Giving birth during the COVID-19 pandemic: The impact on birth satisfaction and postpartum depression

Int J Gynaecol Obstet. 2021 Apr;153(1):83-88. doi: 10.1002/ijgo.13565. Epub 2021 Jan 20.

Abstract

Objective: To understand how giving birth during the coronavirus disease 2019 (COVID-19) pandemic affected women based on birth parameters (gestational age, type of birth and body weight at birth), satisfaction with childbirth, and development of postpartum depression.

Methods: This is a cross-sectional study of 162 Spanish women. They were divided into two groups: those who gave birth before the pandemic (n = 82; from September 1, 2019 to March 1, 2020) and during the pandemic (n = 75; from April 1, 2020 to July 1, 2020). They were assessed using psychological instruments for postpartum childbirth satisfaction and postpartum depression.

Results: It was found that women who gave birth during the pandemic suffered higher levels of stress during childbirth (U = 2652.50; P = 0.040) and gave a worse rating of the quality of care received (U = 2703.50; P = 0.041). In addition, the percentage of postpartum depression was much higher in women who gave birth during the pandemic (χ2 = 4.31; P = 0.038).

Conclusion: Giving birth during the COVID-19 pandemic could have an impact on greater dissatisfaction with childbirth, as well as increasing the risk of postpartum depression.

Keywords: birth satisfaction; childbirth; depression; pandemic; postpartum; stress.

MeSH terms

  • Adult
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • COVID-19* / psychology
  • Cross-Sectional Studies
  • Delivery, Obstetric* / methods
  • Delivery, Obstetric* / psychology
  • Delivery, Obstetric* / statistics & numerical data
  • Depression, Postpartum* / diagnosis
  • Depression, Postpartum* / epidemiology
  • Female
  • Gestational Age
  • Humans
  • Parturition / psychology*
  • Personal Satisfaction
  • Postpartum Period / psychology
  • Pregnancy
  • SARS-CoV-2
  • Spain / epidemiology
  • Stress, Psychological* / epidemiology
  • Stress, Psychological* / etiology