The prevalence and correlates of peripartum depression in different stages of pregnancy during COVID-19 pandemic in China

BMC Pregnancy and Childbirth

Xiangyang Zhang¹  Zhengkui Liu¹  Wei Qian¹  Yali Ren²  Lingyun Zeng³  Yongjie Zhou³  Shen Li⁴  Mei Xue⁵  Xin Zhou⁶  Ling Qi⁷  Lijuan Chen⁸  Ruoxi Wang⁹  Manji Hu^1,10  Jiezhi Yang^1,11 

[1] CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China;Department of Medical Affairs, Liyuan Hospital of Tongji Medical College, Huazhong University of Science and Technology, 39 Yanhu Road, Wuchang District, 430077, Wuhan, Hubei, China;Department of Psychiatric Rehabilitation, Shenzhen Kangning Hospital, Shenzhen, Guangdong, China;Department of Psychiatry, College of Basic Medical Sciences, Tianjin Medical University, Tianjin, China;Qingdao Mental Health Center, Qingdao University, Qingdao, China;Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China;School of Health Science and Nursing, Wuhan Polytechnic University, Wuhan, China;School of Literature, Journalism & Communication, South-Central University for Nationalities, Wuhan, China;School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;Shanghai Pudong New Area Mental Health Centre, Shanghai, China;Shenzhen Health Development Research Center, Shenzhen, China;

关键词: Peripartum depression;    Pregnancy;    Pregnant women;    Puerperant;    COVID-19;   

DOI  :  10.1186/s12884-022-04428-1

来源: Springer

【 摘 要 】

BackgroundPeripartum depression in and after pregnancy are common, reported by 11.9% of women worldwide, and the proportion was even higher during the outbreak of coronavirus disease 2019 (COVID-19). We aimed to investigate the prevalence and risk factors of peripartum depression under the influence of COVID-19 in China.MethodsUsing a cross-sectional design, 2026 pregnant and postpartum women residing in Beijing, Wuhan, and Lanzhou of China were recruited from February 28 to April 9, 2020. The Patient Health Questionnaire-9 was used to assess their depressive symptoms. The women were divided into four subgroups based on pregnancy stage, and a binary logistic regression analysis was conducted on each subgroup.ResultsUnder the influence of COVID-19, the prevalence rate of peripartum depression among Chinese women was 9.7%. It was 13.6, 10.8, 7.9 and 7.3% in the first, second, third trimester and puerperium, respectively. Regression analysis showed that the influence of current pregnancy status on movement (Mild vs. No, aORs were 3.89, P < 0.001, 2.92, P = 0.003, 1.58, P = 0.150 in the three trimesters, respectively; Severe vs. No, aORs were 13.00, 20.45, 5.38 in the three trimesters, respectively, all P < 0.05), and worries and fears about childbirth (aORs were 2.46, 2.96, 2.50 in the three trimesters, respectively, all P < 0.05) were associated with depression throughout pregnancy.ConclusionsThe prevalence rate of peripartum depression during the COVID-19 outbreak in China was not higher than usual. The influence of current pregnancy status on movement, as well as worries and fears about childbirth were independent risk factors for peripartum depression throughout pregnancy during COVID-19. The stage of pregnancy should be considered when implementing interventions.

【 授权许可】

CC BY