Abstract

BackgroundPregnancy and early motherhood are sensitive times where epidemic disease outbreaks can affect mental health negatively. Countries and health care systems handled the pandemic and lockdowns differently and knowledge about how the COVID-19 pandemic affected the mental well-being of pregnant women and new mothers is limited and points in different directions.AimTo investigate symptoms of anxiety and depression in a population of pregnant women and new mothers in various stages of infection pressure and lockdown during the first 15 months of the COVID-19 pandemic in Denmark.MethodsThe study population was nested an inception cohort of women recruited in their first trimester of pregnancy. Data about mental health of the woman were obtained in relation to pregnancy and child development (first trimester, 8 weeks postpartum and 5 months postpartum), and data were analysed cross-sectionally according to calendar time (periods defined by infection rate and lock-down during the COVID-19 pandemic).ResultsNo differences in reported levels of depressive symptoms between the six examined time periods of the pandemic were observed. Specifically, symptoms remained unchanged after the first lock-down. No major changes in anxiety symptoms were observed in relation to increased infection pressure or lockdowns, but a small increase was observed during the second lockdown in women 8 weeks postpartum.ConclusionNo clear change in mood among pregnant women was seen between during the stages of COVID-19 pandemic in Denmark.

Highlights

  • Pregnancy and early motherhood are sensitive times where epidemic disease outbreaks can affect mental health negatively [1, 2]

  • We aimed to investigate symptoms of anxiety and depression in a population of pregnant women and new mothers in various stages of infection pressure and lock down during the first 15 months of the COVID-19 pandemic in Denmark

  • Data about mental health of the woman was obtained in relation to pregnancy and child development, Fig. 1 Six stages in the COVID-19 pandemic and lockdown in Denmark and data were analysed cross-sectionally according to calendar time

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Summary

Introduction

Pregnancy and early motherhood are sensitive times where epidemic disease outbreaks can affect mental health negatively [1, 2]. We found minor changes in symptoms of depression and anxiety among Danish pregnant women in the early stage of the pandemic [4], whereas a cross-national study including data from Norway, Switzerland, Netherlands and UK found high levels of depressive symptoms and generalized anxiety in pregnant and breastfeeding women during the COVID-19 outbreak [5]. For the adaptation of a health care system to a changing epidemic within a country it may, be important to analyse the effects of various stages of infection pressure and lock down within the population of pregnant women and young mothers. Countries and health care systems handled the pandemic and lockdowns differently and knowledge about how the COVID-19 pandemic affected the mental well-being of pregnant women and new mothers is limited and points in different directions

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