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Postpartum Depression after Maternal Isolation during the COVID-19 Pandemic: The MUMI-19 Study (Mothers Undergoing Mental Impact of COVID-19 Pandemic)

Background: The COVID-19 pandemic has shaken the world by imposing unprecedented health measures, including in the postpartum period. Objectives: We aim to assess the impact of maternal isolation in the immediate postpartum period on the rate of postpartum depression (PPD) in a tertiary center. Stud...

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Autores principales: Boudiaf, Lina, Dupont, Françoise, Gras-Le Guen, Christèle, Sauvaget, Anne, Leroy, Maxime, Thubert, Thibault, Winer, Norbert, Dochez, Vincent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9573123/
https://www.ncbi.nlm.nih.gov/pubmed/36233372
http://dx.doi.org/10.3390/jcm11195504
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author Boudiaf, Lina
Dupont, Françoise
Gras-Le Guen, Christèle
Sauvaget, Anne
Leroy, Maxime
Thubert, Thibault
Winer, Norbert
Dochez, Vincent
author_facet Boudiaf, Lina
Dupont, Françoise
Gras-Le Guen, Christèle
Sauvaget, Anne
Leroy, Maxime
Thubert, Thibault
Winer, Norbert
Dochez, Vincent
author_sort Boudiaf, Lina
collection PubMed
description Background: The COVID-19 pandemic has shaken the world by imposing unprecedented health measures, including in the postpartum period. Objectives: We aim to assess the impact of maternal isolation in the immediate postpartum period on the rate of postpartum depression (PPD) in a tertiary center. Study Design: We conducted a prospective cohort study, between 22 April and 29 October 2020, using anonymous questionnaires on 265 participants (129 during lockdown and 135 outside). The Edinburgh Postnatal Depression Scale (EPDS) was used as screening for PPD. We used a univariate logistic regression model to analyze the association between risk factors and PPD. Results: There was no difference between the two groups for PPD assessed by an EPDS score >10.5 on day 30 and/or day 60 (23.1% vs. 29.3%, p = 0.661) but on day 3 it was higher (31% vs. 17.8%, p = 0.015) during the lockdown period and partners were more impacted psychologically (48.3% vs. 10.5%, p < 0.001). Parity ≥1 was a protective factor for PPD (OR = 0.2, 95% CI [0.1–0.6], p = 0.003). Risk factors of PPD were: history of psychological abuses (OR = 6.4, CI 95% [1.1–37.6], p = 0.04), stressful life event (OR = 4.5, CI 95% [1.6–12.6], p = 0.004), and bad birth experience (OR = 5.1, CI 95% [1.4–17.8], p = 0.012). Conclusion: Maternal isolation in the immediate postpartum period is associated with an increased rate of moderate to severe symptoms of postpartum blues. The well-known long-term consequences of PPD must be balanced against the expected benefits of partner’s restrictive access to maternity ward.
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spelling pubmed-95731232022-10-17 Postpartum Depression after Maternal Isolation during the COVID-19 Pandemic: The MUMI-19 Study (Mothers Undergoing Mental Impact of COVID-19 Pandemic) Boudiaf, Lina Dupont, Françoise Gras-Le Guen, Christèle Sauvaget, Anne Leroy, Maxime Thubert, Thibault Winer, Norbert Dochez, Vincent J Clin Med Article Background: The COVID-19 pandemic has shaken the world by imposing unprecedented health measures, including in the postpartum period. Objectives: We aim to assess the impact of maternal isolation in the immediate postpartum period on the rate of postpartum depression (PPD) in a tertiary center. Study Design: We conducted a prospective cohort study, between 22 April and 29 October 2020, using anonymous questionnaires on 265 participants (129 during lockdown and 135 outside). The Edinburgh Postnatal Depression Scale (EPDS) was used as screening for PPD. We used a univariate logistic regression model to analyze the association between risk factors and PPD. Results: There was no difference between the two groups for PPD assessed by an EPDS score >10.5 on day 30 and/or day 60 (23.1% vs. 29.3%, p = 0.661) but on day 3 it was higher (31% vs. 17.8%, p = 0.015) during the lockdown period and partners were more impacted psychologically (48.3% vs. 10.5%, p < 0.001). Parity ≥1 was a protective factor for PPD (OR = 0.2, 95% CI [0.1–0.6], p = 0.003). Risk factors of PPD were: history of psychological abuses (OR = 6.4, CI 95% [1.1–37.6], p = 0.04), stressful life event (OR = 4.5, CI 95% [1.6–12.6], p = 0.004), and bad birth experience (OR = 5.1, CI 95% [1.4–17.8], p = 0.012). Conclusion: Maternal isolation in the immediate postpartum period is associated with an increased rate of moderate to severe symptoms of postpartum blues. The well-known long-term consequences of PPD must be balanced against the expected benefits of partner’s restrictive access to maternity ward. MDPI 2022-09-20 /pmc/articles/PMC9573123/ /pubmed/36233372 http://dx.doi.org/10.3390/jcm11195504 Text en © 2022 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
Boudiaf, Lina
Dupont, Françoise
Gras-Le Guen, Christèle
Sauvaget, Anne
Leroy, Maxime
Thubert, Thibault
Winer, Norbert
Dochez, Vincent
Postpartum Depression after Maternal Isolation during the COVID-19 Pandemic: The MUMI-19 Study (Mothers Undergoing Mental Impact of COVID-19 Pandemic)
title Postpartum Depression after Maternal Isolation during the COVID-19 Pandemic: The MUMI-19 Study (Mothers Undergoing Mental Impact of COVID-19 Pandemic)
title_full Postpartum Depression after Maternal Isolation during the COVID-19 Pandemic: The MUMI-19 Study (Mothers Undergoing Mental Impact of COVID-19 Pandemic)
title_fullStr Postpartum Depression after Maternal Isolation during the COVID-19 Pandemic: The MUMI-19 Study (Mothers Undergoing Mental Impact of COVID-19 Pandemic)
title_full_unstemmed Postpartum Depression after Maternal Isolation during the COVID-19 Pandemic: The MUMI-19 Study (Mothers Undergoing Mental Impact of COVID-19 Pandemic)
title_short Postpartum Depression after Maternal Isolation during the COVID-19 Pandemic: The MUMI-19 Study (Mothers Undergoing Mental Impact of COVID-19 Pandemic)
title_sort postpartum depression after maternal isolation during the covid-19 pandemic: the mumi-19 study (mothers undergoing mental impact of covid-19 pandemic)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9573123/
https://www.ncbi.nlm.nih.gov/pubmed/36233372
http://dx.doi.org/10.3390/jcm11195504
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