Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy
Por:
Pascal-Capdevila R, Crovetto F, Casas I, Youssef L, Trilla C, Larroya M, Abel Belizario Cahuana Cardenas, Boada D, Foraster M, Llurba E, Sunyer J, Crispi F, Gratacós E and Gómez-Roig MD
Publicada:
1 abr 2022
Ahead of Print:
15 abr 2022
Categoría:
Medicine (miscellaneous)
Resumen:
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.
Filiaciones:
Pascal-Capdevila R:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin, RD21/0012/0001, Instituto de Salud Carlos III, 28029 Madrid, Spain
Crovetto F:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
Institut de Recerca Sant Joan de Déu, 08950 Barcelona, Spain
Center for Biomedical Network Research on Rare Diseases, 28029 Madrid, Spain
Casas I:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
Trilla C:
Department of Obstetrics and Gynecology, Hospital de la Santa Creu i de Sant Pau, Universitat Autònoma de Barcelona, 08041 Barcelona, Spain
:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
Abel Belizario Cahuana Cardenas:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
Boada D:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
Foraster M:
ISGlobal, 08003 Barcelona, Spain
Llurba E:
Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin, RD21/0012/0001, Instituto de Salud Carlos III, 28029 Madrid, Spain
Department of Obstetrics and Gynecology, Hospital de la Santa Creu i de Sant Pau, Universitat Autònoma de Barcelona, 08041 Barcelona, Spain
Sunyer J:
ISGlobal, 08003 Barcelona, Spain
Crispi F:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
Center for Biomedical Network Research on Rare Diseases, 28029 Madrid, Spain
Institut de Recerca August Pi Sunyer, 08036 Barcelona, Spain
Gratacós E:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
Institut de Recerca Sant Joan de Déu, 08950 Barcelona, Spain
Center for Biomedical Network Research on Rare Diseases, 28029 Madrid, Spain
Institut de Recerca August Pi Sunyer, 08036 Barcelona, Spain
Gómez-Roig MD:
BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, Spain
Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin, RD21/0012/0001, Instituto de Salud Carlos III, 28029 Madrid, Spain
Institut de Recerca Sant Joan de Déu, 08950 Barcelona, Spain
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