Women's Mental Health During Pregnancy under the COVID-19 Coronavirus Pandemic: A Review of Foreign Studies



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.

General Information

Keywords: COVID-19, pandemic, mental health, emotional states, pregnancy, anxiety, depression, stress, PTSD.

Journal rubric: Developmental Psychology and Age-Related Psychology

Article type: review article

DOI: https://doi.org/10.17759/jmfp.2021100107

Funding. The reported study was funded by Russian Foundation for Basic Research (RFBR), project number 20-04-60386.

For citation: Anikina V.O., Savenysheva S., Blokh M.E. Women's Mental Health During Pregnancy under the COVID-19 Coronavirus Pandemic: A Review of Foreign Studies [Elektronnyi resurs]. Sovremennaia zarubezhnaia psikhologiia = Journal of Modern Foreign Psychology, 2021. Vol. 10, no. 1, pp. 70–78. DOI: 10.17759/jmfp.2021100107. (In Russ., аbstr. in Engl.)


  1. 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 Russ.).
  2. 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
  3. 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
  4. 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. DOI:10.1111/aogs.13928
  5. 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. DOI:10.1007/s00737-013-0409-0
  6. Centres for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19) Data Traker [Elektronnyi resurs]. URL: https://covid.cdc.gov/covid-data-tracker/#pregnant-population (Accessed 20.01.2021).
  7. 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
  8. 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. DOI:10.1080/14767058.2020.1759541
  9. 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. DOI:10.1016/j.ajog.2020.03.021
  10. 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
  11. 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
  12. 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. DOI:10.1080/14767058.2020.1763946
  13. 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
  14. 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
  15. 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. DOI:10.1016/j.psychres.2020.113552
  16. 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
  17. 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
  18. 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. DOI:10.1016/j.ajogmf.2020.100155
  19. 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: https://www.annals.edu.sg/pdf/49VolNo8Aug2020/V49N8p543.pdf (Accessed 20.01.2021).
  20. 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
  21. 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. DOI:10.1016/j.ajog.2020.05.003
  22. 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. DOI:10.1037/a0034652
  23. 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
  24. 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. DOI:10.1016/j.wombi.2015.02.003
  25. 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. DOI:10.1515/jpm-2020-0415
  26. 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

Information About the Authors

Varvara O. Anikina, PhD in Psychology, associate professor at the chair of early intervention and mental health, department of psychology, Saint-Petersburg State University, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0003-0028-6806, e-mail: v.anikina@spbu.ru

Svetlana S. Savenysheva, PhD in Psychology, Professor in Department of Psychology of Development at Psychology Faculty, Saint-Petersburg State University, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-7529-1493, e-mail: owlsveta@mail.ru

Mariia E. Blokh, PhD in Medicine, Associate professor, Division of Child and Parent Mental Health and Early Intervention, Saint Petersburg State University, psychotherapist, Dr D.O. Ott Research Institute of Obstetrics, Gynecology, and Reproduction, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0001-8609-6936, e-mail: blohme@list.ru



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