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

2020 ◽  
Author(s):  
Hong Jiang ◽  
Longmei Jin ◽  
Xu Qian ◽  
Xu Xiong ◽  
Xuena La ◽  
...  

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

2021 ◽  
Author(s):  
Nusrat Sharmin ◽  
Zakia Lubna ◽  
Fatema Akhter Hiramoni ◽  
Tanima Sharker ◽  
Md Zahir Ahmed

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Diane Liu ◽  
Emily Younger ◽  
Stacy Baker ◽  
Stephanie Touch ◽  
Tamara Willmoth ◽  
...  

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.


Author(s):  
Bilal Ur Rehman ◽  
Javid Ahmad ◽  
Rauf Ur Rashid Kaul ◽  
Mohammad Kaleem ul Haque

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.


2020 ◽  
Vol 14 (8) ◽  
pp. 21-29
Author(s):  
Hossein Souri ◽  
Marziyeh Noorifard ◽  
Saber Aryamanesh ◽  
◽  
◽  
...  

2017 ◽  
Vol 25 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Jennifer Sumner ◽  
Jan R Böhnke ◽  
Patrick Doherty

Background The presence of mental health conditions in cardiac rehabilitation (CR) patients such as anxiety and depression can lead to reduced programme adherence, increased mortality and increased re-occurrence of cardiovascular events undermining the aims and benefit of CR. Earlier research has identified a relationship between delayed commencement of CR and poorer physical activity outcomes. This study wished to explore whether a similar relationship between CR wait time and mental health outcomes can be found and to what degree participation in CR varies by mental health status. Methods Data from the UK National Audit of Cardiac Rehabilitation, a dataset that captures information on routine CR practice and patient outcomes, was extracted between 2012 and 2016. Logistic and multinomial regression models were used to explore the relationship between timing of CR and mental health outcomes measured on the hospital anxiety and depression scale. Results The results of this study showed participation in CR varied by mental health status, particularly in relation to completion of CR, with a higher proportion of non-completers with symptoms of anxiety (5% higher) and symptoms of depression (8% higher). Regression analyses also revealed that delays to CR commencement significantly impact mental health outcomes post-CR. Conclusion In these analyses CR wait time has been shown to predict the outcome of anxiety and depression status to the extent that delays in starting CR are detrimental. Programmes falling outside the 4-week window for commencement of CR following referral must strive to reduce wait times to avoid negative impacts to patient outcome.


2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Claudio Nicolò ◽  
Marco Franzino ◽  
Lorenzo Pistelli ◽  
Giulia De Sanctis ◽  
Francesca Parisi ◽  
...  

Abstract Aims Acute coronary syndrome (ACS) has a huge potential impact on patients’ life, and little is known on the long-term effect on mental health in young patients. Methods and results We included consecutive young patients (≤45 years at presentation) with ACS referred from October 2013 until March 2021 to our clinic. Physical and mental status was evaluated through the standardized SF12 scale for physical (PCS) and mental status (MCS). Depression and perceived stress were evaluated with the patient health questionnaire 9 (PHQ9) and perceived stress scale (PSS). A total of 91 patients have been included and followed for a median of 40 months. History of anxiety or depression at baseline was reported in 1.1% and 2.2%, respectively. Physical and mental health status was impaired in 65.8% and 42.1% of patients, respectively (Figure). Predictors of poorer physical health were lower LVEF, WMSI, and multivessel disease. Predictors of poorer mental health were age and nuisance bleeding during follow-up. Mild/moderate depression was reported in 47.3%. Moderate/high stress was reported in 78.1%. 37.1% patients affirmed that their career trajectory worsened after the event and 37.8% declared a reduction of income. 53.8% declared mild to significant changes in their sexual activity, while 83.8% declared to have received no advises on sexual activity from their Doctor. Conclusions In conclusion, ACS is a dramatic event with a significant impact on young patients’ life at a physical, mental, and social level. Measures of social/psychological support in the aftermath of the event merit consideration in future research.


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