Evidence map›Paper›PMID 40140792›Full record

ArticleBMC public health2025

COVID-19 and anxiety in pregnancy and postpartum: a longitudinal survey.

Susan Ayers, Rose Meades, Andrea Sinesi, Helen Cheyne, Margaret Maxwell, Catherine Best, Stacey McNicol, Fiona Alderdice, Julie Jomeen, Judy Shakespeare and 1 more

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Susan AyersCentre for Maternal and Child Health Research, School of Health and Psychological Sciences, City, University of London, Northampton Square, London, EC1V 0HB, UK. Susan.Ayers.1@city.ac.uk.
Rose MeadesCentre for Maternal and Child Health Research, School of Health and Psychological Sciences, City, University of London, Northampton Square, London, EC1V 0HB, UK.
Andrea SinesiNursing, Midwifery and Allied Health Professions Research Unit, Pathfoot Building, University of Stirling, Stirling, FK9 4LA, UK.
Helen CheyneNursing, Midwifery and Allied Health Professions Research Unit, Pathfoot Building, University of Stirling, Stirling, FK9 4LA, UK.
Margaret MaxwellNursing, Midwifery and Allied Health Professions Research Unit, Pathfoot Building, University of Stirling, Stirling, FK9 4LA, UK.
Catherine BestNursing, Midwifery and Allied Health Professions Research Unit, Pathfoot Building, University of Stirling, Stirling, FK9 4LA, UK.
Stacey McNicolNursing, Midwifery and Allied Health Professions Research Unit, Pathfoot Building, University of Stirling, Stirling, FK9 4LA, UK.
Fiona AlderdiceNational Perinatal Epidemiology Unit, Oxford Population Health, Old Road Campus, Headington, Oxford, OX3 7LF, UK.
Julie JomeenSouthern Cross University, Gold Coast Airport, Terminal Drive, Bilinga, QLD, 4225, Australia.
Judy ShakespeareRetired General Practitioner, Oxford, OX2 7AG, UK.
and the MAP Study Team

Funding

National Institute for Health and Care Research 17/105/16
6 · The paper itself

Abstract

backgroundAnxiety is estimated to affect between 15 and 20 per cent of women during pregnancy and postpartum. The COVID-19 pandemic resulted in wide-ranging changes to how people lived, worked and socialised around the world. COVID and pandemic-related restrictions to maternity services may have exacerbated anxiety during pregnancy and the postnatal period. This study aimed to determine: (1) levels of COVID exposure and perceived risk; (2) adherence to Government guidelines and restrictions; and (3) the impact of COVID and COVID-related restrictions on perinatal anxiety and mental health in the UK.

methodsA longitudinal survey (n = 2122) of COVID and anxiety in women during early pregnancy, mid-pregnancy, late pregnancy and postpartum.

results38.41% of participants had COVID before or during the study. Perinatal anxiety was predicted by participants having poor general health, being of Asian or mixed ethnicity, having previous mental health problems, believing that COVID would make them severely ill, and reporting that COVID had impacted on their mental health. Over time, more women were infected with COVID, and the perceived severity of COVID decreased. Experiencing mild COVID was associated with decreased anxiety at the subsequent time point (mean difference -0.72, 95% CI -1.38 to -0.07, p = 0.030). Very few participants in this sample had severe COVID (2.9%) or reported it having a severe impact on their mental health (5.66%). Most participants (75.3%) said the pandemic had 'no' or a 'slight' impact on their mental health. Pandemic-related restrictions to maternity care affected more women, with around 40% reporting anxiety about being separated from baby, their partner not being with them in labor, or having to leave shortly after the birth. Level of adherence to guidelines was variable, depending on the restriction.

conclusionsFindings suggest pandemic-related restrictions caused anxiety for more women than COVID per se. Adherence to guidelines was variable yet the prevalence of COVID infections was low compared to the general population. Findings can be used to inform policy and practice for future pandemics and health-related crises.

Indexed as

AnxietyCOVID-19Postpartum PeriodAdultFemaleHumansLongitudinal StudiesPregnancySurveys and QuestionnairesUnited KingdomYoung AdultAnxietyCOVID-19PandemicPostpartumPregnancy

Identifiers

PMID40140792
PMCPMC11938643

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.