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Exploring the Impact of Restricted Partners’ Visiting Policies on Non-Infected Mothers’ Mental Health and Breastfeeding Rates during the COVID-19 Pandemic

Changes in perinatal care occurring during the coronavirus disease 2019 (COVID-19) pandemic may negatively affect mothers’ mental health and breastfeeding. This study, performed between April and May 2020, aimed to investigate the effect of restricted partners’ visiting policies on non-infected moth...

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Autores principales: Morniroli, Daniela, Consales, Alessandra, Colombo, Lorenzo, Bezze, Elena Nicoletta, Zanotta, Lidia, Plevani, Laura, Fumagalli, Monica, Mosca, Fabio, Giannì, Maria Lorella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296174/
https://www.ncbi.nlm.nih.gov/pubmed/34208247
http://dx.doi.org/10.3390/ijerph18126347
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author Morniroli, Daniela
Consales, Alessandra
Colombo, Lorenzo
Bezze, Elena Nicoletta
Zanotta, Lidia
Plevani, Laura
Fumagalli, Monica
Mosca, Fabio
Giannì, Maria Lorella
author_facet Morniroli, Daniela
Consales, Alessandra
Colombo, Lorenzo
Bezze, Elena Nicoletta
Zanotta, Lidia
Plevani, Laura
Fumagalli, Monica
Mosca, Fabio
Giannì, Maria Lorella
author_sort Morniroli, Daniela
collection PubMed
description Changes in perinatal care occurring during the coronavirus disease 2019 (COVID-19) pandemic may negatively affect mothers’ mental health and breastfeeding. This study, performed between April and May 2020, aimed to investigate the effect of restricted partners’ visiting policies on non-infected mother’s anxiety symptoms, the perceived postpartum support, and the breastfeeding outcomes at discharge. A cross-sectional study was conducted in a neonatal tertiary referral center in northern Italy during Italy’s lockdown. We enrolled mothers with a negative nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), adequate oral and written comprehension of the Italian language, and absence of underlying maternal or neonatal clinical conditions. Maternal anxiety levels were assessed through the State-Trait Anxiety Inventory-Form Y (STAI-Y). Maternal perception of staff’s support was evaluated by the Nurse Parent Support Tool (NPST). A STATE-A (concurrent emotional state after a specific situation) score ≥ 40 was considered indicative of clinically significant symptoms of anxiety. A total of 109 mothers completed the study. Mean STATE-A score was ≥40 in 42% of mothers, and median NPST score was 4.23. Mothers separated from their partner had a mean STATE-A score ≥ 40 in a higher percentage of cases than those who were not (51% vs. 30%, p = 0.03) and a lower perception of caregiver support. A NPST score ≤4.23, partner ‘s absence during the hospital stay and primiparity were independently associated with a STATE-A score ≥ 40. Breastfeeding rates at discharge were not influenced by maternal anxiety levels and partner’s restricted policies. Instead, they were influenced by mode of delivery, a well-known risk factor, and pre-pandemic intention to breastfeed. Our study demonstrates the positive impact of a partner’s presence on maternal mental health and perception of caregiver support.
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spelling pubmed-82961742021-07-23 Exploring the Impact of Restricted Partners’ Visiting Policies on Non-Infected Mothers’ Mental Health and Breastfeeding Rates during the COVID-19 Pandemic Morniroli, Daniela Consales, Alessandra Colombo, Lorenzo Bezze, Elena Nicoletta Zanotta, Lidia Plevani, Laura Fumagalli, Monica Mosca, Fabio Giannì, Maria Lorella Int J Environ Res Public Health Article Changes in perinatal care occurring during the coronavirus disease 2019 (COVID-19) pandemic may negatively affect mothers’ mental health and breastfeeding. This study, performed between April and May 2020, aimed to investigate the effect of restricted partners’ visiting policies on non-infected mother’s anxiety symptoms, the perceived postpartum support, and the breastfeeding outcomes at discharge. A cross-sectional study was conducted in a neonatal tertiary referral center in northern Italy during Italy’s lockdown. We enrolled mothers with a negative nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), adequate oral and written comprehension of the Italian language, and absence of underlying maternal or neonatal clinical conditions. Maternal anxiety levels were assessed through the State-Trait Anxiety Inventory-Form Y (STAI-Y). Maternal perception of staff’s support was evaluated by the Nurse Parent Support Tool (NPST). A STATE-A (concurrent emotional state after a specific situation) score ≥ 40 was considered indicative of clinically significant symptoms of anxiety. A total of 109 mothers completed the study. Mean STATE-A score was ≥40 in 42% of mothers, and median NPST score was 4.23. Mothers separated from their partner had a mean STATE-A score ≥ 40 in a higher percentage of cases than those who were not (51% vs. 30%, p = 0.03) and a lower perception of caregiver support. A NPST score ≤4.23, partner ‘s absence during the hospital stay and primiparity were independently associated with a STATE-A score ≥ 40. Breastfeeding rates at discharge were not influenced by maternal anxiety levels and partner’s restricted policies. Instead, they were influenced by mode of delivery, a well-known risk factor, and pre-pandemic intention to breastfeed. Our study demonstrates the positive impact of a partner’s presence on maternal mental health and perception of caregiver support. MDPI 2021-06-11 /pmc/articles/PMC8296174/ /pubmed/34208247 http://dx.doi.org/10.3390/ijerph18126347 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Morniroli, Daniela
Consales, Alessandra
Colombo, Lorenzo
Bezze, Elena Nicoletta
Zanotta, Lidia
Plevani, Laura
Fumagalli, Monica
Mosca, Fabio
Giannì, Maria Lorella
Exploring the Impact of Restricted Partners’ Visiting Policies on Non-Infected Mothers’ Mental Health and Breastfeeding Rates during the COVID-19 Pandemic
title Exploring the Impact of Restricted Partners’ Visiting Policies on Non-Infected Mothers’ Mental Health and Breastfeeding Rates during the COVID-19 Pandemic
title_full Exploring the Impact of Restricted Partners’ Visiting Policies on Non-Infected Mothers’ Mental Health and Breastfeeding Rates during the COVID-19 Pandemic
title_fullStr Exploring the Impact of Restricted Partners’ Visiting Policies on Non-Infected Mothers’ Mental Health and Breastfeeding Rates during the COVID-19 Pandemic
title_full_unstemmed Exploring the Impact of Restricted Partners’ Visiting Policies on Non-Infected Mothers’ Mental Health and Breastfeeding Rates during the COVID-19 Pandemic
title_short Exploring the Impact of Restricted Partners’ Visiting Policies on Non-Infected Mothers’ Mental Health and Breastfeeding Rates during the COVID-19 Pandemic
title_sort exploring the impact of restricted partners’ visiting policies on non-infected mothers’ mental health and breastfeeding rates during the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296174/
https://www.ncbi.nlm.nih.gov/pubmed/34208247
http://dx.doi.org/10.3390/ijerph18126347
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