The impacts of the COVID-19 pandemic on birth satisfaction in a prospective cohort of 2,341 U.S. women

Posted: 2021-11-05 19:00:00
Problem: Birth satisfaction is an important health outcome that is related to postpartum mood, infant caretaking, and future pregnancy intention. Background: The COVID-19 pandemic profoundly affected antenatal care and intrapartum practices that may reduce birth satisfaction. Aim: To investigate the extent to which pandemic-related factors predicted lower birth satisfaction. Methods: 2341 women who were recruited prenatally in April-May 2020 and reported a live birth between April-October 2020 were included in the current analysis. Hierarchical linear regression to predict birth satisfaction from well-established predictors of birth satisfaction (step 1) and from pandemic-related factors (step 2) was conducted. Additionally, the indirect associations of pandemic-related stress with birth satisfaction were investigated. Findings: The first step of the regression explained 35% of variance in birth satisfaction. In the second step, pandemic-related factors explained an additional 3% of variance in birth satisfaction. Maternal stress about feeling unprepared for birth due to the pandemic and restrictions on companions during birth independently predicted lower birth satisfaction beyond the non-pandemic variables. Pandemic-related unpreparedness stress was associated with more medicalized birth and greater incongruence with birth preference, thus also indirectly influencing birth satisfaction through a mediation process. Discussion: Well-established contributors to birth satisfaction remained potent during the pandemic. In addition, maternal stress and restriction on accompaniment to birth were associated with a small but significant reduction in birth satisfaction. Conclusion: Study findings suggest that helping women set flexible and reasonable expectations for birth and allowing at least one intrapartum support person can improve birth satisfaction. Keywords: Birth experience; Birth preferences; COVID-19 pandemic; Pandemic-related pregnancy stress; Patient satisfaction; Psychological; Stress.

参考サイト PubMed: covid-19


8月 17, 2020 バイオアソシエイツ


2020年7月8日にオンラインでプレプリントポータルbioRxivに掲載された査読されていないプレプリント論文で、フランスのパリのキュリー研究所の研究者らは、SARS-CoV-2ウイルスのSスパイクタンパク質が結合する表面受容体ACE2(アンギオテンシン変換酵素2)を持つ細胞外小胞( extracellular vesicles )が、侵入するウイルスにデコイとして機能する可能性があることを報告した。 この細胞外小胞は、in vitroでSARS-Co-V2…

ゲスト 745人 と メンバー 5人 がオンラインです