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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Outcomes of Mothers and Infants Affected by COVID-19
Katherine B Daniel1, Stefany Olague2, Helen Boyle2
1Duke University School of Medicine, Durham, North Carolina.
Insights
COVID-19 infection during pregnancy may impact maternal and infant well-being for up to a year postpartum. Mothers reported persistent stress affecting themselves and their infants, with altered infant temperament noted.
Area of Science:
- Perinatal Health
- Infectious Diseases
- Child Development
Background:
- Long-term effects of COVID-19 in pregnancy on maternal and infant well-being are not well understood.
- Pregnancy and early postpartum are critical periods for maternal and infant health.
- COVID-19 infection presents unique challenges during this sensitive developmental window.
Purpose of the Study:
- To assess the physical, mental, and emotional well-being of mothers and infants in the first year postpartum following COVID-19 exposure or diagnosis.
- To characterize the impact of maternal and/or infant COVID-19 infection on the mother-infant dyad.
- To identify potential lasting consequences for maternal mental health, infant temperament, and the child-caregiver relationship.
Main Methods:
- A direct-to-participant cohort study of 96 mother-infant pairs.
- Mothers tested positive for COVID-19 during pregnancy or birth hospitalization, and/or infants tested positive before hospital discharge.
- Outcomes measured via surveys at 6 and 12 months postpartum and infant health records from birth through one year.
Main Results:
- Mothers frequently reported persistent physical, mental, and emotional stress impacting both themselves and their infants.
- Infant temperament scores were higher than previously reported in literature.
- Infants generally remained healthy throughout their first year of life.
Conclusions:
- COVID-19 infection during pregnancy can create unique circumstances affecting maternal and infant well-being and the child-caregiver relationship.
- These effects may persist for at least one year postpartum.
- Identifying these issues is crucial for timely support and intervention to mitigate potential long-term consequences.
Abstract:
The long-term effects of the novel coronavirus disease 2019 (COVID-19) infection during pregnancy are poorly characterized in mothers and their infants. The aim of this study was to assess the physical, mental, and emotional well-being of mothers and infants in the first year postpartum who were exposed to and/or diagnosed with COVID-19 infection.This direct-to-participant cohort study recruited 96 mother-infant pairs delivering at Pediatrix Medical Group sites, where mothers tested positive for COVID-19 during their pregnancy or birth hospitalization and/or infants tested positive for COVID-19 prior to hospital discharge. Main outcome measures included scored responses to surveys administered at 6 and 12 months postpartum and infant health status from newborn admission through the first year after birth.Mothers with COVID-19 infection during pregnancy often reported persistent physical, mental, and emotional stress affecting both themselves and their infants. Scores assessing infant temperament were higher than reported in prior literature. Infants were relatively healthy throughout their first year after birth.The experience of COVID-19 infection during pregnancy may create a unique set of circumstances that affects the well-being of infants and their mothers separately as well as the child-caregiver relationship. Early life events have the potential to generate lasting consequences; therefore, it is important to identify these issues to maximize support and intervene if indicated. · Experiencing COVID-19 in pregnancy is unique.. · Possible effects on temperament, and relationships.. · This impact may persist for at least 1 year postpartum..
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