The use of personal protective equipment as an independent factor for developing depressive and post-traumatic stress symptoms in the postpartum period
| Autor: | Lior Elyasyan, Rinat Gabbay-Benziv, Tal Biron-Shental, Maya Sharon Weiner, Noga Shiffman, Rawan Daher, Nofar Elia, Hadar Gluska, Liat Helpman, Hadas Miremberg, Yael Mayer, Michal Kovo |
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| Rok vydání: | 2021 |
| Předmět: |
Postpartum depression
Adult medicine.medical_specialty Edinburgh Postnatal Depression Scale (EPDS) postpartum post-traumatic stress disorder (PTSD) Depression Postpartum Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors Surveys and Questionnaires medicine Childbirth Humans City birth Trauma Scale (City BiTS) 030212 general & internal medicine Israel Personal protective equipment Personal Protective Equipment Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics Postpartum Period Traumatic stress COVID-19 Retrospective cohort study Fear postpartum depression (PPD) medicine.disease personal protective equipment (PPE) Confidence interval Psychiatry and Mental health Communicable Disease Control Female business Postpartum period Research Article |
| Zdroj: | European Psychiatry |
| ISSN: | 1778-3585 0924-9338 |
| Popis: | Background New recommendations regarding the use of personal protective equipment (PPE) during delivery have changed the maternal birth experience. In this study, we investigated the mental perceived impact of PPE use during delivery on the development of maternal postpartum depression (PPD) and post-traumatic stress symptoms (PTSS). Methods This was a multicenter, retrospective cohort study concerning women who delivered during the COVID-19 pandemic first lockdown period in Israel. Postpartum women were approached and asked to complete a comprehensive online questionnaire. Impact of PPE was graded on a scale of 1–5, and Impact of PPE ≥4 was considered high. PPD and PTSS were assessed using the EPDS and City BiTS questionnaires. Results Of 421 parturients, 36 (9%) reported high Impact of PPE. Parturients with high Impact of PPE had significantly higher PPD and PTSS scores)EPDS 8.4 ± 5.8 vs. 5.7 ± 5.3; City BiTS 9.2 ± 10.3 vs. 5.8 ± 7.8, p < 0.05 for both). Following adjustment for socio-demographic and delivery confounders and fear of COVID-19 (using Fear of COVID19 scale), Impact of PPE remained positively correlated with PPD symptoms (ß = 0.103, 95% confidence intervals [CI] 0.029–1.006, p = 0.038). Conclusion When examining the risk factors for developing postpartum PTSS—experiences during labor and PPE were found to be significant variables. As the use of PPE is crucial in this era of COVID-19 pandemic in order to protect both parturients and caregivers, creative measures should be taken in order to overcome the communication gap it poses. |
| Databáze: | OpenAIRE |
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