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Mental health of pregnant women during the SARS-CoV-2 pandemic in France: Evolution of self-perceived psychological state during the first lockdown, and anxiety frequency two months after the lockdown ended

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Title:	Mental health of pregnant women during the SARS-CoV-2 pandemic in France: Evolution of self-perceived psychological state during the first lockdown, and anxiety frequency two months after the lockdown ended
Authors:	Alexandra Doncarli, Author ; Lucia Araujo-Chaveron, Author ; Catherine Crenn-Hebert, Author ; Marie-Noëlle Vacheron, Author ; Christophe Léon, Author ; Imane Khireddine, Author ; Francis Chin, Author ; Alexandra Benachi, Author ; Sarah Tebeka, Author ; Nolwenn Regnault, Author
Publication Date:	2023
General note:	PLOS ONE, 18(4)
Languages:	English
Descriptors:	Noms propres COVID-19 SANTEPSY ACCOMPAGNEMENT ; ANXIETE ; CONFINEMENT ; ETUDE TRANSVERSALE ; GROSSESSE ; PANDEMIE ; SANTE MENTALE
Abstract:	Previous pandemics and related lockdowns have had a deleterious impact on pregnant women’s mental health. We studied the impact of the SARS-CoV-2/Covid-19 pandemic and France’s first lockdown on pregnant women’s mental health. A cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult women who were pregnant during the first lockdown in France (March-May 2020). Questions focused on their self-perceived psychological state and affects they felt before and during the lockdown and anxiety symptomatology (HAD) two months after it ended. A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPR) for anxiety and self-perceived psychological state evolution. One in five respondents (21.1%) reported psychological deterioration during lockdown. Associated determinants were: i) little or no social support (self-perceived) (aRP = 1.77, 95%CI[1.18–2.66]), ii) increased workload (1.65, [1.02–2.66]), and iii) poor/moderate knowledge about SARS-CoV-2 transmission (1.60, [1.09–2.35]). Seven percent of women reporting psychological deterioration had access to professional psychological support during lockdown, while 19% did not despite wanting it. Women reported heightened powerlessness (60.3%), frustration (64%) and fear (59.2%) during lockdown. One in seven respondents (14.2%, 95%CI[10.9–18.2]) had anxiety symptoms. Determinants associated: i) at least one pregnancy-related pathology (aPR = 1.82, 95%CI[1.15–2.88]), ii) overweightness or obesity (1.61, [1.07–2.43]), iii) one child under the age of six years in the household during the lockdown (3.26, [1.24–8.53]), iv) little or no social support (self-perceived) during the lockdown (1.66, [1.07–2.58]), v) friend or relatives diagnosed with Covid-19 or with symptoms of the disease (1.66; [1.06–2.60]), vi) no access to medication for psychological distress (2.86, [1.74–4.71]), and vii) unsuccessfully seeking exchanges with healthcare professionals about their pregnancy during the pandemic (1.66, [1.08–2.55]). Our results can guide prevention and support policies for pregnant women during pandemics, current or future, with or without lockdowns. Preventing perinatal mental health problems is essential to ensure a supportive environment for the child’s development. [résumé d'auteur]
Contents note:	Fig. ; Tabl. ; 54 réf. bibliogr.
Link for e-copy:	https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0272108
Service de l'auteur du GHU :	Consultation d'Information, de Conseils et d'Orientation des femmes suivies pour troubles psychiques, enceintes ou avec désir d'enfant (CICO)