Women's Mental Health During Pregnancy under the COVID-19 Coronavirus Pandemic: A Review of Foreign Studies 56
PhD in Psychology, associate professor at the chair of early intervention and mental health, department of psychology, Saint-Petersburg State University, St.Petersburg, Russia
PhD in Psychology, Professor in Department of Psychology of Development at Psychology Faculty, Saint-Petersburg State University, St.Petersburg, Russia
PhD in Medicine, senior lecturer, Division of Child and Parent Mental Health and Early Intervention, Saint Petersburg State University, psychotherapist, St.Petersburg, Russia
The article is the review of research studies published in 2020 on anxiety, depression and stress of pregnant women during the COVID-19 pandemic. Results show that 35% to 69,6% pregnant women and newly mothers experience moderate-to-strong levels of anxiety, 18,2%-36,4% demonstrate clinically significant symptoms of depression, 10,3-16,7% have symptoms of PTSD. These numbers are twice higher than the prevalence of anxiety, depression and stress presented in pre-pandemic scientific literature. The most significant factor influencing the high levels of anxiety, stress and depression during the pandemic is the presence of these disorders before pregnancy. Other important factors are younger age, lower household income, lack of social support, and bigger family. Data on differences on anxiety, depression and stress between women in different trimesters and postpartum are contradictory.
The reported study was funded by Russian Foundation for Basic Research (RFBR), project number 20-04-60386.
Savenysheva S.S. Vliyanie sostoyaniya i otnosheniya k
rebenku materi v period beremennosti na posleduyushchee psikhicheskoe razvitie
rebenka: analiz zarubezhnykh issledovanii [Elektronnyi resurs].
Internet-zhurnal «Mir nauki», 2018. № 1. URL:
https://mir-nauki.com/PDF/14PSMN118.pdf (Accessed 24.03.2021). (In
Buekens P. et al.A call for action for COVID-19
surveillance and research during pregnancy. The Lancet Global Health,
2020. Vol. 8, no. 7, 3 p. DOI:10.1016/S2214-109X(20)30206-0
Elshafeey F. et al. A systematic scoping review of
COVID-19 during pregnancy and childbirth. International journal of
gynaecology and obstetrics: the official organ of the International Federation
of Gynaecology and Obstetrics, 2020. Vol. 150, no. 1,
pp. 47–52. DOI:10.1002/ijgo.13182
Kotabagi P. et al. Anxiety and depression levels
among pregnant women with COVID-19. Acta Obstetricia et Gynecologica
Scandinavica, 2020. Vol. 99, no. 7, pp. 953–954.
Rubertsson C. et al. Anxiety in early pregnancy:
prevalence and contributing factors. Archives of Women’s Mental Health,
2014. Vol. 17, no. 3, pp. 221–229.
Centres for Disease Control and Prevention. Coronavirus
Disease 2019 (COVID-19) Data Traker [Elektronnyi resurs]. URL:
Ceulemans M., Hompes T., Foulon V. Mental health status of
pregnant and breastfeeding women during the COVID‐19 pandemic: A call for
action. International Journal of Gynecology & Obstetrics,
2020. Vol. 151, no. 1, pp. 146–147. DOI:10.1002/ijgo.13295
Yang Z. et al. Coronavirus disease 2019 (COVID-19) and
pregnancy: a systematic review. The journal of maternal-fetal & neonatal
medicine, 2020. Vol. 30, pp. 1–4.
Dashraath P. et al. Coronavirus disease 2019 (COVID-19)
pandemic and pregnancy. American journal of obstetrics and gynecology,
2020. Vol. 222, no. 6, pp. 521–531.
Rajewska A. et al. COVID-19 and pregnancy – where are we
now? A review. Journal of Perinatal Medicine, 2020. Vol. 48,
no. 5, pp. 428–434. DOI:10.1515/jpm-2020-0132
Christian L.M. et al. Depressive symptoms predict
exaggerated inflammatory responses to an in vivo immune challenge among
pregnant women. Brain, Behavior and Immunity, 2010. Vol. 24,
no. 1, pp. 49–53. DOI:10.1016/j.bbi.2009.05.055
Durankuş F., Aksu E. Effects of the COVID-19 pandemic on
anxiety and depressive symptoms in pregnant women: a preliminary study. The
Journal of Maternal-Fetal & Neonatal Medicine, 2020, 7 p.
Juan J. et al. Effect of coronavirus disease 2019
(COVID-19) on maternal, perinatal and neonatal outcome: systematic review.
Ultrasound in Obstetrics and Gynecology, 2020. Vol. 56, no. 1,
pp. 15–27. DOI:10.1002/uog.22088
Dagklis T. et al. Impact of the COVID-19 lockdown on
antenatal mental health in Greece. Psychiatry and Clinical
Neurosciences, 2020. Vol. 74, 7 p. DOI:10.1111/pcn.13135
Liu C., Erdei C., Mittal L. Risk factors for depression,
anxiety, and PTSD symptoms in perinatal women during the COVID-19 Pandemic.
Psychiatry Research, 2021. Vol. 295, 7 p.
Mappa I., Distefano F., Rizzo G. Effects of coronavirus 19
pandemic on maternal anxiety during pregnancy: a prospectic observational
study. Journal of Perinatal Medicine, 2020. Vol. 48, no. 6,
pp. 545–550. DOI:10.1515/jpm-2020-0182
Molgora S., Accordini M. Motherhood in the Time of
Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum
Women’s Psychological Well-Being. Frontiers in Psychology, 2020.
Vol. 11, 16 p. DOI:10.3389/fpsyg.2020.567155
Preis H. et al. Pandemic-related pregnancy stress and
anxiety among women pregnant during the COVID-19 pandemic. American Journal
of Obstetrics & Gynecology MFM, 2020. Vol. 2, no. 3, 3 p.
Ng Q.J. et al. Perception and Feelings of Antenatal Women
during COVID-19 Pandemic: A Cross-Sectional Survey [Elektronnyi resurs].
Annals of the Academy of Medicine Singaporeof Medicine, 2020.
Vol. 49, no. 8, pp. 543–552. URL:
Wu Y. et al. Perinatal depressive and anxiety symptoms of
pregnant women during the coronavirus disease 2019 outbreak in China.
American Journal of Obstetrics and Gynecology, 2020. Vol. 223,
no. 2, 9 p. DOI:10.1016/j.ajog.2020.05.009
Saccone G. et al. Psychological Impact of COVID-19 in
pregnant women. American Journal of Obstetrics and Gynecology, 2020.
Vol. 223, no. 2, pp. 293–295.
Spinelli M., Poehlmann J., Bolt D. Predictors of parenting
stress trajectories in premature infant-mother dyads. The Journal of Family
Psychology, 2013. Vol. 27, no. 6, pp. 873–883.
Stepowicz A. et al. Stress and Anxiety Levels in Pregnant
and Post-Partum Women during the COVID-19 Pandemic. International Journal
of Environmental Research and Public Health, 2020. Vol. 17,
no. 24, 9 p. DOI:10.3390/ijerph17249450
Staneva A. et al. The effects of maternal depression,
anxiety, and perceived stress during pregnancy on preterm birth: A systematic
review. Women Birth, 2015. Vol. 28, no. 3, pp. 179–93.
Farrell T. et al. The impact of the COVID-19 pandemic on
the perinatal mental health of women. Journal of Perinatal Medicine,
2020. Vol. 48, no. 9, pp. 971–976.
Berthelot N. et al. Uptrend in distress and psychiatric
symptomatology in pregnant women during the coronavirus disease 2019 pandemic.
Acta Obstetricia and Ginecologica Scandinavia, 2020. Vol. 99,
no. 7, pp. 848–855. DOI:10.1111/aogs.13925