruptions and associations with maternal mental health during the COVID-19 pandemic

2021 ◽  
Author(s):  
Taylor Groulx ◽  
Mercedes Bagshawe ◽  
Gerald Giesbrecht ◽  
Lianne Tomfohr-Madsen ◽  
Erin Hetherington ◽  
...  
Keyword(s):  
Mental Health ◽  
Prenatal Care ◽  
Maternal Mental Health ◽  
Well Being ◽  
Additional Stress ◽  
Care Providers ◽  
Support Person ◽  
General Anxiety ◽  
Novel Coronavirus ◽  
The Impact

As the novel coronavirus (COVID-19) spread across Canada in March 2020, provinces imposed strict lockdowns causing restrictions and disruptions to health care. These changes impacted how pregnant individuals received prenatal care and experienced childbirth. The additional stress caused by these changes may negatively affect the well-being of pregnant individuals and the developing child. This study investigated the impact of the pandemic on prenatal care and birth plans of pregnant individuals in Canada and potential associations with maternal mental health. Data from 4604 participants was collected from English- and French-speaking Canadians between April 5-June 1, 2020 as part of the Canada-wide Pregnancy During the COVID-19 Pandemic study. Symptoms of maternal depression, general anxiety, and pregnancy-related anxiety were assessed. Participants also answered questions about disruptions and changes to prenatal care and their birth plans due to the COVID-19 pandemic. Logistic regression was used to estimate associations between prenatal care disruptions and maternal mental health. Cancellation of prenatal appointments and birth plan changes (specifically changes to childcare during birth and change of support person attending the birth) were significantly associated with greater odds of experiencing clinically-elevated depression, anxiety, and/or pregnancy-related anxiety symptoms. These results illustrate the need for reliable and accessible prenatal care during the pandemic, such as the integration of mental health screenings and co-ordination of prenatal care providers.

scholarly journals Prenatal Care Disruptions and Associations With Maternal Mental Health During the COVID-19 Pandemic

2021 ◽  
Vol 2 ◽  
Author(s):  
Taylor Groulx ◽  
Mercedes Bagshawe ◽  
Gerald Giesbrecht ◽  
Lianne Tomfohr-Madsen ◽  
Erin Hetherington ◽  
...  
Keyword(s):  
Mental Health ◽  
Prenatal Care ◽  
Maternal Mental Health ◽  
Well Being ◽  
Care Providers ◽  
Support Person ◽  
General Anxiety ◽  
French Speaking ◽  
Novel Coronavirus ◽  
The Impact

As the novel coronavirus (COVID-19) spread across Canada in March 2020, provinces imposed restrictions. These changes impacted how pregnant individuals received prenatal care and experienced childbirth. The stress caused by these changes may negatively affect the well-being of pregnant individuals with impacts on the developing child. This study investigated the impact of the pandemic on prenatal care and birth plans of pregnant individuals in Canada and potential associations with maternal mental health. Data from 4,604 participants was collected from English- and French-speaking Canadians between April 5 and June 1, 2020 as part of the Canada-wide Pregnancy During the COVID-19 Pandemic study. Symptoms of maternal depression, general anxiety, and pregnancy-related anxiety were assessed. Participants also answered questions about disruptions and changes to prenatal care and their birth plans due to the COVID-19 pandemic. Logistic regression was used to estimate associations between prenatal care disruptions and maternal mental health. Cancellation of prenatal appointments and birth plan changes (specifically changes to childcare during birth and change of support person attending the birth) were significantly associated with greater odds of experiencing clinically elevated depression, anxiety, and/or pregnancy-related anxiety symptoms. These results highlight the need for reliable and accessible prenatal care during the pandemic, such as the integration of mental health screenings and co-ordination of prenatal care providers.

scholarly journals Maternal mental health and well-being during the COVID-19 pandemic in Beijing, China

2021 ◽  
Author(s):  
Zhuang Wei ◽  
Ming-Yue Gao ◽  
Mary Fewtrell ◽  
Jonathan Wells ◽  
Jin-Yue Yu
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Maternal Mental Health ◽  
Descriptive Analysis ◽  
Fair Division ◽  
Personal Space ◽  
Well Being ◽  
Maternal Characteristics ◽  
The Impact ◽  
Beijing China

Abstract Background The aim of this study is to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on breastfeeding women and to identify predictors of maternal mental health and coping. Methods Mothers aged ≥ 18 years with a breast-fed infant ≤ 18 months of age during the COVID-19 pandemic in Beijing, China, completed a questionnaire. Descriptive analysis of lockdown consequences was performed and predictors of these outcomes were examined using stepwise linear regression. Results Of 2233 participants, 29.9%, 20.0% and 34.7% felt down, lonely, and worried, respectively, during the lockdown; however, 85.3% felt able to cope. Poorer maternal mental health was predicted by maternal (younger age, higher education) and infant (older age, lower gestation) characteristics, and social circumstances (husband unemployed or working from home, receiving advice from family, having enough space for the baby, living close to a park or green space). Conversely, better maternal mental health was predicted by higher income, employment requiring higher qualifications, more personal space at home, shopping or walking > once/week and lack of impact of COVID-19 on job or income. Mothers with higher education, more bedrooms, fair division of household chores and attending an online mother and baby group > once/week reported better coping. Conclusion The findings highlight maternal characteristics and circumstances that predict poorer mental health and reduced coping which could be used to target interventions in any future public health emergencies requiring social restrictions.

scholarly journals Impact of COVID-19 on post graduate medical education and training

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sharon C. Enujioke ◽  
Kimberly McBrayer ◽  
Katherine C. Soe ◽  
Teresa M. Imburgia ◽  
Cynthia Robbins
Keyword(s):  
Mental Health ◽  
Clinical Work ◽  
Well Being ◽  
Training Experience ◽  
Equal Distribution ◽  
Institutional Review ◽  
Medical Education And Training ◽  
Home Work ◽  
Novel Coronavirus ◽  
The Impact

Abstract Purpose The novel Coronavirus Disease 19 (COVID-19) has had a significant impact worldwide that led to changes in healthcare. The purpose of this study was to evaluate the effect of the COVID-19 pandemic on trainee’s mental health and educational preparedness. Methods Trainees at the Indiana University School of Medicine were surveyed regarding the impact of the COVID-19 pandemic on their training. Using a Likert scale, participants were asked questions pertaining to educational preparedness, mental health, and clinical work during the pandemic. Data was analyzed using SPSS version 27. The study was approved as exempt by the Institutional review Board (IRB). Results 324 of the 1204 trainees responded to the survey. The respondents were 76% white with an equal distribution of males and females. A majority of the respondents were first year residents with an equal distribution of second, third, and fourth year residents. Twenty-three percent of respondents were in a procedural residency or fellowship program. Better perceived educational preparedness was associated with an improved home-work balance during COVID-19 (β = 0.506, p < 0.0001) and having a department that advocated/supported focus on mental health during COVID-19 (β = 0.177, p < 0.0001). Worse perceived educational preparedness was associated with being in procedural vs. non-procedural dominant training program (β = − 0.122, p = 0.01). Conclusion COVID-19 has had a significant impact on the training experience of residents and fellows. Departmental support increased mental well-being and perceived education preparedness in trainees. Trainees that felt they had a better home-work life balance had better educational preparedness compared to their peers. Also, trainees in procedural programs had less educational preparedness compared to their peers in non-procedural programs. This study highlights the importance for programs to find avenues to increase educational preparedness in their trainees while being attuned to the mental health of their trainees.

scholarly journals Psychological responses and lifestyle changes among pregnant women with respect to the early stages of COVID-19 pandemic

2020 ◽  
pp. 002076402095211 ◽  
Author(s):  
Yingfei Zhang ◽  
Zheng Feei Ma
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Maternal Mental Health ◽  
Psychological Impact ◽  
Well Being ◽  
Lifestyle Changes ◽  
Vulnerable Groups ◽  
Event Scale ◽  
Early Stages ◽  
The Impact

Objectives: The COVID-19 pandemic has caused a profound impact on health and well-being of populations. However, there are limited studies that have investigated the psychological aspects of vulnerable groups including pregnant women amid the COVID-19 pandemic. Therefore, we aimed to assess the psychological impact of the COVID-19 pandemic among Chinese pregnant women from February 2020 until March 2020. Methods: Our study was conducted using a modified validated online questionnaire comprising of sociodemographic, the Impact of Event Scale (IES), attitude and mental health-related questions towards COVID-19. Results: A total of 560 women were included. The overall mean age and IES of women was 25.8 ± 2.7 years and 31.4 ± 13.7. Moreover, 67.1% of them had IES ⩾26. Psychological impact seemed to be more severe in women in second trimester of pregnancy (the highest IES) ( p = .016). There was a significant association between trimesters of pregnancy and some indicators of negative health impacts (including increased stress from work, increased stress from home, feeling apprehensive and helpless during the early stages of the COVID-19 pandemic) (all p < .05). Conclusions: Our results reported moderate-to-severe stressful impact among Chinese pregnant women. We recommend that appropriate measures should be taken to address the maternal mental health issues.

scholarly journals Maternal mental health and child well-being in Nigeria: A systematic review

2021 ◽  
Vol 8 (1) ◽  
pp. 205510292110121
Author(s):  
Dung Ezekiel Jidong ◽  
Nusrat Husain ◽  
Tarela J Ike ◽  
Maisha Murshed ◽  
Juliet Y Pwajok ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Cost Effective ◽  
Well Being ◽  
Health Problems ◽  
Child Growth ◽  
Physical Growth ◽  
Culturally Appropriate ◽  
The Impact

Maternal mental health distress has a disease burden of severe adverse effects for both mother and child. This review identified maternal mental health concerns, their impact on child growth and the current practice of maternal healthcare for both mothers and their children in Nigeria. The Population, phenomenon of Interest and Context (PICo) model was adopted to formulate the review strategy, and five databases were searched for published articles between 1999 and 2019. Databases include Scopus, PubMed, ProQuest, Applied Social Science Index and Abstracts and Web of Science. Boolean operators (AND/OR/NOT) helped to ensure rigorous use of search terms which include ‘maternal’, ‘pre/peri/postnatal’, ‘mental health’, ‘mental illness’, ‘disorders’, ‘intervention,’ ‘Nigeria’, ‘child’, ‘infant growth’, and ‘wellbeing’. Thirty-four studies met the inclusion criteria, and extracted data were qualitatively synthesised and analysed thematically. Five themes emerged. These include (i) marital difficulties, (ii) relationship status of the mother, (iii) child’s gender, (iv) mode of child delivery and (v) child growth and development. The review showed a significant paucity of literature on the impact of specific maternal mental health problems on child physical growth and cognitive development. We concluded that culturally appropriate and evidence-based psychological interventions for maternal mental health problems would benefit Nigerian indigenous mothers. Therefore, the study recommends randomised controlled trials that are culturally appropriate and cost-effective for distressed mothers with children.

scholarly journals An overview of current mental health in the general population of Australia during the COVID-19 pandemic: Results from the COLLATE project

2020 ◽  
Author(s):  
Susan Rossell ◽  
Erica Neill ◽  
Andrea Phillipou ◽  
Eric Tan ◽  
Wei Lin Toh ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Online Survey ◽  
Negative Emotion ◽  
Negative Emotions ◽  
Well Being ◽  
Australian Community ◽  
Novel Coronavirus ◽  
The Impact ◽  
Health And Well Being

The novel coronavirus disease (COVID-19) poses significant mental health challenges globally; however, to date, there is limited community level data. This study reports on the first wave of data from the COLLATE project (COvid-19 and you: mentaL heaLth in AusTralia now survEy), an ongoing study aimed at understanding the impact of the COVID-19 pandemic on the mental health and well-being of Australians. This paper addresses prevailing primary concerns related to the COVID-19 pandemic, current levels of negative emotions and risk factors predicting these negative emotions. On April 1st to 4th 2020, 5158 adult members of the Australian general public completed an online survey. Participants ranked their top ten current primary concerns about COVID-19, and completed standardized measures to ascertain levels of negative emotions (specifically, depression, anxiety and stress). Socio-demographic information was also collected and used in the assessment of risk factors. The top three primary concerns were all related to the health and well-being of family and loved ones. As expected, levels of negative emotion were exceptionally high. Modelling of predictors of negative emotions established several risk factors related to demographic variables, personal vulnerabilities, financial stresses, and social distancing experiences; particularly being young, being female, or having a mental illness diagnosis. The data provides important characterization of the current mental health of Australians during the COVID-19 pandemic. Critically, it appears that specific groups in the Australian community may need special attention to ensure their mental health is protected during these difficult times. The data further suggests the need for immediate action to combat high levels of psychological distress, along with the exacerbation of mental health conditions, in relation to the COVID-19 pandemic in Australia. These results may provide some direction for international researchers hoping to characterize similar issues in other countries.

scholarly journals Impact of COVID-19 on Post Graduate Medical Education and Training

2021 ◽  
Author(s):  
Sharon Enujioke ◽  
Kimberly McBrayer ◽  
Katherine Soe ◽  
Teresa Imburgia ◽  
Cynthia Robbins
Keyword(s):  
Mental Health ◽  
Clinical Work ◽  
Well Being ◽  
Training Experience ◽  
Equal Distribution ◽  
Institutional Review ◽  
Medical Education And Training ◽  
Home Work ◽  
Novel Coronavirus ◽  
The Impact

Abstract Purpose: The novel Coronavirus Disease 19 (COVID-19) has had a significant impact worldwide that led to changes in healthcare. The purpose of this study was to evaluate the effect of the COVID-19 pandemic on trainee’s mental health and educational preparedness.Methods: Trainees at the Indiana University School of Medicine were surveyed regarding the impact of the COVID-19 pandemic on their training. Using a Likert scale, participants were asked questions pertaining to educational preparedness, mental health, and clinical work during the pandemic. Data was analyzed using SPSS version 27. The study was approved as exempt by the Institutional review Board (IRB). Results: 324 of the 1204 trainees responded to the survey. The respondents were 76% white with an equal distribution of males and females. A majority of the respondents were first year residents with an equal distribution of second, third, and fourth year residents. Twenty-three percent of respondents were in a procedural residency or fellowship program. Better perceived educational preparedness was associated with an improved home-work balance during COVID-19 (β=0.506, p<0.0001) and having a department that advocated/supported focus on mental health during COVID-19 (β=0.177, p<0.0001). Worse perceived educational preparedness was associated with being in procedural vs. non-procedural dominant training program (β=-0.122, p=0.01). Conclusion: COVID-19 has had a significant impact on the training experience of residents and fellows. Departmental support increased mental well-being and perceived education preparedness in trainees. Trainees that felt they had a better home-work life balance had better educational preparedness compared to their peers. Also, trainees in procedural programs had less educational preparedness compared to their peers in non-procedural programs. This study highlights the importance for programs to find avenues to increase educational preparedness in their trainees while being attuned to the mental health of their trainees.

scholarly journals Identifying urban built environment factors in pregnancy care and maternal mental health outcomes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yiye Zhang ◽  
Mohammad Tayarani ◽  
Shuojia Wang ◽  
Yifan Liu ◽  
Mohit Sharma ◽  
...  
Keyword(s):  
Mental Health ◽  
Prenatal Care ◽  
Built Environment ◽  
Maternal Mental Health ◽  
Air Pollutant ◽  
Urban Setting ◽  
Equation Modeling ◽  
Built Environments ◽  
Care Providers ◽  
Environment Factors

Abstract Backgrounds Risk factors related to the built environment have been associated with women’s mental health and preventive care. This study sought to identify built environment factors that are associated with variations in prenatal care and subsequent pregnancy-related outcomes in an urban setting. Methods In a retrospective observational study, we characterized the types and frequency of prenatal care events that are associated with the various built environment factors of the patients’ residing neighborhoods. In comparison to women living in higher-quality built environments, we hypothesize that women who reside in lower-quality built environments experience different patterns of clinical events that may increase the risk for adverse outcomes. Using machine learning, we performed pattern detection to characterize the variability in prenatal care concerning encounter types, clinical problems, and medication prescriptions. Structural equation modeling was used to test the associations among built environment, prenatal care variation, and pregnancy outcome. The main outcome is postpartum depression (PPD) diagnosis within 1 year following childbirth. The exposures were the quality of the built environment in the patients’ residing neighborhoods. Electronic health records (EHR) data of pregnant women (n = 8,949) who had live delivery at an urban academic medical center from 2015 to 2017 were included in the study. Results We discovered prenatal care patterns that were summarized into three common types. Women who experienced the prenatal care pattern with the highest rates of PPD were more likely to reside in neighborhoods with homogeneous land use, lower walkability, lower air pollutant concentration, and lower retail floor ratios after adjusting for age, neighborhood average education level, marital status, and income inequality. Conclusions In an urban setting, multi-purpose and walkable communities were found to be associated with a lower risk of PPD. Findings may inform urban design policies and provide awareness for care providers on the association of patients’ residing neighborhoods and healthy pregnancy.

scholarly journals The Interrelation of Neurological and Psychological Symptoms of COVID-19: Risks and Remedies

2020 ◽  
Vol 9 (8) ◽  
pp. 2624
Author(s):  
Mohammad Nami ◽  
Bharathi S. Gadad ◽  
Li Chong ◽  
Usman Ghumman ◽  
Amogh Misra ◽  
...  
Keyword(s):  
Mental Health ◽  
Nervous System ◽  
Psychological Symptoms ◽  
Well Being ◽  
Neural Injury ◽  
Compulsive Disorder ◽  
Panic Disorders ◽  
Novel Coronavirus ◽  
Psychological Events ◽  
The Impact

COVID-19 has catastrophically affected the world’s panoramic view of human well-being in terms of healthcare and management. With the increase in the number of cases worldwide, neurological symptoms and psychological illnesses from COVID-19 have increasingly upsurged. Mental health illness and affective disorders, including depression, obsessive-compulsive disorder, anxiety, phobia, and panic disorders, are highly impacted due to social distress. The COVID-19 pandemic not only affected people with pre-existing mental and affective illnesses, but also healthy individuals with anxiety, worrying, and panic symptoms, and fear conditioning. In addditon, the novel coronavirus is known to impact the central nervous system in the brain, resulting in severe and certain long-lasting neurological issues. Owing to the significance of neurological and psychological events, the present perspective has been an attempt to disseminate the impact of COVID-19 on neural injury through inflammation, and its interrelation with psychological symptoms. In this current review, we synthesize the literature to highlight the critical associations between SARS-CoV-2 infection and the nervous system, and mental health illness, and discuss potential mechanisms of neural injury through psycho-neuroimmunity.

scholarly journals Fear, Stress and Stigma of Covid-19 among Indian Dental Practitioners

2021 ◽  
Vol 10 (31) ◽  
pp. 2433-2438
Author(s):  
Ruchika Bagde ◽  
Shilpa Dandekeri
Keyword(s):  
Mental Health ◽  
Psychological Stress ◽  
Negative Correlation ◽  
Self Efficacy ◽  
Well Being ◽  
The Self ◽  
Risk Of Infection ◽  
Dental Practitioners ◽  
Novel Coronavirus ◽  
The Impact

BACKGROUND Novel coronavirus pandemic has impacted the lives and well-being of all people around the globe. Dental practitioners are at a high risk of catching infection. This situation has brought risk of death from infection along with unbearable psychological pressure. Therefore, this study was done to assess the impact of Covid-19 pandemic on mental health of dental practitioners. METHODS A survey was conducted amongst 265 dental practitioners using snowball sampling technique, collecting basic demographic data, practice setting and relevant data. Psychological stress was collected through Covid-19 Peri-traumatic Distress Index (CPDI). General self-efficacy scale (GSE) was used to measure the self-efficacy of dental surgeons. Pearson correlation between the distress levels and self-efficacy scores were calculated. RESULTS Nearly 3.7 % respondent’s score was indicative of low distress. 30.18 % of the respondents’ scores suggested moderate distress, and 65.6 % of the respondents’ scores were indicating severe distress. Mean self-efficacy was found out to be 22.06 (standard deviation = 4.71). Those with greater self-efficacy scores reported less distress, showing a moderate negative correlation, with a Pearson coefficient of - 0.1406, which was statistically significant (P < 0.02). CONCLUSIONS This study interprets the relationship between factors associated with Covid-19 and elevated psychological distress among dentists. There was a negative correlation between distress and self-efficacy of dentists. Stressors such as greater risk of infection for dentists, lockdown, falling economy and liabilities, social media, lead to anxiety, fear, and strong emotions. Dentists should be provided with broader understanding of mental health and the methods for enhancing the self-efficacy of dentists should be implemented. Professional help can be provided by the government to health workers for their mental well-being. Tele dentistry can be practiced in the pandemic to minimize the risk of infection. KEY WORDS Novel coronavirus, Dental Practitioners, Psychological Stress, Stressors, Economy

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