Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy

The outbreak of a pandemic has negative psychological effects. We aimed to determine the impact of the SARS-CoV-2 pandemic during pregnancy and identify the risk factors for maternal well-being. A multicenter, prospective, population-based study was carried out that included women (<i>n</i&...

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Main Authors: Rosalia Pascal, Francesca Crovetto, Irene Casas, Lina Youssef, Cristina Trilla, Marta Larroya, Alex Cahuana, David Boada, Maria Foraster, Elisa Llurba, Jordi Sunyer, Fàtima Crispi, Eduard Gratacos, María Dolores Gómez-Roig
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/8/2212
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author Rosalia Pascal
Francesca Crovetto
Irene Casas
Lina Youssef
Cristina Trilla
Marta Larroya
Alex Cahuana
David Boada
Maria Foraster
Elisa Llurba
Jordi Sunyer
Fàtima Crispi
Eduard Gratacos
María Dolores Gómez-Roig
author_facet Rosalia Pascal
Francesca Crovetto
Irene Casas
Lina Youssef
Cristina Trilla
Marta Larroya
Alex Cahuana
David Boada
Maria Foraster
Elisa Llurba
Jordi Sunyer
Fàtima Crispi
Eduard Gratacos
María Dolores Gómez-Roig
author_sort Rosalia Pascal
collection DOAJ
description The outbreak of a pandemic has negative psychological effects. We aimed to determine the impact of the SARS-CoV-2 pandemic during pregnancy and identify the risk factors for maternal well-being. A multicenter, prospective, population-based study was carried out that included women (<i>n</i> = 1320) who were pregnant during the SARS-CoV-2 pandemic in Barcelona (Spain) compared against a pre-pandemic cohort (<i>n</i> = 345). Maternal well-being was assessed using the validated World Health Organization Well-Being Index Questionnaire (WHO-5 Index). Pregnant women attended during the COVID-19 pandemic showed worst WHO-5 well-being scores (median (IQR) of 56 (36–72) for the pandemic cohort vs. 64 (52–76) for the pre-pandemic cohort <i>p</i> < 0.001), with 42.8% of women presenting a poor well-being score vs. 28% for the pre-pandemic cohort (<i>p</i> < 0.001). Presence of a previous psychiatric disorder (OR 7.1; 95% CI 2.6–19, <i>p</i> < 0.001), being in the third trimester of pregnancy (OR 1.7; 95% CI 1.5–2, <i>p</i> < 0.001), or requiring hospital admission for COVID-19 (OR 4.7; 95% CI 1.4–16.7, <i>p</i> = 0.014), significantly contributed to low maternal well-being during the COVID-19 pandemic (multivariate analysis). Being infected by SARS-CoV-2 was not associated with a lower well-being score. We conclude that, during the COVID-19 pandemic, there were higher rates of poor maternal well-being; the infection of SARS-CoV-2 itself did not worsen maternal well-being, but other factors as psychiatric disorders, being in the third trimester of pregnancy or hospital admission for COVID-19 disease did.
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spelling doaj.art-b6dfd9f387b14690a989ba9296eaedf32023-11-30T21:19:45ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01118221210.3390/jcm11082212Impact of the COVID-19 Pandemic on Maternal Well-Being during PregnancyRosalia Pascal0Francesca Crovetto1Irene Casas2Lina Youssef3Cristina Trilla4Marta Larroya5Alex Cahuana6David Boada7Maria Foraster8Elisa Llurba9Jordi Sunyer10Fàtima Crispi11Eduard Gratacos12María Dolores Gómez-Roig13BCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainBCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainBCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainBCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainDepartment of Obstetrics and Gynecology, Hospital de la Santa Creu i de Sant Pau, Universitat Autònoma de Barcelona, 08041 Barcelona, SpainBCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainBCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainBCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainISGlobal, 08003 Barcelona, SpainPrimary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin, RD21/0012/0001, Instituto de Salud Carlos III, 28029 Madrid, SpainISGlobal, 08003 Barcelona, SpainBCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainBCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainBCNatal, Fetal Medicine Research Center, Hospital Sant Joan de Déu and Hospital Clínic, University of Barcelona, 08036 Barcelona, SpainThe outbreak of a pandemic has negative psychological effects. We aimed to determine the impact of the SARS-CoV-2 pandemic during pregnancy and identify the risk factors for maternal well-being. A multicenter, prospective, population-based study was carried out that included women (<i>n</i> = 1320) who were pregnant during the SARS-CoV-2 pandemic in Barcelona (Spain) compared against a pre-pandemic cohort (<i>n</i> = 345). Maternal well-being was assessed using the validated World Health Organization Well-Being Index Questionnaire (WHO-5 Index). Pregnant women attended during the COVID-19 pandemic showed worst WHO-5 well-being scores (median (IQR) of 56 (36–72) for the pandemic cohort vs. 64 (52–76) for the pre-pandemic cohort <i>p</i> < 0.001), with 42.8% of women presenting a poor well-being score vs. 28% for the pre-pandemic cohort (<i>p</i> < 0.001). Presence of a previous psychiatric disorder (OR 7.1; 95% CI 2.6–19, <i>p</i> < 0.001), being in the third trimester of pregnancy (OR 1.7; 95% CI 1.5–2, <i>p</i> < 0.001), or requiring hospital admission for COVID-19 (OR 4.7; 95% CI 1.4–16.7, <i>p</i> = 0.014), significantly contributed to low maternal well-being during the COVID-19 pandemic (multivariate analysis). Being infected by SARS-CoV-2 was not associated with a lower well-being score. We conclude that, during the COVID-19 pandemic, there were higher rates of poor maternal well-being; the infection of SARS-CoV-2 itself did not worsen maternal well-being, but other factors as psychiatric disorders, being in the third trimester of pregnancy or hospital admission for COVID-19 disease did.https://www.mdpi.com/2077-0383/11/8/2212COVID-19SARS-CoV-2pandemicwell-beingpregnancypsychiatric disorders
spellingShingle Rosalia Pascal
Francesca Crovetto
Irene Casas
Lina Youssef
Cristina Trilla
Marta Larroya
Alex Cahuana
David Boada
Maria Foraster
Elisa Llurba
Jordi Sunyer
Fàtima Crispi
Eduard Gratacos
María Dolores Gómez-Roig
Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy
Journal of Clinical Medicine
COVID-19
SARS-CoV-2
pandemic
well-being
pregnancy
psychiatric disorders
title Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy
title_full Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy
title_fullStr Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy
title_full_unstemmed Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy
title_short Impact of the COVID-19 Pandemic on Maternal Well-Being during Pregnancy
title_sort impact of the covid 19 pandemic on maternal well being during pregnancy
topic COVID-19
SARS-CoV-2
pandemic
well-being
pregnancy
psychiatric disorders
url https://www.mdpi.com/2077-0383/11/8/2212
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