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Psychosocial Aspects of Maternal Reproductive Health in the Era of COVID-19
SN Comprehensive Clinical Medicine Pub Date : 2024-04-09 , DOI: 10.1007/s42399-024-01667-5
Nevio Cimolai

Whereas pregnancy and the postpartum states may be generally associated with increased risk for adverse mental health, the COVID-19 pandemic was responsible for supernumerary concerns regarding stressors, anxiety, and depression. A cumulative international experience is becoming apparent. Given the variability of both qualitative and quantitative analyses for maternal psychosocial health during the pandemic, a narrative review was conducted to gauge the international experience and to draw inferences in regard to future initiatives and their implementation. Risk factors for increased maternal psychosocial dysfunction during the pandemic have been variably defined for diverse populations worldwide. Common among the latter were inability to access timely and trustworthy information and professional care, socioeconomic compromise, and lesser prepandemic educational status. The quality and quantity of personal contacts were mitigating factors. Confidence in preventative measures was key to reducing mental health adversity. Time-honored infection control strategies and SARS-CoV-2-specific vaccination contributed both to reduced infections in pregnancy and the postpartum and to a lessening of impact on psychosocial health. Pragmatic implementation and future planning of pandemic responses are key aspects of prevention for adverse psychosocial outcomes in overall maternal care.



中文翻译:

COVID-19 时代孕产妇生殖健康的心理社会问题

虽然怀孕和产后状态通常可能与不良心理健康风险增加有关,但 COVID-19 大流行却引发了有关压力源、焦虑和抑郁的额外担忧。累积的国际经验正在变得显而易见。鉴于大流行期间孕产妇心理社会健康的定性和定量分析存在差异,进行了叙述性审查,以衡量国际经验并就未来的举措及其实施情况得出推论。全球不同人群对大流行期间孕产妇心理社会功能障碍增加的危险因素的定义各不相同。后者的共同点是无法获得及时、可靠的信息和专业护理、社会经济妥协以及大流行前的教育状况较差。个人接触的质量和数量是缓解因素。对预防措施的信心是减少心理健康逆境的关键。历史悠久的感染控制策略和 SARS-CoV-2 特异性疫苗接种有助于减少妊娠期和产后感染,并减轻对社会心理健康的影响。大流行应对措施的务实实施和未来规划是整体孕产妇护理中预防不良心理社会后果的关键方面。

更新日期:2024-04-09
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