Evidence map›Paper›PMID 34530772›Full record

ArticleBMC pregnancy and childbirth2021

Postpartum women's psychological experiences during the COVID-19 pandemic: a modified recurrent cross-sectional thematic analysis.

Leanne Jackson, Leonardo De Pascalis, Joanne A Harrold, Victoria Fallon, Sergio A Silverio

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Leanne JacksonDepartment of Psychology, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Eleanor Rathbone Building, Bedford Street South, Liverpool, Merseyside, L69 7ZA, UK. Leanne.Jackson@liverpool.ac.uk.ORCID http://orcid.org/0000-0003-4491-1802
Leonardo De PascalisDepartment of Psychology, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Eleanor Rathbone Building, Bedford Street South, Liverpool, Merseyside, L69 7ZA, UK.ORCID https://orcid.org/0000-0002-9150-3468
Joanne A HarroldDepartment of Psychology, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Eleanor Rathbone Building, Bedford Street South, Liverpool, Merseyside, L69 7ZA, UK.ORCID https://orcid.org/0000-0002-0899-4586
Victoria Fallon *Department of Psychology, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Eleanor Rathbone Building, Bedford Street South, Liverpool, Merseyside, L69 7ZA, UK.ORCID https://orcid.org/0000-0002-7350-2568
Sergio A Silverio *Department of Women & Children's Health, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.ORCID https://orcid.org/0000-0001-7177-3471

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has placed additional stressors on mothers during an already vulnerable lifecourse transition. Initial social distancing restrictions (Timepoint 1; T1) and initial changes to those social distancing restrictions (Timepoint 2; T2) have disrupted postpartum access to practical and emotional support. This qualitative study explores the postpartum psychological experiences of UK women during different phases of the COVID-19 pandemic and associated 'lockdowns'.

methodsSemi-structured interviews were conducted with 12 women, approximately 30 days after initial social distancing guidelines were imposed in the UK (22 April 2020). A separate 12 women were interviewed approximately 30 days after the initial easing of social distancing restrictions (10 June 2020). Data were transcribed verbatim, uploaded into NVivo for management and analysis, which followed a recurrent cross-sectional approach to thematic analysis.

resultsTwo main themes were identified for T1: 'Motherhood is Much Like Lockdown' and 'A Self-Contained Family Unit'. Each main T1 theme contained two sub-themes. Two main themes were also identified for T2: 'Incongruously Held Views of COVID-19' and 'Mothering Amidst the Pandemic'. Each main T2 theme contained three sub-themes. Comparisons between data gathered at each timepoint identified increased emotional distress over time. Current findings call for the improvement of postpartum care by improving accessibility to social support, and prioritising the re-opening of schools, and face-to-face healthcare appointments and visitation.

conclusionSocial distancing restrictions associated with COVID-19 have had a cumulative, negative effect on postpartum mental health. Recommendations such as: Allowing mothers to 'bubble' with a primary support provider even at their healthcare appointments; allowing one support partner to attend all necessary healthcare appointments; and providing tailored informational resources, may help to support postpartum emotional wellbeing during this, and similar health crises in the future.

Indexed as

Burnout, PsychologicalPsychological DistressSocial SupportAdultCommunicable Disease ControlCOVID-19Cross-Sectional StudiesFemaleHumansInterviews as TopicMental Health ServicesMothersPostnatal CarePostpartum PeriodQualitative ResearchBurnout, psychologicalCOVID-19Mental health servicesPostnatal carePsychological distressPsychosocial support systems

Identifiers

PMID34530772
PMCPMC8445650

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.