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Assessment of Postpartum Depression in Adolescents Who Delivered during COVID-19 Social Restrictions: The Experience of a Tertiary Hospital from Bucharest, Romania

In the context of the viral spread of COVID-19 in 2020, Romanian authorities declared national confinement for two months. Our country faces a public health issue regarding adolescent pregnancy. This study assessed the predisposition of teenage mothers to postpartum depression and the influence of t...

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Autores principales: Matei, Alexandra, Dimitriu, Mihai Cornel Traian, Cirstoveanu, Catalin Gabriel, Socea, Bogdan, Ionescu, Cringu Antoniu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307397/
https://www.ncbi.nlm.nih.gov/pubmed/34206891
http://dx.doi.org/10.3390/healthcare9070807
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author Matei, Alexandra
Dimitriu, Mihai Cornel Traian
Cirstoveanu, Catalin Gabriel
Socea, Bogdan
Ionescu, Cringu Antoniu
author_facet Matei, Alexandra
Dimitriu, Mihai Cornel Traian
Cirstoveanu, Catalin Gabriel
Socea, Bogdan
Ionescu, Cringu Antoniu
author_sort Matei, Alexandra
collection PubMed
description In the context of the viral spread of COVID-19 in 2020, Romanian authorities declared national confinement for two months. Our country faces a public health issue regarding adolescent pregnancy. This study assessed the predisposition of teenage mothers to postpartum depression and the influence of the viral pandemic on their emotional status. This study enrolled patients 10 to 19 years old who delivered in our department between March–December 2020. Teenagers were attributed to the “lockdown group” (n = 30) and the “open group” (n = 171). All study participants agreed to take an interview based on a three-part questionnaire, including the Edinburgh Postnatal Depression Scale (EPDS). In the “lockdown group”, 16.67% of patients felt stressed over the last year compared to 11.11% of individuals in the “open group”, but there was no statistically significant difference between groups regarding overall EPDS scores (z value 0.51, Mann–Whitney U test). Predictable variables for postpartum depression were the use of cigarettes (OR = 1.08, 95% CI: 1.00–1.16), intended pregnancies (OR = 0.25, 95% CI: 0.09–0.68, p = 0.007) and absence of stressors in the last year (OR = 0.07, 95% CI: 0.02–0.30, p = 0.0002). More adolescents were stressed during confinement compared to those who delivered in the following time period; this aspect did not interfere with depression screening scores. A planned pregnancy, even during adolescence, can serve as a protective factor for postpartum depression.
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spelling pubmed-83073972021-07-25 Assessment of Postpartum Depression in Adolescents Who Delivered during COVID-19 Social Restrictions: The Experience of a Tertiary Hospital from Bucharest, Romania Matei, Alexandra Dimitriu, Mihai Cornel Traian Cirstoveanu, Catalin Gabriel Socea, Bogdan Ionescu, Cringu Antoniu Healthcare (Basel) Article In the context of the viral spread of COVID-19 in 2020, Romanian authorities declared national confinement for two months. Our country faces a public health issue regarding adolescent pregnancy. This study assessed the predisposition of teenage mothers to postpartum depression and the influence of the viral pandemic on their emotional status. This study enrolled patients 10 to 19 years old who delivered in our department between March–December 2020. Teenagers were attributed to the “lockdown group” (n = 30) and the “open group” (n = 171). All study participants agreed to take an interview based on a three-part questionnaire, including the Edinburgh Postnatal Depression Scale (EPDS). In the “lockdown group”, 16.67% of patients felt stressed over the last year compared to 11.11% of individuals in the “open group”, but there was no statistically significant difference between groups regarding overall EPDS scores (z value 0.51, Mann–Whitney U test). Predictable variables for postpartum depression were the use of cigarettes (OR = 1.08, 95% CI: 1.00–1.16), intended pregnancies (OR = 0.25, 95% CI: 0.09–0.68, p = 0.007) and absence of stressors in the last year (OR = 0.07, 95% CI: 0.02–0.30, p = 0.0002). More adolescents were stressed during confinement compared to those who delivered in the following time period; this aspect did not interfere with depression screening scores. A planned pregnancy, even during adolescence, can serve as a protective factor for postpartum depression. MDPI 2021-06-26 /pmc/articles/PMC8307397/ /pubmed/34206891 http://dx.doi.org/10.3390/healthcare9070807 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
Matei, Alexandra
Dimitriu, Mihai Cornel Traian
Cirstoveanu, Catalin Gabriel
Socea, Bogdan
Ionescu, Cringu Antoniu
Assessment of Postpartum Depression in Adolescents Who Delivered during COVID-19 Social Restrictions: The Experience of a Tertiary Hospital from Bucharest, Romania
title Assessment of Postpartum Depression in Adolescents Who Delivered during COVID-19 Social Restrictions: The Experience of a Tertiary Hospital from Bucharest, Romania
title_full Assessment of Postpartum Depression in Adolescents Who Delivered during COVID-19 Social Restrictions: The Experience of a Tertiary Hospital from Bucharest, Romania
title_fullStr Assessment of Postpartum Depression in Adolescents Who Delivered during COVID-19 Social Restrictions: The Experience of a Tertiary Hospital from Bucharest, Romania
title_full_unstemmed Assessment of Postpartum Depression in Adolescents Who Delivered during COVID-19 Social Restrictions: The Experience of a Tertiary Hospital from Bucharest, Romania
title_short Assessment of Postpartum Depression in Adolescents Who Delivered during COVID-19 Social Restrictions: The Experience of a Tertiary Hospital from Bucharest, Romania
title_sort assessment of postpartum depression in adolescents who delivered during covid-19 social restrictions: the experience of a tertiary hospital from bucharest, romania
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307397/
https://www.ncbi.nlm.nih.gov/pubmed/34206891
http://dx.doi.org/10.3390/healthcare9070807
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