Evidence map›Paper›PMID 34963458›Full record

ArticleBMC pregnancy and childbirth2021

Maternal-fetal bonding during the COVID-19 pandemic.

Amanda Koire, Leena Mittal, Carmina Erdei, Cindy H Liu

Open access · goldAbstract 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
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

10 citing papers in PubMed, 16 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Amanda KoireDepartment of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA.
Leena MittalDepartment of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA.
Carmina ErdeiHarvard Medical School, Boston, MA, USA.
Cindy H LiuDepartment of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA. chliu@bwh.harvard.edu.ORCID http://orcid.org/0000-0001-6985-5961
Brigham and Women's Hospital · US

Funding

Maternal Psychosis and Stress as Risks for Offspring Behavioral ImpairmentK23MH107714 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI LIU, CINDY H · 2016 to 2020
$765k
NIMH NIH HHS K23 MH107714NIMH NIH HHS K23 MH 107714-01 A1
6 · The paper itself

Abstract

backgroundThe pregnant population experienced unique COVID-19 physical and psychosocial stressors such as direct health concerns related to the virus and loss of access to resources since the COVID-19 emerged as a global pandemic in early 2020. Despite these COVID-19-related stress and concerns, the maternal experience of bonding with their unborn children has not been well studied. This work aimed to study the association between mental health history, current mental health symptoms, psychological factors, COVID-19-related worries, and self-reported maternal-fetal bonding of pregnant women.

methodsThis online, survey-based cross-sectional study focused on women pregnant during the pandemic and assessed 686 women using data collected from May 19, 2020 to October 3, 2020. Enrolled respondents completed assessments in which they self-reported maternal-fetal bonding, mental health symptomatology, psychological factors, and COVID-19-related worries regarding health, pregnancy, and resources.

resultsDepressive symptoms in pregnant women were associated with lower quality maternal-fetal bonding, while a higher level of anxiety was positively associated with bonding; however, past history of depression or generalized anxiety diagnosis did not appear to be as relevant as active symptomatology. Maternal resilience, but not distress tolerance, appeared to be a protective factor resulting in improved bonding. Higher levels of worry regarding impact of COVID-19 on health were significantly associated with improved bonding, while worries regarding the impact of COVID-19 on the pregnancy or resources were not significantly associated with bonding. The study also found associations between different sociodemographic variables and bonding, including a strong positive association between first time motherhood and bonding and a negative association between higher education and income and bonding.

conclusionsThis study was the first to report potential protective and risk factors to the maternal-fetal bonding process in women pregnant during the COVID-19 pandemic. Unique COVID-19 concerns exist; however, anxiety and COVID-19 concerns do not appear to undermine maternal-fetal bonding while active depressive symptomatology may negatively influence bonding; interventions increasing maternal resilience may be particularly valuable.

Indexed as

AdultAnxietyCOVID-19Cross-Sectional StudiesDepressionFemaleHumansMaternal-Fetal RelationsMental HealthMiddle AgedPregnancyProtective FactorsResilience, PsychologicalRisk FactorsSARS-CoV-2Surveys and QuestionnairesAnxietyAttachmentDepressionDistressLife eventsMental healthParentingPregnancyResilienceStress

Identifiers

PMID34963458
PMCPMC8713042
OpenAlexW4200029279

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.