One Year Into the Pandemic: A Systematic Review of Perinatal Mental Health Outcomes During COVID-19.

One Year Into the Pandemic: A Systematic Review of Perinatal Mental Health Outcomes During COVID-19.
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大流行一年:对 COVID-19 期间围产期心理健康结果的系统回顾。

DOI:
10.3389/fpsyt.2021.674194
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发表时间:
2021
影响因子:
4.7
通讯作者:
Kim S
Kim S
中科院分区:
医学3区
文献类型:
--
作者:
Iyengar U;Jaiprakash B;Haitsuka H;Kim S

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产科指南迅速发展,纳入了关于新型冠状病毒病(COVID-19)的新数据和研究,以及去年建立的围产期心理健康数据。我们在本手稿中的目的是在新生儿和产科指南的背景下,对COVID-19大流行期间孕妇和产后妇女的心理健康结局进行系统综述,这些指南涉及COVID-19在妊娠期间的症状和并发症、母婴传播、剖宫产、新生儿早产、孕产妇/新生儿死亡、母婴分离和母乳喂养。我们总结了81项针对孕妇和产后妇女的心理健康研究的数据,并强调了在COVID-19大流行期间确定的围产期心理健康结果的保护和风险因素。本文回顾的数据表明,COVID-19期间孕妇和产后妇女的心理症状增加,特别是抑郁和焦虑症状。我们的系统性综述整合了最新的产科和新生儿指南,沿着与COVID-19相关的围产期心理健康结果,突出了在当前COVID-19大流行中护理妇女及其新生儿的最佳可用数据。
Obstetric guidelines have rapidly evolved to incorporate new data and research on the novel coronavirus disease (COVID-19), with data on perinatal mental health building over the last year. Our aim in the present manuscript is to provide a systematic review of mental health outcomes in pregnant and postpartum women during the COVID-19 pandemic in the context of neonatal and obstetric guidelines addressing symptoms and complications of COVID-19 during pregnancy, mother-to-neonate transmission, Cesarean-section delivery, neonatal prematurity, maternal/neonate mortalities, maternal-neonatal separation, and breastfeeding. We summarize data from 81 mental health studies of pregnant and postpartum women and underscore protective and risk factors identified for perinatal mental health outcomes amidst the COVID-19 pandemic. Data reviewed here suggest increased psychological symptoms, especially depressive and anxiety symptoms, in pregnant and postpartum women during COVID-19. Our systematic review integrates the most current obstetric and neonate guidelines, along with perinatal mental health outcomes associated with COVID-19, highlighting the best available data for the care of women and their neonates amidst the current COVID-19 pandemic.
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