Effects of the COVID-19 pandemic on perinatal mental health in Spain: Positive and negative outcomes.

Chaves, Covadonga; Marchena, Carlos; Palacios, Beatriz; Salgado, Alfonso; Duque, Almudena

BACKGROUND Previous studies have shown that perinatal distress has a negative influence on pregnancy outcome and the physiological development of the baby. OBJECTIVE The aim of this study was to describe the effects of the COVID-19 pandemic on maternal perinatal mental health in Spain. METHODS Seven hundred and twenty-four women (N=450 pregnancy, N=274 postpartum) were recruited online during the pandemic. The Edinburgh Postnatal Depression Scale, the Positive and Negative Affect Schedule, and the Satisfaction With Life Scale were administered. Variables related to sociodemographic information, the COVID-19 pandemic, and perinatal care were also assessed. FINDINGS The results showed that 58% of women reported depressive symptoms. Moreover, 51% of women reported anxiety symptoms. On the other hand, a regression analysis for life satisfaction showed that besides the perception about their own health, marital status or being a health practitioner were also significant predictors during pregnancy. However, perception about baby's health and sleep, perception about their own health, and marital status were significant predictors of life satisfaction during the postpartum stage. DISCUSSION Women assessed during the COVID-19 pandemic reported high rates of psychological distress. CONCLUSION These results highlight the need of clinical support during this period. Knowing the routes to both distress and well-being may help maternity services to effectively cope with the pandemic.