COVID-19 positivity associated with traumatic stress response to childbirth and no visitors and infant separation in the hospital.
COVID-19 positivity associated with traumatic stress response to childbirth and no visitors and infant separation in the hospital.
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DOI：
10.1038/s41598-021-92985-4
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发表时间：
2021-06-29
影响因子：
4.6
通讯作者：
Dekel S
中科院分区：
文献类型：
--
作者：
Mayopoulos GA;Ein-Dor T;Li KG;Chan SJ;Dekel S
随着新型冠状病毒感染症（COVID-19）在全球范围内的传播，感染新冠病毒的孕妇和产妇占很大比例。虽然新出现的研究调查了COVID-19阳性妇女的分娩结果，但对分娩心理体验和孕产妇健康的了解仍然缺乏。这项基于配对对照调查的研究包括在美国第一波大流行期间招募的妇女样本，这些妇女在过去六个月内分娩。在怀孕或分娩期间报告确诊/疑似COVID-19的妇女（n = 68）与报告COVID-19阴性的妇女（n = 2276）根据背景因素进行匹配。我们发现，近50%的COVID阳性妇女在分娩后的临床水平上出现了急性创伤应激症状。与COVID阴性妇女相比，这一群体支持急性压力和在分娩住院期间没有访客的可能性是其两倍多；他们也不太可能和新生儿住在一起。COVID阳性组报告的分娩疼痛程度更高，新生儿体重更轻，新生儿重症监护病房的婴儿入住率更高。我们的研究结果表明，受COVID-19影响的人群创伤性分娩的风险增加，精神疾病的相关风险也增加。在大流行期间，有必要关注妇女的福祉。
As the novel coronavirus (COVID-19) has spread globally, a significant portion of pregnant and delivering women were infected with COVID-19. While emerging studies examined birth outcomes in COVID-19 positive women, knowledge of the psychological experience of childbirth and maternal wellness remains lacking. This matched-control survey-based study included a sample of women recruited during the first wave of the pandemic in the US who gave birth in the previous six months. Women reporting confirmed/suspected COVID-19 (n = 68) during pregnancy or childbirth were matched on background factors with women reporting COVID-19 negativity (n = 2,276). We found nearly 50% of COVID positive women endorsed acute traumatic stress symptoms at a clinical level in response to childbirth. This group was more than twice as likely to endorse acute stress and to have no visitors during maternity hospitalization than COVID negative women; they were also less likely to room-in with newborns. The COVID positive group reported higher levels of pain in delivery, lower newborn weights, and more infant admission to neonatal intensive care units. Our findings suggest COVID-19 affected populations are at increased risk for traumatic childbirth and associated risk for psychiatric morbidity. Attention to delivering women’s wellbeing is warranted during the pandemic.
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作者：
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通讯作者：
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DOI：
10.1080/14767058.2016.1182980
发表时间：
2017-03-01
影响因子：
1.8
作者：
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通讯作者：
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