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Article: Effect of COVID-19 on delivery plans and postnatal depression scores of pregnant women

TitleEffect of COVID-19 on delivery plans and postnatal depression scores of pregnant women
2019冠狀病毒病對孕婦分娩計劃和產後抑鬱評分的影響
Authors
Issue Date2021
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkmj.org/
Citation
Hong Kong Medical Journal, 2021, v. 27 n. 2, p. 113-117 How to Cite?
AbstractIntroduction: Owing to the coronavirus disease 2019 outbreak Hong Kong hospitals have suspended visiting periods and made mask wearing mandatory. In obstetrics, companionship during childbirth has been suspended and prenatal exercises, antenatal talks, hospital tours, and postnatal classes have been cancelled. The aim of the present study was to investigate the effects of these restrictive measures on delivery plans and risks of postpartum depression. Methods: We compared pregnancy data and the Edinburgh Postpartum Depression Scale (EPDS) scores of women who delivered between the pre-alert period (1 Jan 2019 to 4 Jan 2020) and post-alert period (5 Jan 2020 to 30 Apr 2020) in a tertiary university public hospital in Hong Kong. Screening for postpartum depression was performed routinely using the EPDS questionnaire 1 day and within 1 week after delivery. Results: There was a 13.1% reduction in the number of deliveries between 1 January and 30 April from 1144 in 2019 to 994 in 2020. The EPDS scores were available for 4357 out of 4531 deliveries (96.2%). A significantly higher proportion of women had EPDS scores of ≥10 1 day after delivery in the post-alert group than the pre-alert group (14.4% vs 11.9%; P<0.05). More women used pethidine (6.2% vs 4.6%) and fewer used a birthing ball (8.5% vs 12.4%) for pain relief during labour in the post-alert group. Conclusions: Pregnant women reported more depressive symptoms in the postpartum period following the alert announcement regarding coronavirus infection in Hong Kong. This was coupled with a drop in the delivery rate at our public hospital. Suspension of childbirth companionship might have altered the methods of intrapartum pain relief and the overall pregnancy experience.
引言:2019冠狀病毒病爆發令香港醫院暫停就診時間並實行強制戴口罩措施。產科暫停陪伴分娩,產前運動、產前面談、參觀醫院和產後課程亦因而取消。本研究檢視這些限制措施對分娩計劃和產後抑鬱風險的影響。 方法:我們將一所大學教學醫院的產婦於香港啟動嚴重應變級別前(2019年1月1日至2020年1月4日)和發出嚴重應變級別後(2020年1月5日至2020年4月30日)的妊娠數據和愛丁堡產後抑鬱量表(EPDS)評分作比較,並以EPDS問卷進行分娩後1天和1週內產後抑鬱篩檢。 結果:本院的分娩數字由2019年1月1日至4月30日的1144例,下跌13.1%至2020年同期的994例。在4531例分娩中取得4357例EPDS評分(佔96.2%)。與啟動嚴重應變級別前相比,發出嚴重應變級別後婦女的產後1天EPDS評分為10或以上的比例顯著較高(14.4%比11.9%;P<0.05)。與啟動嚴重應變級別前比較,發出嚴重應變級別後分娩婦女使用哌替啶的比例較高(4.6%比6.2%),使用分娩球的比例則較低(8.5%比12.4%)。 結論:香港啟動2019冠狀病毒病嚴重應變級別後,較多婦女出現產後抑鬱症狀,公立醫院的分娩率也有所下降。疫情期間暫停陪伴分娩或會改變婦女分娩時使用的鎮痛方法和影響其分娩經歷。
Persistent Identifierhttp://hdl.handle.net/10722/293451
ISSN
2019 Impact Factor: 1.679
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorHui, PW-
dc.contributor.authorMa, G-
dc.contributor.authorSeto, MTY-
dc.contributor.authorCheung, KW-
dc.date.accessioned2020-11-23T08:16:57Z-
dc.date.available2020-11-23T08:16:57Z-
dc.date.issued2021-
dc.identifier.citationHong Kong Medical Journal, 2021, v. 27 n. 2, p. 113-117-
dc.identifier.issn1024-2708-
dc.identifier.urihttp://hdl.handle.net/10722/293451-
dc.description.abstractIntroduction: Owing to the coronavirus disease 2019 outbreak Hong Kong hospitals have suspended visiting periods and made mask wearing mandatory. In obstetrics, companionship during childbirth has been suspended and prenatal exercises, antenatal talks, hospital tours, and postnatal classes have been cancelled. The aim of the present study was to investigate the effects of these restrictive measures on delivery plans and risks of postpartum depression. Methods: We compared pregnancy data and the Edinburgh Postpartum Depression Scale (EPDS) scores of women who delivered between the pre-alert period (1 Jan 2019 to 4 Jan 2020) and post-alert period (5 Jan 2020 to 30 Apr 2020) in a tertiary university public hospital in Hong Kong. Screening for postpartum depression was performed routinely using the EPDS questionnaire 1 day and within 1 week after delivery. Results: There was a 13.1% reduction in the number of deliveries between 1 January and 30 April from 1144 in 2019 to 994 in 2020. The EPDS scores were available for 4357 out of 4531 deliveries (96.2%). A significantly higher proportion of women had EPDS scores of ≥10 1 day after delivery in the post-alert group than the pre-alert group (14.4% vs 11.9%; P<0.05). More women used pethidine (6.2% vs 4.6%) and fewer used a birthing ball (8.5% vs 12.4%) for pain relief during labour in the post-alert group. Conclusions: Pregnant women reported more depressive symptoms in the postpartum period following the alert announcement regarding coronavirus infection in Hong Kong. This was coupled with a drop in the delivery rate at our public hospital. Suspension of childbirth companionship might have altered the methods of intrapartum pain relief and the overall pregnancy experience.-
dc.description.abstract引言:2019冠狀病毒病爆發令香港醫院暫停就診時間並實行強制戴口罩措施。產科暫停陪伴分娩,產前運動、產前面談、參觀醫院和產後課程亦因而取消。本研究檢視這些限制措施對分娩計劃和產後抑鬱風險的影響。 方法:我們將一所大學教學醫院的產婦於香港啟動嚴重應變級別前(2019年1月1日至2020年1月4日)和發出嚴重應變級別後(2020年1月5日至2020年4月30日)的妊娠數據和愛丁堡產後抑鬱量表(EPDS)評分作比較,並以EPDS問卷進行分娩後1天和1週內產後抑鬱篩檢。 結果:本院的分娩數字由2019年1月1日至4月30日的1144例,下跌13.1%至2020年同期的994例。在4531例分娩中取得4357例EPDS評分(佔96.2%)。與啟動嚴重應變級別前相比,發出嚴重應變級別後婦女的產後1天EPDS評分為10或以上的比例顯著較高(14.4%比11.9%;P<0.05)。與啟動嚴重應變級別前比較,發出嚴重應變級別後分娩婦女使用哌替啶的比例較高(4.6%比6.2%),使用分娩球的比例則較低(8.5%比12.4%)。 結論:香港啟動2019冠狀病毒病嚴重應變級別後,較多婦女出現產後抑鬱症狀,公立醫院的分娩率也有所下降。疫情期間暫停陪伴分娩或會改變婦女分娩時使用的鎮痛方法和影響其分娩經歷。-
dc.languageeng-
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkmj.org/-
dc.relation.ispartofHong Kong Medical Journal-
dc.relation.ispartof香港醫學雜誌-
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Academy of Medicine Press.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleEffect of COVID-19 on delivery plans and postnatal depression scores of pregnant women-
dc.title2019冠狀病毒病對孕婦分娩計劃和產後抑鬱評分的影響-
dc.typeArticle-
dc.identifier.emailHui, PW: apwhui@hkucc.hku.hk-
dc.identifier.emailSeto, MTY: mimiseto@hku.hk-
dc.identifier.emailCheung, KW: kawang@hku.hk-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.12809/hkmj208774-
dc.identifier.pmid33154187-
dc.identifier.hkuros319505-
dc.identifier.volume27-
dc.identifier.issue2-
dc.identifier.spage113-
dc.identifier.epage117-
dc.publisher.placeHong Kong-

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