Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in Japan
Abstract Background This study aimed to evaluate whether “visiting restrictions” implemented due to the coronavirus disease 2019 (COVID-19) pandemic are a risk factor for postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS). Methods This case-control study participants who gav...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-09-01
|
| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05979-7 |
| _version_ | 1797451095273897984 |
|---|---|
| author | Sho Kudo Harumichi Banno Taro Itou Hiroshi Kawamura Daisuke Inoue Nozomu Takahashi Makoto Orisaka Yoshio Yoshida |
| author_facet | Sho Kudo Harumichi Banno Taro Itou Hiroshi Kawamura Daisuke Inoue Nozomu Takahashi Makoto Orisaka Yoshio Yoshida |
| author_sort | Sho Kudo |
| collection | DOAJ |
| description | Abstract Background This study aimed to evaluate whether “visiting restrictions” implemented due to the coronavirus disease 2019 (COVID-19) pandemic are a risk factor for postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS). Methods This case-control study participants who gave birth during the spread of COVID-19 (COVID-19 study group) and before the spread of COVID-19 (control group). Participants completed the EPDS at 2 weeks and 1 month after childbirth. Results A total of 400 cases (200 in each group) were included in this study. The EPDS positivity rate was significantly lower with visiting restrictions than without (8.5% vs.18.5%, p = 0.002). Multivariate analysis of positive EPDS screening at the 1st month checkup as the objective variable revealed that visiting restrictions (odds ratio (OR): 0.35, 95% confidence interval (CI): 0.18–0.68), neonatal hospitalization (OR: 2.17, 95% CI: 1.08–4.35), and prolonged delivery (OR: 2.87, 95% CI: 1.20–6.85) were factors associated with an increased risk of positive EPDS screening. Conclusion Visiting restrictions on family during the hospitalization period for delivery during the spread of COVID-19 pandemic did not worsen EPDS screening scores 1 month postpartum, but stabilized the mental state of some mothers. |
| first_indexed | 2024-03-09T14:49:56Z |
| format | Article |
| id | doaj.art-03be62528d5f4ed9af0cb0de0c72d49d |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-09T14:49:56Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-03be62528d5f4ed9af0cb0de0c72d49d2023-11-26T14:30:50ZengBMCBMC Pregnancy and Childbirth1471-23932023-09-012311710.1186/s12884-023-05979-7Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in JapanSho Kudo0Harumichi Banno1Taro Itou2Hiroshi Kawamura3Daisuke Inoue4Nozomu Takahashi5Makoto Orisaka6Yoshio Yoshida7Department of Obstetrics and Gynecology, Maizuru Kyosai HospitalDepartment of Obstetrics and Gynecology, Maizuru Kyosai HospitalDepartment of Obstetrics and Gynecology, Maizuru Kyosai HospitalFaculty of Medical Sciences, Department of Obstetrics and Gynecology, University of FukuiFaculty of Medical Sciences, Department of Obstetrics and Gynecology, University of FukuiFaculty of Medical Sciences, Department of Obstetrics and Gynecology, University of FukuiFaculty of Medical Sciences, Department of Obstetrics and Gynecology, University of FukuiFaculty of Medical Sciences, Department of Obstetrics and Gynecology, University of FukuiAbstract Background This study aimed to evaluate whether “visiting restrictions” implemented due to the coronavirus disease 2019 (COVID-19) pandemic are a risk factor for postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS). Methods This case-control study participants who gave birth during the spread of COVID-19 (COVID-19 study group) and before the spread of COVID-19 (control group). Participants completed the EPDS at 2 weeks and 1 month after childbirth. Results A total of 400 cases (200 in each group) were included in this study. The EPDS positivity rate was significantly lower with visiting restrictions than without (8.5% vs.18.5%, p = 0.002). Multivariate analysis of positive EPDS screening at the 1st month checkup as the objective variable revealed that visiting restrictions (odds ratio (OR): 0.35, 95% confidence interval (CI): 0.18–0.68), neonatal hospitalization (OR: 2.17, 95% CI: 1.08–4.35), and prolonged delivery (OR: 2.87, 95% CI: 1.20–6.85) were factors associated with an increased risk of positive EPDS screening. Conclusion Visiting restrictions on family during the hospitalization period for delivery during the spread of COVID-19 pandemic did not worsen EPDS screening scores 1 month postpartum, but stabilized the mental state of some mothers.https://doi.org/10.1186/s12884-023-05979-7COVID-19Visiting restrictionsEdinburgh postnatal depression scalePostpartum depression |
| spellingShingle | Sho Kudo Harumichi Banno Taro Itou Hiroshi Kawamura Daisuke Inoue Nozomu Takahashi Makoto Orisaka Yoshio Yoshida Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in Japan BMC Pregnancy and Childbirth COVID-19 Visiting restrictions Edinburgh postnatal depression scale Postpartum depression |
| title | Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in Japan |
| title_full | Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in Japan |
| title_fullStr | Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in Japan |
| title_full_unstemmed | Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in Japan |
| title_short | Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in Japan |
| title_sort | impact of visiting restrictions on edinburgh postnatal depression scale screening scores at one month postpartum during the spread of covid 19 a single center case control study in japan |
| topic | COVID-19 Visiting restrictions Edinburgh postnatal depression scale Postpartum depression |
| url | https://doi.org/10.1186/s12884-023-05979-7 |
| work_keys_str_mv | AT shokudo impactofvisitingrestrictionsonedinburghpostnataldepressionscalescreeningscoresatonemonthpostpartumduringthespreadofcovid19asinglecentercasecontrolstudyinjapan AT harumichibanno impactofvisitingrestrictionsonedinburghpostnataldepressionscalescreeningscoresatonemonthpostpartumduringthespreadofcovid19asinglecentercasecontrolstudyinjapan AT taroitou impactofvisitingrestrictionsonedinburghpostnataldepressionscalescreeningscoresatonemonthpostpartumduringthespreadofcovid19asinglecentercasecontrolstudyinjapan AT hiroshikawamura impactofvisitingrestrictionsonedinburghpostnataldepressionscalescreeningscoresatonemonthpostpartumduringthespreadofcovid19asinglecentercasecontrolstudyinjapan AT daisukeinoue impactofvisitingrestrictionsonedinburghpostnataldepressionscalescreeningscoresatonemonthpostpartumduringthespreadofcovid19asinglecentercasecontrolstudyinjapan AT nozomutakahashi impactofvisitingrestrictionsonedinburghpostnataldepressionscalescreeningscoresatonemonthpostpartumduringthespreadofcovid19asinglecentercasecontrolstudyinjapan AT makotoorisaka impactofvisitingrestrictionsonedinburghpostnataldepressionscalescreeningscoresatonemonthpostpartumduringthespreadofcovid19asinglecentercasecontrolstudyinjapan AT yoshioyoshida impactofvisitingrestrictionsonedinburghpostnataldepressionscalescreeningscoresatonemonthpostpartumduringthespreadofcovid19asinglecentercasecontrolstudyinjapan |