Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemic

Objectives: The COVID-19 pandemic has caused considerable stress throughout the world. Little is known about how postpartum women who gave birth during the early months of the pandemic were impacted. The purpose of this study was to explore and describe the associations between potential risk, prote...

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Main Authors: Elizabeth Mollard, Kevin Kupzyk, Tiffany Moore
Format: Article
Language:English
Published: SAGE Publishing 2021-08-01
Series:Women's Health
Online Access:https://doi.org/10.1177/17455065211042190
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author Elizabeth Mollard
Kevin Kupzyk
Tiffany Moore
author_facet Elizabeth Mollard
Kevin Kupzyk
Tiffany Moore
author_sort Elizabeth Mollard
collection DOAJ
description Objectives: The COVID-19 pandemic has caused considerable stress throughout the world. Little is known about how postpartum women who gave birth during the early months of the pandemic were impacted. The purpose of this study was to explore and describe the associations between potential risk, protective factors, and psychological distress among postpartum women who gave birth during the early months of the COVID-19 pandemic. Methods: Postpartum women over the age of 18 years who gave birth in the US hospitals between March and July of 2020 and spoke English completed a survey about their experiences. Demographic and health variables were measured via self-report. Stress was measured using the Perceived Stress Scale-10. Mastery was measured with the Pearlin Mastery Scale. Resilience was measured with the Connor–Davidson Resilience Scale-2. Results: This study included 885 women. Participants had higher stress and lower resilience relative to pre-pandemic norms. Participants had high levels of depression, anxiety, and stress. Women who had an infant admitted to the neonatal intensive care unit had more stress. Income, full-time employment, and partnered relationships were associated with lower stress. Resilience and mastery were related to lower stress, depression, and anxiety. Black, Indigenous, or People of Color women showed higher stress and lower resiliency. Single women were likely to report lower levels of mastery than partnered women. Conclusion: Stress, depression, and anxiety were high in postpartum women in this study. Income, partnered relationships, and employment security, along with protective traits such as mastery and resilience, may reduce the impact of stress on postpartum women in a pandemic. Care models should be modified to support women during a pandemic. Health disparities exist in postpartum stress. Future interventions should focus on building resiliency and mastery and ensuring appropriate resources are available to postpartum women in a pandemic.
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spelling doaj.art-5e458d3935054fae877d4d15cb49c13a2022-12-21T20:16:51ZengSAGE PublishingWomen's Health1745-50652021-08-011710.1177/17455065211042190Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemicElizabeth Mollard0Kevin Kupzyk1Tiffany Moore2College of Nursing, University of Nebraska Medical Center, Lincoln, NE, USACollege of Nursing, University of Nebraska Medical Center, Omaha, NE, USACollege of Nursing, University of Nebraska Medical Center, Omaha, NE, USAObjectives: The COVID-19 pandemic has caused considerable stress throughout the world. Little is known about how postpartum women who gave birth during the early months of the pandemic were impacted. The purpose of this study was to explore and describe the associations between potential risk, protective factors, and psychological distress among postpartum women who gave birth during the early months of the COVID-19 pandemic. Methods: Postpartum women over the age of 18 years who gave birth in the US hospitals between March and July of 2020 and spoke English completed a survey about their experiences. Demographic and health variables were measured via self-report. Stress was measured using the Perceived Stress Scale-10. Mastery was measured with the Pearlin Mastery Scale. Resilience was measured with the Connor–Davidson Resilience Scale-2. Results: This study included 885 women. Participants had higher stress and lower resilience relative to pre-pandemic norms. Participants had high levels of depression, anxiety, and stress. Women who had an infant admitted to the neonatal intensive care unit had more stress. Income, full-time employment, and partnered relationships were associated with lower stress. Resilience and mastery were related to lower stress, depression, and anxiety. Black, Indigenous, or People of Color women showed higher stress and lower resiliency. Single women were likely to report lower levels of mastery than partnered women. Conclusion: Stress, depression, and anxiety were high in postpartum women in this study. Income, partnered relationships, and employment security, along with protective traits such as mastery and resilience, may reduce the impact of stress on postpartum women in a pandemic. Care models should be modified to support women during a pandemic. Health disparities exist in postpartum stress. Future interventions should focus on building resiliency and mastery and ensuring appropriate resources are available to postpartum women in a pandemic.https://doi.org/10.1177/17455065211042190
spellingShingle Elizabeth Mollard
Kevin Kupzyk
Tiffany Moore
Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemic
Women's Health
title Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemic
title_full Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemic
title_fullStr Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemic
title_full_unstemmed Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemic
title_short Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemic
title_sort postpartum stress and protective factors in women who gave birth in the united states during the covid 19 pandemic
url https://doi.org/10.1177/17455065211042190
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AT tiffanymoore postpartumstressandprotectivefactorsinwomenwhogavebirthintheunitedstatesduringthecovid19pandemic