An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis

The ongoing COVID-19 pandemic has led to disruption of normal life across the globe, severely affecting the already vulnerable populations such as the pregnant women. Maternal mental health and well-being is a public health priority and the evidence about the impact of COVID-19 on mental health stat...

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Main Authors: Rahul Shidhaye, Purnima Madhivanan, Pallavi Shidhaye, Karl Krupp
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2020.598746/full
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author Rahul Shidhaye
Rahul Shidhaye
Purnima Madhivanan
Purnima Madhivanan
Purnima Madhivanan
Pallavi Shidhaye
Karl Krupp
Karl Krupp
author_facet Rahul Shidhaye
Rahul Shidhaye
Purnima Madhivanan
Purnima Madhivanan
Purnima Madhivanan
Pallavi Shidhaye
Karl Krupp
Karl Krupp
author_sort Rahul Shidhaye
collection DOAJ
description The ongoing COVID-19 pandemic has led to disruption of normal life across the globe, severely affecting the already vulnerable populations such as the pregnant women. Maternal mental health and well-being is a public health priority and the evidence about the impact of COVID-19 on mental health status of pregnant women is gradually emerging. The findings of the recently published studies suggest that increased risk perception about contracting COVID-19, reduced social support, increase in domestic violence, disruption of antenatal care, and economic consequences of COVID-19 mitigation strategies can lead to adverse mental health outcomes in antenatal period. There is a significant increase in antenatal depression and anxiety since the onset of COVID-19 and social determinants of health (e.g., younger age, lower education, lower income) are associated with these poor outcomes. In this paper, we propose an integrated approach to improve the mental health and well-being of pregnant women. Physical activity and/or mind-body interventions like yoga can be practiced as self-care interventions by pregnant women. Despite social distancing being the current norm, efforts should be made to strengthen social support. Evidence-based interventions for perinatal depression should be integrated within the health system and stepped, collaborative care using non-specialist health workers as key human resource be utilized to improve access to mental health services. Use of digital platforms and smartphone enabled delivery of services has huge potential to further improve the access to care. Most importantly, the COVID-19 related policy guidelines should categorically include maternal mental health and well-being as a priority area.
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spelling doaj.art-46e7d9c9754e41c7b2b1060560b61b562022-12-21T23:09:47ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-11-011110.3389/fpsyt.2020.598746598746An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 CrisisRahul Shidhaye0Rahul Shidhaye1Purnima Madhivanan2Purnima Madhivanan3Purnima Madhivanan4Pallavi Shidhaye5Karl Krupp6Karl Krupp7Directorate of Research, Pravara Institute of Medical Sciences, Loni, IndiaDepartment of Psychiatry, Pravara Institute of Medical Sciences, Loni, IndiaDepartment of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United StatesDivision of Infectious Diseases and Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ, United StatesPublic Health Research Institute of India, Mysore, IndiaIndian Council of Medical Research-National AIDS Research Institute, Pune, IndiaDepartment of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United StatesPublic Health Research Institute of India, Mysore, IndiaThe ongoing COVID-19 pandemic has led to disruption of normal life across the globe, severely affecting the already vulnerable populations such as the pregnant women. Maternal mental health and well-being is a public health priority and the evidence about the impact of COVID-19 on mental health status of pregnant women is gradually emerging. The findings of the recently published studies suggest that increased risk perception about contracting COVID-19, reduced social support, increase in domestic violence, disruption of antenatal care, and economic consequences of COVID-19 mitigation strategies can lead to adverse mental health outcomes in antenatal period. There is a significant increase in antenatal depression and anxiety since the onset of COVID-19 and social determinants of health (e.g., younger age, lower education, lower income) are associated with these poor outcomes. In this paper, we propose an integrated approach to improve the mental health and well-being of pregnant women. Physical activity and/or mind-body interventions like yoga can be practiced as self-care interventions by pregnant women. Despite social distancing being the current norm, efforts should be made to strengthen social support. Evidence-based interventions for perinatal depression should be integrated within the health system and stepped, collaborative care using non-specialist health workers as key human resource be utilized to improve access to mental health services. Use of digital platforms and smartphone enabled delivery of services has huge potential to further improve the access to care. Most importantly, the COVID-19 related policy guidelines should categorically include maternal mental health and well-being as a priority area.https://www.frontiersin.org/articles/10.3389/fpsyt.2020.598746/fullpregnancymaternal mental healthself-care (MeSH)social support (MeSH term)health systemCOVID-19 pandemic
spellingShingle Rahul Shidhaye
Rahul Shidhaye
Purnima Madhivanan
Purnima Madhivanan
Purnima Madhivanan
Pallavi Shidhaye
Karl Krupp
Karl Krupp
An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis
Frontiers in Psychiatry
pregnancy
maternal mental health
self-care (MeSH)
social support (MeSH term)
health system
COVID-19 pandemic
title An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis
title_full An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis
title_fullStr An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis
title_full_unstemmed An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis
title_short An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis
title_sort integrated approach to improve maternal mental health and well being during the covid 19 crisis
topic pregnancy
maternal mental health
self-care (MeSH)
social support (MeSH term)
health system
COVID-19 pandemic
url https://www.frontiersin.org/articles/10.3389/fpsyt.2020.598746/full
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