COVID-19 positivity associated with traumatic stress response to childbirth and no visitors and infant separation in the hospital
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Abstract
As the novel coronavirus (COVID-19) has spread globally, a significant portion of pregnant and delivering women were infected with COVID-19. While emerging studies examined birth outcomes in COVID-19 positive women, knowledge of the psychological experience of childbirth and maternal wellness remains lacking. This matched-control survey-based study included a sample of women recruited during the first wave of the pandemic in the US who gave birth in the previous six months. Women reporting confirmed/suspected COVID-19 (n = 68) during pregnancy or childbirth were matched on background factors with women reporting COVID-19 negativity (n = 2,276). We found nearly 50% of COVID positive women endorsed acute traumatic stress symptoms at a clinical level in response to childbirth. This group was more than twice as likely to endorse acute stress and to have no visitors during maternity hospitalization than COVID negative women; they were also less likely to room-in with newborns. The COVID positive group reported higher levels of pain in delivery, lower newborn weights, and more infant admission to neonatal intensive care units. Our findings suggest COVID-19 affected populations are at increased risk for traumatic childbirth and associated risk for psychiatric morbidity. Attention to delivering women’s wellbeing is warranted during the pandemic.
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SciScore for 10.1101/2020.11.30.20241026: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement Consent: Women who had given birth in the last six months were recruited through announcements on our hospital’s research study platform as well as via social media and postpartum professional communities; they were asked to complete an anonymous survey and were informed that by agreeing to complete the survey they are implying their consent to participate in the study.
IRB: Partners Healthcare (Mass General Brigham) Human Research Committee approved the study measures and procedures and granted exemption for this study and the study was carried out in accordance with the approved protocol.Randomization not detected. Blinding not detected. Power Analysis not detected. SciScore for 10.1101/2020.11.30.20241026: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement Consent: Women who had given birth in the last six months were recruited through announcements on our hospital’s research study platform as well as via social media and postpartum professional communities; they were asked to complete an anonymous survey and were informed that by agreeing to complete the survey they are implying their consent to participate in the study.
IRB: Partners Healthcare (Mass General Brigham) Human Research Committee approved the study measures and procedures and granted exemption for this study and the study was carried out in accordance with the approved protocol.Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable Women who had given birth in the last six months were recruited through announcements on our hospital’s research study platform as well as via social media and postpartum professional communities; they were asked to complete an anonymous survey and were informed that by agreeing to complete the survey they are implying their consent to participate in the study. Table 2: Resources
Software and Algorithms Sentences Resources Data Analysis: To create matched groups who share similar background characteristics between COVID-19 positive and negative women, we conducted a propensity score matching procedure using SPSS PS module [21] (see detailed variables listed in the Methods). SPSSsuggested: (SPSS, RRID:SCR_002865)Results from OddPub: Thank you for sharing your data.
Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
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