Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy
Pascal, Rosalia (Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin. Instituto de Salud Carlos III)
Crovetto, Francesca (Centro de Investigación Biomédica en Red de Enfermedades Raras)
Casas, Irene (BCNatal Fetal Medicine Research Center)
Youssef, Lina (BCNatal Fetal Medicine Research Center)
Trilla, Cristina (Institut d'Investigació Biomèdica Sant Pau)
Larroya, Marta (BCNatal Fetal Medicine Research Center)
Cahuana, Alex (BCNatal Fetal Medicine Research Center)
Boada, David (BCNatal Fetal Medicine Research Center)
Foraster, Maria (ISGlobal)
Llurba, Elisa (Institut d'Investigació Biomèdica Sant Pau)
Sunyer Deu, Jordi (ISGlobal)
Crispi, Fatima (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Gratacos, Eduard (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Gómez-Roig, María Dolores (Institut de Recerca Sant Joan de Déu)
Universitat Autònoma de Barcelona

Fecha:	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.
Nota:	Altres ajuts: KidsCorona Child and Mother COVID-19 OpenData; Biobank Initiative from Hospital Sant Joan de Déu (Stavros Niarchos Foundation, Santander Foundation and others); Fundació "LaCaixa"; Institut de Recerca Sant Pau; ISGlobal; AXA; Fundació Privada Daniel Bravo Andreu.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	COVID-19 ; SARS-CoV-2 ; Pandemic ; Well-being ; Pregnancy ; Psychiatric disorders ; Anxiety ; Depression
Publicado en:	Journal of clinical medicine, Vol. 11 Núm. 8 (April 2022) , p. 2212, ISSN 2077-0383

DOI: 10.3390/jcm11082212
PMID: 35456306

15 p, 1.7 MB

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