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10.21037/atm-20-6115

http://scihub22266oqcxt.onion/10.21037/atm-20-6115
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suck abstract from ncbi


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pmid33842603      Ann+Transl+Med 2021 ; 9 (5): 382
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  • A multi-center survey on the postpartum mental health of mothers and attachment to their neonates during COVID-19 in Hubei Province of China #MMPMID33842603
  • Peng S; Zhang Y; Liu H; Huang X; Noble DJ; Yang L; Lu W; Luo Y; Zhu H; Cao L; Liu C; Chen Y; Zhang P; Xia S; Narayan A
  • Ann Transl Med 2021[Mar]; 9 (5): 382 PMID33842603show ga
  • BACKGROUND: There is an emerging literature on the mental health of both pre- and post-partum mothers during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: As of April 1, 2020, 23 mothers confirmed with COVID-19, 15 mothers suspected with COVID-19 but with negative polymerase chain reaction tests, and 33 mothers without COVID-19 (Control Group) were recruited for a study from Hubei Province in China. The Maternal Postnatal Attachment Scale (MPAS), the Zung Self-rating Anxiety Scale, and the Zung Self-rating Depression Scale were applied to investigate the attachment of mothers to their neonates and the postpartum mental health of mothers within the first 3 months after delivery (between 20 to 89 days). RESULTS: The period of mother-child separation among the confirmed group (33.9+/-20.9 days) was significantly longer than that of suspected group (16.7+/-12.2 days) and control group (10.7+/-8.4 days). The total score of the MPAS in mothers confirmed with COVID-19 (45.5+/-4.2) was significantly lower (indicating less mother-child attachment) than that in the suspected (50.5+/-4.7) and control (48.8+/-4.6) groups. A negative correlation was noted between the mother-child separation time and the MPAS scores, including the subscale scores of attachment (MPAS acore: Spearman's rho =-0.33, 95% CI: -0.095 to -0.538, P=0.005; Subscale score of attachment: Spearman's rho =-0.40, 95% CI: -0.163 to -0.592, P=0.001). The incidence of postpartum anxiety in the confirmed, suspected and control groups was 4.3%, 6.7% and 12.1%, respectively; and the incidence of postpartum depression was 39.1%, 33.3% and 30.3%, respectively. No significant difference was found with regards to maternal postpartum anxiety and depression among the three groups. CONCLUSIONS: Decreased mother-child attachment found among mothers confirmed with COVID-19, indicates that further intervention is needed to ensure mother-child interaction to appropriately develop attachment. Mother-child attachment experienced disruption due to prolonged mother-child separation necessitated by the COVID-19 management protocol, which needs to be revised to reduce prolonged mother-child separation. Additionally, mothers with and without COVID-19 suffered a high incidence of depression, which warrants further mental health investment for pregnant mothers during the COVID-19 pandemic.
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