Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy

The outbreak of a pandemic has negative psychological effects. We aimed to determine the impact of the SARS-CoV-2 pandemic during pregnancy and identify the risk factors for maternal well-being. A multicenter, prospective, population-based study was carried out that included women (n = 1320) who wer...

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Detalles Bibliográficos
Autores: Pascal, Rosalia|||0000-0003-3874-7524, Crovetto, Francesca|||0000-0003-0140-7411, Casas, Irene, Youssef, Lina|||0000-0002-0554-5507, Trilla, Cristina|||0000-0002-5650-1790, Larroya, Marta|||0000-0001-7929-6630, Cahuana, Alex, Boada, David, Foraster, Maria|||0000-0003-4450-4123, Llurba, Elisa|||0000-0003-4048-6407, Sunyer Deu, Jordi|||0000-0002-2602-4110, Crispi, Fatima|||0000-0002-7422-5240, Gratacós, Eduard|||0000-0002-7405-7224, Gómez-Roig, María Dolores|||0000-0003-2329-1851
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:284471
Acceso en línea:https://ddd.uab.cat/record/284471
https://dx.doi.org/urn:doi:10.3390/jcm11082212
Access Level:acceso abierto
Palabra clave:COVID-19
SARS-CoV-2
Pandemic
Well-being
Pregnancy
Psychiatric disorders
Anxiety
Depression
Descripción
Sumario:The outbreak of a pandemic has negative psychological effects. We aimed to determine the impact of the SARS-CoV-2 pandemic during pregnancy and identify the risk factors for maternal well-being. A multicenter, prospective, population-based study was carried out that included women (n = 1320) who were pregnant during the SARS-CoV-2 pandemic in Barcelona (Spain) compared against a pre-pandemic cohort (n = 345). Maternal well-being was assessed using the validated World Health Organization Well-Being Index Questionnaire (WHO-5 Index). Pregnant women attended during the COVID-19 pandemic showed worst WHO-5 well-being scores (median (IQR) of 56 (36-72) for the pandemic cohort vs. 64 (52-76) for the pre-pandemic cohort p < 0.001), with 42.8% of women presenting a poor well-being score vs. 28% for the pre-pandemic cohort (p < 0.001). Presence of a previous psychiatric disorder (OR 7.1; 95% CI 2.6-19, p < 0.001), being in the third trimester of pregnancy (OR 1.7; 95% CI 1.5-2, p < 0.001), or requiring hospital admission for COVID-19 (OR 4.7; 95% CI 1.4-16.7, p = 0.014), significantly contributed to low maternal well-being during the COVID-19 pandemic (multivariate analysis). Being infected by SARS-CoV-2 was not associated with a lower well-being score. We conclude that, during the COVID-19 pandemic, there were higher rates of poor maternal well-being; the infection of SARS-CoV-2 itself did not worsen maternal well-being, but other factors as psychiatric disorders, being in the third trimester of pregnancy or hospital admission for COVID-19 disease did.

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