Risk for probable post-partum depression among women during the COVID-19 pandemic
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ORIGINAL ARTICLE
Risk for probable post-partum depression among women during the COVID-19 pandemic Gali Pariente 1 & Orit Wissotzky Broder 1 & Eyal Sheiner 1 & Talya Lanxner Battat 1 & Elad Mazor 1 & Shimrit Yaniv Salem 1 & Tamar Kosef 2 & Tamar Wainstock 3 Received: 28 May 2020 / Accepted: 7 October 2020 # Springer-Verlag GmbH Austria, part of Springer Nature 2020
Abstract The aim of the current study was to assess the risk for post-partum depression among women delivering during the COVID-19 pandemic as compared to the risk among women delivering before the COVID-19 pandemic. A cohort study was performed among women delivering singletons at term which were recruited in the maternity wards of the Soroka University Medical Center. Recruitment was done during the COVID-19 strict isolation period (March 18 and April 29, 2020). Women delivering during the COVID-19 pandemic completed the Edinburgh Postnatal Depression Scale (EPDS), and the results were compared to women delivering at the same medical center before the COVID-19 pandemic. Multivariable logistic regression models were constructed to control for potential confounders. A total of 223 women who delivered during the COVID-19 strict isolation period were recruited. Women delivering during the COVID-19 pandemic had lower risk of having a high (> 10) or very high (≥ 13) EPDS score as compared with women delivering before the COVID-19 pandemic (16.7% vs 31.3%, p = 0.002, and 6.8% vs 15.2%, p = 0.014, for EPDS ≥ 10 and EPDS ≥ 13, respectively). These results remained similar in the multivariable logistic regression models, for both EPDS score ≥ 10 and EPDS score ≥ 13, while controlling for maternal age, ethnicity, marital status, and adverse pregnancy outcomes (adjusted OR 0.4, 95% CI 0.23–0.70, p = 0.001 and adjusted OR 0.3, 95% CI 0.15–0.74, p = 0.007 for EPDS score > 10 and > 13, respectively). In our population, delivering during the COVID-19 pandemic was independently associated with lower risk of post-partum depression. Keywords COVID-19 . Depression . EPDS . Post-partum
Introduction Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first recognized in December 2019 in Wuhan, the capital of China’s Hubei province [https://covid19.who.int/region/euro/country/ il; https://www.gov.il/en/departments/news/?OfficeId= 104cb0f4-d65a-4692-b590-94af928c19c0&skip=0&limit=10; https://www.who.int/docs/default-source/coronaviruse/
* Gali Pariente [email protected] 1
Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, PO box 151, Beer-Sheva, Israel
2
Department of psychiatry, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel
3
Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
situation-reports/20200121-sitrep-1-2019-ncov.pdf?sfvrsn= 20a99c10_4]. The disease has since spread worldwide, resulting in the ongoing coronavirus pandemic (Borges do Nasc
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