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The impact of perinatal healthcare changes on birth trauma during COVID-19

Rachel M Diamond1, Allison Colaianni1

  • 1Couple and Family Therapy Department, Adler University, Chicago, IL, USA.

Women and Birth : Journal of the Australian College of Midwives
|December 20, 2021
PubMed

Insights

COVID-19 healthcare changes significantly impacted the childbirth experience, increasing birth trauma. Restrictions on support persons and altered birth plans were key factors contributing to posttraumatic stress disorder (PTSD) symptoms in mothers.

Area of Science:

  • Perinatal Mental Health
  • Trauma Studies
  • Public Health

Background:

  • The COVID-19 pandemic introduced unprecedented changes to healthcare, affecting the psychological birth experience.
  • Increased rates of birth trauma and birth plan alterations were observed during the pandemic.

Purpose of the Study:

  • To examine how COVID-related healthcare changes impacted birth trauma.
  • To understand the relationship between pandemic-induced birth modifications and psychological distress.

Main Methods:

  • A survey of 269 individuals who gave birth in the U.S. during COVID-19.
  • Assessment of COVID-related perinatal healthcare changes and birth-related posttraumatic stress disorder (PTSD) using The City Birth Trauma Scale.
  • Hierarchical regression analysis to predict PTSD symptoms based on demographics and birth plan changes.

Main Results:

  • 5.9% of participants met PTSD criteria, and 72.3% met partial criteria.
  • Healthcare changes like limited support person stays, single support person requirements, and mask mandates predicted PTSD.
  • Alterations in support person policies, breastfeeding plans, and birth location significantly predicted PTSD symptoms.

Conclusions:

  • COVID-related perinatal healthcare modifications are crucial factors in the development of postpartum trauma symptoms.
  • Addressing these changes is vital for mitigating psychological distress in birthing individuals.
Abstract

Keywords:
BirthBirth traumaCOVID-19Mental healthPostpartumPosttraumatic stress disorder (PTSD)

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