New perinatal mental health conditions diagnosed during COVID-19: a population-based, retrospective cohort study of birthing people in Ontario.

Autor: Correia RH; Health Research Methodology graduate program, McMaster University, Hamilton, ON, Canada., Greyson D; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada., Kirkwood D; ICES, McMaster University, Hamilton, ON, Canada., Darling EK; Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada., Pahwa M; School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada., Bayrampour H; Department of Family Practice, Midwifery Program, University of British Columbia, University Endowment Lands, Vancouver, Canada., Jones A; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada., Kuyvenhoven C; Department of Family Medicine, McMaster University, Hamilton, ON, Canada., Liauw J; Department of Obstetrics and Gynecology, University of British Columbia, University Endowment Lands, Vancouver, Canada., Vanstone M; Department of Family Medicine, McMaster University, Hamilton, ON, Canada. vanstomg@mcmaster.ca.
Jazyk: angličtina
Zdroj: Archives of women's mental health [Arch Womens Ment Health] 2024 Nov 19. Date of Electronic Publication: 2024 Nov 19.
DOI: 10.1007/s00737-024-01534-1
Abstrakt: Purpose: We aimed to determine the incidence of mental health diagnoses and associated health and social risk factors among perinatal people in three different COVID-19 phases.
Methods: We conducted a population-based, retrospective cohort study using linked administrative datasets. We included persons with live, in-hospital births in Ontario, Canada from January 1 to March 31 in 2019, 2021, or 2022 (three phases relative to COVID-19 with different public health policy measures). We excluded people with prior mental health diagnoses. We used diagnostic codes to identify new onset of depression, anxiety, or adjustment disorder in the antenatal and postpartum period. We developed multivariable, modified Poisson models to examine associations between sociodemographic and clinical factors and new mental health diagnoses in each phase.
Results: There were 72,242 people in our cohort. Antenatal mental health diagnoses were significantly higher in 2021 (aRR = 1.32; CI = 1.20-1.46) and 2022 (aRR = 1.22; CI = 1.11-1.35) versus 2019. Postpartum diagnoses were significantly greater in 2021 (aRR = 1.16; CI = 1.08-1.25) versus 2019. Antenatal diagnoses were associated with birth year, previous stillbirth, pre-existing hypertension, multiparity, residential instability, and ethnocultural diversity. Postpartum diagnoses were associated with birth year, maternal age, multiparity, care provider profession, assisted reproductive technology, birthing mode, pre-existing hypertension, intensive care admission, hospital readmission, residential instability, and ethnocultural diversity. Family physicians increasingly made mental health diagnoses in 2021 and 2022.
Conclusion: Increased incidence of perinatal mental health diagnoses during COVID-19 suggests complex dynamics involving pandemic and health and social risk factors.
Registration: This study was registered with Clinicaltrials.gov (NCT05663762) on December 21, 2022.
Competing Interests: Declaration Ethics The use of ICES data is authorized under Sect. 45 of Ontario’s Personal Health Information Protection Act (PHIPA), which allows ICES to collect and analyze health care and demographic data, without consent, for health system evaluation and improvement. Therefore, ethics approval was waived by the Hamilton Integrated Research Ethics Board (HiREB) on September 22, 2022. Competing interests The authors have no competing interests to declare.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
Databáze: MEDLINE
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