What are the mental health issues of postpartum mothers during a pandemic? A scoping review
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Background. Postpartum mothers’ mental health has a significant role in mothers' well-being and child's growth and development. This issue is worsened during a pandemic when social restrictions are regulated, resulting in perceived stress, baby blues, postpartum depression, and other mental health issues.
Objective. This study intends to investigate postpartum mothers’ mental health during the COVID-19 pandemic.
Methods. This study's methodology is a scoping review using the prism-ScR checklist, the Joanna Briggs Institute critical appraisal tool, and a population, exposure, outcome framework. It uses 4 databases: Pubmed, Willey, Proquest, and ScienceDirect; its inclusion criteria is original English articles that can be accessed in full text between 2020 and 2022.
Results. Out of 190 publications, we found 7 that are pertinent to the research goals. Qualitative research, cross-sectional studies, and longitudinal studies make up the research. The mapping result includes 4 themes: the types of mental health problems experienced by postpartum moms during the Pandemic, risk and predictive factors, postpartum mothers’ experiences, and the effects of mothers’ mental health problems.
Conclusion. After giving birth, most mothers experience stress, anxiety, and depression. Postpartum mental health concerns are influenced by isolation, social exclusion, and crises. The creation of a customized plan for early assistance for a woman's mental health requirements, as well as the establishment of an accessible mental health provider, including medical personnel and medical facilities, is advised for pregnant and postpartum women.
Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed 2020;91:157-60.
Hessami K, Romanelli C, Chiurazzi M, Cozzolino M. COVID-19 pandemic and maternal mental health: a systematic review and meta-analysis. J Matern Neonatal Med 2022;35:4014-21. DOI: https://doi.org/10.1080/14767058.2020.1843155
Kuipers YJ, Bleijenbergh R, Van den Branden L, et al. Psychological health of pregnant and postpartum women before and during the COVID-19 pandemic. PLoS One 2022;17:e0267042. DOI: https://doi.org/10.1371/journal.pone.0267042
Mi T, Hung P, Li X, et al. Racial and ethnic disparities in postpartum care in the Greater Boston Area during the COVID-19 pandemic. JAMA Netw Open 2022;5:e2216355. DOI: https://doi.org/10.1001/jamanetworkopen.2022.16355
Goldstein E, Brown RL, Lennon RP, Zgierska AE. Latent class analysis of health, social, and behavioral profiles associated with psychological distress among pregnant and postpartum women during the COVID‐19 pandemic in the United States. Birth 2023;50:407-17. DOI: https://doi.org/10.1111/birt.12664
Lebel C, MacKinnon A, Bagshawe M, et al. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord 2020;277:5-13. DOI: https://doi.org/10.1016/j.jad.2020.07.126
Brock R, O’Hara M, Hart K, et al. Peritraumatic distress mediates the effect of severity of disaster exposure on perinatal depression: the Iowa flood study. J Trauma Stress 2015;28:515-22. DOI: https://doi.org/10.1002/jts.22056
Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med 2021;27:601-15. DOI: https://doi.org/10.1038/s41591-021-01283-z
Ahmad M, Vismara L. The psychological impact of COVID-19 pandemic on women’s mental health during pregnancy: a rapid evidence review. Int J Environ Res Public Health 2021;18:7112. DOI: https://doi.org/10.3390/ijerph18137112
Molgora S, Accordini M. Motherhood in the time of coronavirus: the impact of the pandemic emergency on expectant and postpartum women’s psychological well-being. Front Psychol 2020;11:567155. DOI: https://doi.org/10.3389/fpsyg.2020.567155
Briscoe L, Lavender T, McGowan L. A concept analysis of women’s vulnerability during pregnancy, birth, and the postnatal period. J Adv Nurs 2016;72:2330-45. DOI: https://doi.org/10.1111/jan.13017
Diamond RM, Colaianni A. The impact of perinatal healthcare changes on birth trauma during COVID-19. Women Birth 2022;35:503-10. DOI: https://doi.org/10.1016/j.wombi.2021.12.003
Zivoder I, Martic-Biocina S, Veronek J, et al. Mental disorders/difficulties in the postpartum period. Psychiatr Danub 2019;31:338–44.
Iyengar U, Jaiprakash B, Haitsuka H, Kim S. One year into the pandemic: a systematic review of perinatal mental health outcomes during COVID-19. Front Psychiatry 2021;12:674194. DOI: https://doi.org/10.3389/fpsyt.2021.674194
Fisher J, Cabral De Mello M, Patel V, et al. Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle-income countries: a systematic review. Bull World Heal Organ 2012;90:139-49. DOI: https://doi.org/10.2471/BLT.11.091850
Dennis C, Kobra FH, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry 2017;210:315-23. DOI: https://doi.org/10.1192/bjp.bp.116.187179
Fawcett E, Fairbrother N, Cox M, White I, Fawcett J. The prevalence of anxiety disorders during pregnancy and the postpartum period: a multivariate bayesian meta-analysis. J Clin Psychiatry 2019;80:18r12527. DOI: https://doi.org/10.4088/JCP.18r12527
Howard L, Khalifeh H. Perinatal mental health: a review of progress and challenges. World Psychiatry 2020;19:313-27. DOI: https://doi.org/10.1002/wps.20769
Asare H, Rosi A, Scazzina F, et al. Maternal postpartum depression in relation to child undernutrition in low- and middle-income countries: a systematic review and meta-analysis. Eur J Pediatr 2022;181:979-89. DOI: https://doi.org/10.1007/s00431-021-04289-4
Ali NS, Mahmud S, Khan A, Ali BS. Impact of postpartum anxiety and depression on child’s mental development from two peri-urban communities of Karachi, Pakistan: a quasi-experimental study. BMC Psychiatry 2013;13:274. DOI: https://doi.org/10.1186/1471-244X-13-274
Nasreen HE, Nahar Kabir Z, Forsell Y, Edhborg M. Impact of maternal depressive symptoms and infant temperament on early infant growth and motor development: results from a population based study in Bangladesh. J Affect Disord 2013;146:254–61. DOI: https://doi.org/10.1016/j.jad.2012.09.013
Sacchi C, De Carli P, Vieno A, et al. Does infant negative emotionality moderate the effect of maternal depression on motor development? Early Hum Dev 2018;119:56-61. DOI: https://doi.org/10.1016/j.earlhumdev.2018.03.006
Silva CS, Lima MC, Sequeira-de-Andrade LAS, et al. Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life. J Pediatr (Rio J) 2017;93:356-64. DOI: https://doi.org/10.1016/j.jped.2016.08.005
Pope CJ, Mazmanian D. Breastfeeding and postpartum depression: an overview and methodological recommendations for future research. Depress Res Treat 2016;2016:4765310. DOI: https://doi.org/10.1155/2016/4765310
Milgrom J, Hirshler Y, Reece J, et al. Social support—a protective factor for depressed perinatal women? Int J Environ Res Public Health 2019;16:1426. DOI: https://doi.org/10.3390/ijerph16081426
Santini ZI, Koyanagi A, Tyrovolas S, et al. The association between social relationships and depression: a systematic review. J Affect Disord 2015;175:53-65. DOI: https://doi.org/10.1016/j.jad.2014.12.049
Munn Z, Peters MDJ, Stern C, et al. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol 2018;18:143. DOI: https://doi.org/10.1186/s12874-018-0611-x
Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Open Med 2009;3:e123-30. DOI: https://doi.org/10.1371/journal.pmed.1000097
Daudt HML, Van Mossel C, Scott SJ. Enhancing the scoping study methodology: a large, inter-professional team’s experience with Arksey and O’Malley’s framework. BMC Med Res Methodol 2013;13:48. DOI: https://doi.org/10.1186/1471-2288-13-48
Peterson J, Pearce PF, Ferguson LA, Langford CA. Understanding scoping reviews. J Am Assoc Nurse Pract 2017;29:12-6. DOI: https://doi.org/10.1002/2327-6924.12380
Brandstetter S, Rüter J, Curbach J, Loss J. A systematic review on empowerment for healthy nutrition in health promotion. Public Health Nutr 2015;18–17:3146-54. DOI: https://doi.org/10.1017/S1368980015000270
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Methodol 2015;8:19-32. DOI: https://doi.org/10.1080/1364557032000119616
Mucci F, Mucci N, Diolaiuti F. Lockdown and isolation: psychological aspects of covid-19 pandemic in the general population. Clin Neuropsychiatry 2020;17:63-4.
Dib S, Rougeaux E, Vázquez-Vázquez A, et al. Maternal mental health and coping during the COVID-19 lockdown in the UK: data from the COVID-19 New Mum Study. Int J Gynaecol Obstet 2020;151:407-14. DOI: https://doi.org/10.1002/ijgo.13397
Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395:912-20. DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
Ceulemans M, Foulon V, Ngo E, et al. Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic—a multinational cross-sectional study. Acta Obstet Gynecol Scand 2021;100:1219-29. DOI: https://doi.org/10.1111/aogs.14092
Thomson G, Cook J, Nowland R, et al. Resilience and post‐traumatic growth in the transition to motherhood during the COVID‐19 pandemic: a qualitative exploratory study. Scand J Caring Sci 2022;36:1143-55. DOI: https://doi.org/10.1111/scs.13087
Papadopoulos A, Nichols ES, Mohsenzadeh Y, et al. Prenatal and postpartum maternal mental health and neonatal motor outcomes during the COVID-19 pandemic. J Affect Disord Reports 2022;10:100387. DOI: https://doi.org/10.1016/j.jadr.2022.100387
Ladd W, De Decker J. The lived experience of postpartum anxiety during COVID-19: a hermeneutic phenomenological study. Qual Rep 2022;27:1316-40. DOI: https://doi.org/10.46743/2160-3715/2022.5420
Dadi AF, Miller ER, Mwanri L. Postnatal depression and its association with adverse infant health outcomes in low- and middle-income countries: a systematic review and meta-analysis. BMC Pregnancy Childbirth 2020;20:416. DOI: https://doi.org/10.1186/s12884-020-03092-7
Slomian J, Honvo G, Emonts P, et al. Consequences of maternal postpartum depression: a systematic review of maternal and infant outcomes. Womens Healh 2019;15:174550651984404. DOI: https://doi.org/10.1177/1745506519844044
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