Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy
Por:
Pascal, R, Crovetto, F, Casas, I, Youssef, L, Trilla, C, Larroya, M, Cahuana, A, Boada, D, Foraster, M, Llurba, E, Sunyer, J, Crispi, F, Gratacos, E, Gomez-Roig, MD
Publicada:
1 abr 2022
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, R:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Inst Salud Carlos III, Primary Care Intervent Prevent Maternal & Child C, RD21-0012-0001, Madrid 28029, Spain
Crovetto, F:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Inst Recerca St Joan de Deu, Barcelona 08950, Spain
Ctr Biomed Network Res Rare Dis, Madrid 28029, Spain
Casas, I:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Youssef, L:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Trilla, C:
Univ Autonoma Barcelona, Dept Obstet & Gynecol, Hosp Santa Creu & St Pau, Barcelona 08041, Spain
Larroya, M:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Cahuana, A:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Boada, D:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Foraster, M:
ISGlobal, Barcelona 08003, Spain
Llurba, E:
Inst Salud Carlos III, Primary Care Intervent Prevent Maternal & Child C, RD21-0012-0001, Madrid 28029, Spain
Univ Autonoma Barcelona, Dept Obstet & Gynecol, Hosp Santa Creu & St Pau, Barcelona 08041, Spain
Sunyer, J:
ISGlobal, Barcelona 08003, Spain
Crispi, F:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Ctr Biomed Network Res Rare Dis, Madrid 28029, Spain
Inst Recerca August Pi Sunyer, Barcelona 08036, Spain
Gratacos, E:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Inst Recerca St Joan de Deu, Barcelona 08950, Spain
Ctr Biomed Network Res Rare Dis, Madrid 28029, Spain
Inst Recerca August Pi Sunyer, Barcelona 08036, Spain
Gomez-Roig, MD:
Univ Barcelona, Fetal Med Res Ctr, BCNatal, Hosp St Joan de Deu & Hosp Clin, Barcelona 08036, Spain
Inst Salud Carlos III, Primary Care Intervent Prevent Maternal & Child C, RD21-0012-0001, Madrid 28029, Spain
Inst Recerca St Joan de Deu, Barcelona 08950, Spain
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