期刊
MIDWIFERY
卷 102, 期 -, 页码 -出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.midw.2021.103072
关键词
Pandemics; Depression Postpartum; Sleep; Self efficacy; Metacognition; Cognitive dysfunction
类别
资金
- Secretaria de Ciencia y Tecnologia, Universidad Nacional de Cordoba [SECYT-UNC 273/2020]
This study investigated the mental health status of postpartum women in Argentina during mandatory social isolation, finding that social isolation promoted postpartum depression and insomnia, which were reciprocally related. This situation was exacerbated by reproductive factors such as late postpartum, multiparity, breastfeeding frequency, and non-exclusive breastfeeding.
Objective: The 2019 coronavirus disease pandemic (COVID-19) required strict confinement measures that differ-entially impacted the individual's daily life. Thus, this work aimed to study postpartum women's mental health in Argentina during mandatory social isolation. Design: A cross-sectional survey was conducted from May to July 2020, which included five validated question-naires to assess postpartum depression (Postpartum Depression Screening Scale -Short Form), insomnia (Insomnia Severity Index), memory complaints (Memory Complaint Scale), metacognition (Brief Metamemory and Meta-concentration Scale), and breastfeeding self-efficacy (Breastfeeding Self-Efficacy Scale-Short Form). Sociodemo-graphic variables, social isolation characteristics, and breastfeeding practices were also collected. This study was conducted in accordance with the Declaration of Helsinki. Statistical analysis included zero-order correlations, multiple logistic regressions, and a set of structural equation models (SEM) to test direct and indirect effects. Goodness-of-fit indices were calculated for SEM. Setting: Postpartum women were recruited from public hospitals, private health clinics, and online community recruitment in the Cordoba province (Argentina). Participants: 305 postpartum women from Argentina. Measurements and findings: 37% of women reported postpartum depression, 46% insomnia, 42% memory impair-ment, 60% low metaconcentration, 50% low metamemory, and 23% low breastfeeding efficacy. Also, significant associations were found demonstrating that social isolation promoted postpartum depression and insomnia were reciprocally related, which compromised female cognition and efficacy. This situation was aggravated in women during late postpartum, with previous children, and by low social support (e.g., family, health professionals), with non-exclusive breastfeeding being increased. Key conclusions: This is the first study addressing postpartum women's mental status during social isolation in Argentina, which was a promoting factor for postpartum depression and insomnia that were reciprocally related. This situation was also aggravated by reproductive factors, such as late postpartum, multiparity, breastfeeding frequency, and non-exclusive breastfeeding. Additionally, breastfeeding self-efficacy depended on mental health status, and euthymia therefore favoured the practice of exclusive breastfeeding.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据