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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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A longitudinal study of the psychological impact of child-rearing difficulty and COVID-19 on mothers in the postpartum period in Japan

AUTHOR(S)
Yumi Shimizu; Shoko Sugao; Masayuki Endo

Published: January 2023   Journal: Journal of Affective Disorders Reports

Postpartum mothers may experience psychological stress due to the sudden changes in their bodies and situation. This study investigates the changes in depressive symptoms among nursing mothers and their child-rearing difficulties before and one month after the declared state of emergency due to COVID-19 pandemic in Japan. The study also assesses whether adding the stress induced by the pandemic to parenting difficulties affected women's depressive symptoms. An online survey was conducted with 309 postpartum women. Participants completed questionnaires that included the Quick Inventory of Depressive Symptomatology (QIDS-SR-J), draft version of the Comprehensive Scale for Parenting Resilience and Adaptation (CPRA+α), and original questions about the COVID-19 stress.

The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK

AUTHOR(S)
Lorraine S. Kasaven; Isabel Raynaud; Maria Jalmbrant (et al.)

Published: January 2023   Journal: BJPsych Open

COVID-19 has created many challenges for women in the perinatal phase. This stems from prolonged periods of lockdowns, restricted support networks and media panic, alongside altered healthcare provision. This study aimed to review the evidence regarding the psychological impact on new and expecting mothers following changes to antenatal and postnatal service provision within the UK throughout the pandemic. It conducted a narrative literature search of major databases (PubMed, Medline, Google Scholar). The literature was critically reviewed by experts within the field of antenatal and perinatal mental health.

First do no harm overlooked: Analysis of COVID-19 clinical guidance for maternal and newborn care from 101 countries shows breastfeeding widely undermined

AUTHOR(S)
Karleen Gribble; Jennifer Cashin; Kathleen Marinelli (et al.)

Published: January 2023   Journal: Frontiers in Nutrition

In March 2020, the World Health Organization (WHO) published clinical guidance for the care of newborns of mothers with COVID-19. Weighing the available evidence on SARS-CoV-2 infection against the well-established harms of maternal-infant separation, the WHO recommended maternal-infant proximity and breastfeeding even in the presence of maternal infection. Since then, the WHO’s approach has been validated by further research. However, early in the pandemic there was poor global alignment with the WHO recommendations. This study assessed guidance documents collected in November and December 2020 from 101 countries and two regional agencies on the care of newborns of mothers with COVID-19 for alignment with the WHO recommendations. Recommendations considered were: (1) skin-to-skin contact; (2) early initiation of breastfeeding; (3) rooming-in; (4) direct breastfeeding; (5) provision of expressed breastmilk; (6) provision of donor human milk; (7) wet nursing; (8) provision of breastmilk substitutes; (9) relactation; (10) psychological support for separated mothers; and (11) psychological support for separated infants.

Impact of prenatal COVID-19 vaccination on delivery and neonatal outcomes: results from a New York City cohort

AUTHOR(S)
Erona Ibroci; Xiaoqin Liu; Whitney Lieb (et al.)

Published: January 2023   Journal: Vaccine
Research suggest prenatal vaccination against coronavirus disease-19 (COVID-19) is safe. However, previous studies utilized retrospectively collected data or examined late pregnancy vaccinations. This study investigated the associations of COVID-19 vaccination throughout pregnancy with delivery and neonatal outcomes. It included 1,794 mother-neonate dyads enrolled in the Generation C Study with known prenatal COVID-19 vaccination status and complete covariate and outcome data. It used multivariable quantile regressions to estimate the effect of prenatal COVID-19 vaccination on birthweight, delivery gestational age, and blood loss at delivery; and Poisson generalized linear models for Caesarean delivery (CD) and Neonatal Intensive Care Unit (NICU) admission.
Postpartum maternal anxiety and depression during COVID-19 pandemic: rates, risk factors and relations with maternal bonding

AUTHOR(S)
X. Benarous; C. Brocheton; C. Bonnay (et al.)

Published: December 2022   Journal: Neuropsychiatrie de l'Enfance et de l'Adolescence

This study aims to determine the rates of clinically-significant anxiety and depressive symptoms during the immediate postpartum in a sample of women referred to a university maternity department, as well as the associated risk factors and the relations with the level of maternal bonding. During the third national lockdown for the COVID-19 pandemic (February-April 2021), on days 2–3 after delivery 127 mothers were administrated the Edinburgh postnatal depression scale (EPDS), the state-trait anxiety inventory (STAI-YA), the mother-to-infant bonding scale (MIBS) and questions issued from the coronavirus health impact survey questionnaire (CRISIS).

The relationship between Covid-19 pandemic anxiety and expenditures for postpartum mother's breastfeeding at the Air Joman Baru sub-health center, Air Joman District, Asahan Regency Year 2021

AUTHOR(S)
Herlia Suamrdha Nasution; Fithriani

Published: December 2022   Journal: Science Midwifery
Many women of childbearing age (WUS) think that breast milk (ASI) is the best food for babies. The smoothness of breastfeeding is strongly influenced by psychological factors, one of which is anxiety due to the co-19 pandemic. This study aims to find out how the Anxiety of the Covid-19 Pandemic is related to the Expenditure of Breast Milk for Postpartum Mothers at the Air Joman Baru Sub-Health Center, Air Joman District, Asahan Regency in 2021. This research is a descriptive correlation study with a cross sectional approach. This research was carried out from 11 July 2021 to 24 July 2021. The population was 37 people. Sampling used total sampling with a total sample of 37 people, the research instrument used a questionnaire and data analysis with the chi-square test.
Risk of postpartum depression during COVID-19 outbreak and its associated risk factors

AUTHOR(S)
Deniz Akyıldız; Aysenur Gucyılmaz

Published: December 2022   Journal: Journal of the Dow University of Health Sciences
The aim of this study was to evaluate the prevalence of postpartum depression (PPD) and related factors following the COVID-19 outbreak among women in Istanbul, Turkey. This cross-sectional study was conducted between September 2020 to September 2021 in Istanbul Teaching and Research Hospital in Istanbul with 316 women at 4–6 weeks postpartum. It included women who spoke and understood Turkish and were ≥ 18 years of age. It collected the research data online, using an information form, the Edinburgh Postpartum Depression Scale, and the Coronavirus Anxiety Scale.
Descriptive analysis sociodemography of breastfeeding mother in Suku Anak Dalam during Covid-19 pandemic

AUTHOR(S)
Vittria Meilinda; Eka Rinalia

Published: December 2022   Journal: Science Midwifery
Now moment now this the problem of Covid-19 in Indonesia already start sloping however no could denied that mother breastfeed must exists enhancement power stand body especially baby with breastfeeding , breastfeeding becomes very good protection for baby.  Effect Breast milk protection is very strong in fighting disease infections through increased power hold on baby. The purpose of this study to determine the characteristics mother breast-feed in Suku Anak Dalam in on period pandemic . Quantitative research methods , design cross-sectional with a total sampling of 58 respondents mother breast-feed in Suku Anak dalam , data collection is done through observation and questionnaire.
COVID-19: impact of original, gamma, delta, and omicron variants of SARS-CoV-2 in vaccinated and unvaccinated pregnant and postpartum women

AUTHOR(S)
Fabiano Elisei Serra; Elias Ribeiro Rosa Junior; Patricia de Rossi (et al.)

Published: December 2022   Journal: Vaccines
This study compares the clinical characteristics and disease progression among vaccinated and unvaccinated pregnant and postpartum women who tested positive for different variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) using the Brazilian epidemiological data. Data of pregnant or postpartum patients testing positive for SARS-CoV-2 and presenting with coronavirus disease 2019 (COVID-19) from February 2020 to July 2022 were extracted from Brazilian national database. The patients were grouped based on vaccination status and viral variant (original, Gamma, Delta, and Omicron variants), and their demographics, clinical characteristics, comorbidities, symptoms, and outcomes were compared retrospectively. Data of 10,003 pregnant and 2361 postpartum women were extracted from the database. For unvaccinated postpartum women, intensive care unit (ICU) admission was more likely; invasive ventilation need was more probable if they tested positive for the original, Gamma, and Omicron variants; and chances of death were higher when infected with the original and Gamma variants than when infected with other variants. Vaccinated patients had reduced adverse outcome probability, including ICU admission, invasive ventilation requirement, and death. Postpartum women showed worse outcomes, particularly when unvaccinated, than pregnant women. Hence, vaccination of pregnant and postpartum women should be given top priority.
Postpartum depression crisis since the second lockdown and 'screening paradox': many women identified, very few treated

AUTHOR(S)
Magdalena Chrzan-Dętkoś; Tamara Walczak-Kozłowska

Published: December 2022   Journal: BMC Public Health
Exposure to stressful situations, such as emergencies, infectious diseases, and natural disasters, may lead to a heightened risk of perinatal mental health problems. Declared on March 11th, 2020, the global COVID-19 pandemic triggered an additional burden on women in the perinatal period. Safety recommendations, such as social distancing and isolation, were opposite to the usual advice given to new mothers. Besides fear, changes in financial stability and daily life reorganization contributed to increased depressive symptoms. As the periods of epidemic waves and lockdowns were associated with a more significant burden for young families, we aimed to assess the intensification of depressive and anxiety symptoms during the pandemic concerning the time intervals of the three lockdowns introduced in Poland. 1588 postpartum women took part in the online self-assessment with the Edinburgh Postnatal Depression Scale (EPDS) and General Anxiety Disorder 2 (GAD-2) questionnaire between January 1, 2020, and March 31, 2021. This self-screening is a part of a prevention program The Next Stop: Mum, implemented in the North of Poland.
Provision of mother's own milk for preterm infants during the COVID-19 pandemic: differential effect of insurance

AUTHOR(S)
Lauren E. Boudreau; Betty R. Vohr; Richard Tucker (et al.)

Published: December 2022   Journal: Frontiers in Pediatrics
Mother-infant dyads faced many challenges during the COVID-19 pandemic; however, the impact was different depending on socio-economic determinants. This study aims to investigate the impact of the COVID-19 pandemic on maternal provision of mother's own milk (MOM) at neonatal intensive care unit (NICU) discharge among preterm infants. It hypothesized that fewer infants would be discharged home on any MOM during the pandemic period compared to a pre-pandemic period. This is a retrospective analysis of infants born <34 weeks' gestation admitted to the Women and Infant's Hospital NICU. Infants born pre-pandemic (1/1/2019 to 2/29/2020) were compared to infants born during the pandemic (3/1/2020 to 4/30/2021). Maternal and neonatal variables were analyzed by group.
Worries, beliefs and factors influencing perinatal COVID-19 vaccination: a cross-sectional survey of preconception, pregnant and lactating individuals

AUTHOR(S)
Serine Ramlawi; Katherine A. Muldoon; Sandra I. Dunn (et al.)

Published: December 2022   Journal: BMC Public Health

COVID-19 vaccines are recommended for pregnant and lactating individuals, and there is substantial evidence for their safety and effectiveness. As the pandemic continues, information on worries and beliefs surrounding perinatal COVID-19 vaccination remains important to inform efforts aimed at improving vaccine uptake. Our objectives were to assess factors associated with COVID-19 vaccination among perinatal individuals; and to explore motivational factors associated with willingness to be vaccinated among unvaccinated perinatal individuals. This was a cross-sectional web-based survey of preconception, pregnant, and lactating individuals in Canada. The outcomes of interest were vaccination with at least one dose of any COVID-19 vaccine and willingness to be vaccinated among unvaccinated individuals. Sample characteristics were summarized using frequencies and percentages. The association between eight prespecified risk factors and two outcomes (vaccination status and willingness to be vaccinated) was assessed by logistic regression. Odds ratios (OR) and 95% confidence intervals (CI) were calculated for the total sample, and across perinatal sub-groups.

Assessment of knowledge, attitudes and self-protective measures of postpartum women regarding COVID 19

AUTHOR(S)
A. Ali Doha; Entisar M. Youness; A. Ahmed Amal

Published: December 2022   Journal: Assiut Scientific Nursing Journal

Because of the physiological changes and a resulting immune-compromised state that render postpartum women more susceptible to COVID-19. This study aims to assess the levels of postpartum women's knowledge, attitudes and self-protective measures regarding COVID 19. Dscriptive cross sectional study design at Sohag University Hospital on 350 postpartum women by using an interviewing questionnaire, assess postpartum women`s knowledge and Likert scale to assess attitudes toward COVID -19 infection& prevention. 

Cite this research | Open access | Vol.: 10 | Issue: 33 | No. of pages: 64-75 | Language: English | Topics: Health | Tags: COVID-19, infectious disease, postnatal care, pregnancy, pregnant women | Countries: Egypt
Maternal and neonatal safety of COVID‐19 vaccination during peri‐pregnancy period: a prospective study

AUTHOR(S)
Minghui Li; Jianzhen Hao; Tingting Jiang (et al.)

Published: December 2022   Journal: Journal of Medical Virology

To investigate the safety of inactivated COVID-19 vaccine in Chinese pregnant women and their fetuses when inoculated during the peri-pregnancy period. Eligible pregnant women were prospectively collected and divided into a vaccine group (n = 93) and control group (n = 160) according to whether they had been vaccinated against COVID-19 within 3 months before their last menstruation period (LMP) and after pregnancy. Demographic data of couples, complications during pregnancy and delivery of pregnant women, and data of newborns at birth were collected.

Barriers and enablers of breastfeeding in mother–newborn dyads in institutional settings during the COVID-19 pandemic: a qualitative study across seven government hospitals of Delhi, India

AUTHOR(S)
Arti Maria; Ritika Mukherjee; Swati Upadhyay (et al.)

Published: December 2022   Journal: Frontiers in Nutrition

The COVID-19 pandemic disrupted newborn care and breastfeeding practices across most healthcare facilities. We undertook this study to explore the barriers and enablers for newborn care and breastfeeding practices in hospitals in Delhi, India for recently delivered mother (RDM)–newborn dyads during the first wave of the COVID-19 pandemic (2020) and inductively design a “pathway of impaction” for informing mitigatory initiatives during the current and future pandemics, at least in the initial months. This study used an exploratory descriptive design (qualitative research method) and collected information from seven leading public health facilities in Delhi, India. We conducted separate interviews with the head and senior faculty from the Departments of Pediatrics/Neonatology (n = 12) and Obstetrics (n = 7), resident doctors (n = 14), nurses (labor room/maternity ward; n = 13), and RDMs (n = 45) across three profiles: (a) COVID-19-negative RDM with healthy newborn (n = 18), (b) COVID-19-positive RDM with healthy newborn (n = 19), and (c) COVID-19 positive RDM with sick newborn needing intensive care (n = 8) along with their care-giving family members (n = 39). We analyzed the data using grounded theory as the method and phenomenology as the philosophy of our research.

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