ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2021
The use of personal protective equipment as an independent factor for developing depressive and post-traumatic stress symptoms in the postpartum period.
Article in European psychiatry : the journal of the Association of European Psychiatrists, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 4 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Prevalence of postpartum depression in the COVID-19 pandemic and associated factors: systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- Posttraumatic stress disorder prevalence and childbirth: update meta-analysis after the introduction of the DSM-5 and COVID-19 pandemic.Archives of women's mental health · 2024Pooled it
- The prevalence of mental ill-health in women during pregnancy and after childbirth during the Covid-19 pandemic: a systematic review and Meta-analysis.BMC pregnancy and childbirth · 2023Pooled it
- Risk Factors for Postpartum Depression During COVID-19 Pandemic: A Systematic Literature Review.Journal of primary care & community healthPooled it
- The impact of tele-education support on mothers' sense of security and breastfeeding self-efficacy during the pandemic.BMC pregnancy and childbirth · 2025Article
- Postpartum post-traumatic stress symptoms during the COVID-19 period: exposure and fear as mediating factors.European journal of psychotraumatology · 2023Article
- Postpartum Depression in COVID-19 Days: Longitudinal Study of Risk and Protective Factors.Journal of clinical medicine · 2022Article
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Authors and funding
12 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundNew recommendations regarding the use of personal protective equipment (PPE) during delivery have changed the maternal birth experience. In this study, we investigated the mental perceived impact of PPE use during delivery on the development of maternal postpartum depression (PPD) and post-traumatic stress symptoms (PTSS).
methodsThis was a multicenter, retrospective cohort study concerning women who delivered during the COVID-19 pandemic first lockdown period in Israel. Postpartum women were approached and asked to complete a comprehensive online questionnaire. Impact of PPE was graded on a scale of 1-5, and Impact of PPE ≥4 was considered high. PPD and PTSS were assessed using the EPDS and City BiTS questionnaires.
resultsOf 421 parturients, 36 (9%) reported high Impact of PPE. Parturients with high Impact of PPE had significantly higher PPD and PTSS scores)EPDS 8.4 ± 5.8 vs. 5.7 ± 5.3; City BiTS 9.2 ± 10.3 vs. 5.8 ± 7.8, p < 0.05 for both). Following adjustment for socio-demographic and delivery confounders and fear of COVID-19 (using Fear of COVID19 scale), Impact of PPE remained positively correlated with PPD symptoms (ß = 0.103, 95% confidence intervals [CI] 0.029-1.006, p = 0.038).
conclusionWhen examining the risk factors for developing postpartum PTSS-experiences during labor and PPE were found to be significant variables. As the use of PPE is crucial in this era of COVID-19 pandemic in order to protect both parturients and caregivers, creative measures should be taken in order to overcome the communication gap it poses.
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