Evidence map›Paper›PMID 35509983›Full record

ArticleEuropean journal of midwifery2022

Prevalence of postpartum depression and antenatal anxiety symptoms during COVID-19 pandemic: An observational prospective cohort study in Greece.

Georgia Micha, Thomas Hyphantis, Chryssoula Staikou, Dimitrios Valsamidis, Eleni Arnaoutoglou, Petros Tzimas, Nikolaos Vlahos, Alexandros Daponte, Ioannis Grypiotis, Polyxeni Pappa and 10 more

Open access · goldAbstract read
In one paragraph

Article in European journal of midwifery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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, 2 syntheses or guidelines pooled it, 13 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

20 authors at 6 institutions in 1 country.

Georgia MichaDepartment of Anesthesiology, "Helena Venizelou" General and Maternity Hospital of Athens, Athens, Greece.
Thomas HyphantisDepartment of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
Chryssoula Staikou1st Department of Anesthesiology, Aretaieion Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Dimitrios ValsamidisDepartment of Anesthesiology, Alexandra General Hospital of Athens, Athens, Greece.
Eleni ArnaoutoglouDepartment of Anesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Petros TzimasDepartment of Anesthesiology and Postoperative Intensive Care, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
Nikolaos Vlahos2nd Department of Obstetrics and Gynecology, Aretaieion Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Alexandros DaponteDepartment of Obstetrics and Gynecology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Ioannis GrypiotisDepartment of Anesthesiology, "Helena Venizelou" General and Maternity Hospital of Athens, Athens, Greece.
Polyxeni PappaDepartment of Anesthesiology, "Helena Venizelou" General and Maternity Hospital of Athens, Athens, Greece.
Erofili EvangelakiDepartment of Anesthesiology, "Helena Venizelou" General and Maternity Hospital of Athens, Athens, Greece.
Sofia Apostolidou1st Department of Anesthesiology, Aretaieion Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Vasileios Paschos2nd Department of Obstetrics and Gynecology, Aretaieion Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Giolanda VarvarousiDepartment of Anesthesiology, Alexandra General Hospital of Athens, Athens, Greece.
Metaxia BarekaDepartment of Anesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Gloria E IzountouemoiDepartment of Anesthesiology and Postoperative Intensive Care, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
Orestis TsonisDepartment of Obstetrics and Gynecology, University Hospital of Ioannina, University of Ioannina, Ioannina, Greece.
Iouliani KoullourouMental Health Center, "G. Hatzikosta" General Hospital of Ioannina, Ioannina, Greece.
Konstantina KalopitaDepartment of Anesthesiology, "Helena Venizelou" General and Maternity Hospital of Athens, Athens, Greece.
Konstantinos KotsisDepartment of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
General-Maternity District Hospital Helena Venizelou · GRUniversity of Ioannina · GRNational and Kapodistrian University of Athens · GRUniversity of Thessaly · GRAlexandra Hospital · GRGeneral Hospital of Ioannina G. Hatzikosta · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA significant proportion of pregnant women and women in the early postpartum period suffer from mental health problems. The COVID-19 pandemic represents a unique stressor during this period and many studies across the world have shown elevated rates of postpartum depression (PPD).

methodsIn this multicenter two-phase observational prospective cohort study, we aim to assess the prevalence of anxiety prior to labor (Generalized Anxiety Disorder-7), as well as PPD at 6-8 weeks postpartum using the Edinburgh Postnatal Depression Scale (EPDS).

resultsOf the 330 women analyzed, 13.2% reported symptoms of depression using EPDS cut-off score ≥13. High antenatal levels of anxiety (24.8% scored ≥10 in GAD-7) were documented. A significant proportion of postpartum women reported a decrease in willingness to attend antenatal education courses (36%) and fewer antenatal visits to their obstetrician (34%) due to pandemic. Higher antenatal anxiety increased the odds of being depressed at 6-8 weeks postpartum (EPDS ≥13).

conclusionsCompared to reported prevalence of PPD from previous studies before the COVID-19 era in Greece, we did not find elevated rates during the first wave of the pandemic. High anxiety levels were observed indicating that there is a need for close monitoring in pregnancy during the pandemic and anxiety screening to identify women who need support in the pandemic era. A well-planned maternity program should be employed by all the associated care providers to maintain the proper antenatal care adjusted to the pandemic strains as well as a follow-up after labor.

Indexed as

anxietyCOVID-19Edinburgh Postnatal Depression Scale (EPDS)postpartum depression

Identifiers

PMID35509983
PMCPMC9006185
OpenAlexW4223425207

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.