Stress level and general mental state in Polish pregnant women during COVID-19 pandemic

J Reprod Infant Psychol. 2023 Apr;41(2):165-182. doi: 10.1080/02646838.2021.1976402. Epub 2021 Sep 23.

Abstract

Introduction: COVID-19 pandemic may contribute to mental state worsening. Mental health disorders in pregnancy are known to have adverse outcomes both for mothers and their children. It is the first study in Poland to investigate the impact of the pandemic on stress level and general mental state in pregnant women.

Methods: Three hundred sixteen pregnant women completed an online survey containing four instruments. The main research questions were investigated with Bayesian regression analyses.

Results: We found that 37% of pregnant women presented with some mental state disorders and almost 46% with elevated emotional tension. Seventeen % had elevated stress level, 11% elevated intrapsychic stress level and 13% elevated outward stress level. Both 'being scared of lack of social support...' and 'being scared of infection...' have an impact on stress level, however the first factor is a more substantial stressor.

Conclusions: Multiple pregnant women during the Coronavirus SARS-CoV-2 pandemic presented with mental state disorders and elevated stress levels. As mental state disorders contribute to adverse neonatal outcomes and maternal mortality, it is imperative to focus on pregnant women's psychological and psychiatric conditions during the pandemic. It seems crucial to use screening tests to make early psychiatric diagnoses.

Keywords: COVID-19; Stress; coronavirus; mental health; pregnancy; social support.

MeSH terms

  • Bayes Theorem
  • COVID-19*
  • Child
  • Female
  • Humans
  • Infant, Newborn
  • Pandemics / prevention & control
  • Poland / epidemiology
  • Pregnancy
  • Pregnant Women / psychology
  • SARS-CoV-2
  • Stress, Psychological / diagnosis
  • Stress, Psychological / epidemiology