Post-partum Women's Anxiety and Parenting Stress: Home-Visiting Protective Effect During the COVID-19 Pandemic

Matern Child Health J. 2022 Nov;26(11):2308-2317. doi: 10.1007/s10995-022-03540-0. Epub 2022 Sep 24.

Abstract

Objectives: The COVID-19 pandemic resulted in a particularly adverse and stressful environment for expecting mothers, possibly enhancing feelings of anxiety and parenting stress. The present work assesses mothers' anxiety levels at delivery and parenting stress after 3 months as moderated by home-visiting sessions.

Methods: Women (n = 177) in their second or third trimester of pregnancy during the COVID-19 lockdown were enrolled in northern Italy and split into those who did and did not receive home visits. After 3 months, the association between anxiety at delivery and parenting stress was assessed with bivariate correlations in the whole sample and comparing the two groups.

Results: Higher anxiety at birth correlated with greater perceived stress after 3 months. Mothers who received at least one home-visiting session reported lower parenting stress at 3 months than counterparts who did not receive home visits. CONCLUSIONS FOR PRACTICE: The perinatal period is a sensitive time window for mother-infant health, especially during a critical time like the COVID-19 pandemic. We suggest that home-visiting programs could be beneficial during global healthcare emergencies to promote maternal well-being after delivery.

Keywords: Anxiety; COVID-19; Home-visiting; Mothers; Parenting stress.

MeSH terms

  • Anxiety / epidemiology
  • COVID-19* / epidemiology
  • Child
  • Child Abuse*
  • Communicable Disease Control
  • Female
  • House Calls
  • Humans
  • Infant
  • Infant, Newborn
  • Mothers
  • Pandemics / prevention & control
  • Parenting
  • Postpartum Period
  • Pregnancy