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Authors
Abstract(s)
Introdução: A saúde mental perinatal abrange a saúde mental durante a gravidez e o
primeiro ano após o nascimento, sendo isso influenciado pelos antecedentes
psiquiátricos da paciente, pelo seu contexto socioeconómico e ainda pela ocorrência de
uma panóplia de alterações na esfera psicossocial e fisiológica durante todo este
período. Desta forma, é fundamental aprofundar o nosso conhecimento assim como
apostar nos cuidados a serem prestados num período tão vulnerável para uma mulher.
Neste momento, vivemos a pandemia COVID-19 que representa uma crise nos diversos
domínios da nossa sociedade. Dadas todas as alterações que esta crise causou no
quotidiano da população e em especial, da mulher grávida, tanto no seguimento e
acompanhamento das utentes, como face às consequências a nível psicológico em que
todas essas medidas culminaram, podemos assumir a pandemia como um fator
agravante deste estado de vulnerabilidade.
Objetivos: Explorar o efeito das medidas de prevenção ao COVID-19 na saúde mental
de puérperas acompanhadas no Centro Hospitalar Universitário Cova da Beira,
nomeadamente na incidência de Ansiedade e Depressão Pós-Parto.
Métodos: Estudo cuja amostra inicial é composta por 240 mulheres, das quais 132
responderam à Escala de Depressão Pós-Parto de Edimburgo, respostas estas sujeitas a
estudo. A análise estatística foi realizada através dos programas informáticos Microsoft
Excel 365® e IBM SPSS (Statistical Package for Social Sciences) 25.0® (IBM Corp.,
Armonk, NY).
Resultados: Não encontrámos associação estatística significativa entre as variáveis
estudadas à exceção da variável “idade gestacional” em que um maior período de
gestação se poderá ter traduzido numa maior propensão em ter desenvolvido
Depressão Pós-Parto, no ano 2019, pré-pandemia.
Conclusão: A COVID-19 parece ser um fator predisponente ou potenciador dos fatores
de risco de entidades como a Ansiedade e Depressão Pós-Parto. No entanto, considerase importante e interessante, a existência de mais estudos para aprofundar estes
resultados.
Introduction: Perinatal mental health covers mental health during pregnancy and the first year after birth. As this is influenced by the patient's psychiatric background, by her socioeconomic context and also by the occurrence of a range of changes in the psychosocial and physiological sphere throughout this period, it is of interest to deepen our knowledge as well as to invest on the care to be provided in such a vulnerable period for a woman. We are currently experiencing the COVID-19 pandemic, which represents a crisis in the various domains of our society. Given all the changes that this crisis has caused in the daily lives of the population and, in particular, of pregnant women, both in the follow-up of patients and in the psychological consequences in which all these measures culminated, we can assume the pandemic as an aggravating factor of this vulnerability state. Objectives: To explore the effect of COVID-19 prevention measures on the mental health of postpartum women followed at the Centro Hospitalar Universitário Cova da Beira, in particular, on the incidence of Postpartum Anxiety and Depression. Methods: The initial sample of this study is composed by 240 women, of which 132 answered to the EPDS scale - Edinburgh Postpartum Depression Scale, answers that are subject to study. Statistical analysis was performed using Microsoft Excel 365® and IBM SPSS (Statistical Package for Social Sciences) 25.0® software (IBM Corp., Armonk, NY). Results: We didn’t find a statistically significant association between the variables, the year and the result obtained on the EPDS scale, except for a longer gestation period, which could translate into a greater propensity to have developed Postpartum Depression, in the year 2019, pre-pandemic. Conclusion: The COVID-19 factor seems to be a predisposing factor or potentiator of risk factors for pathologies such as Anxiety and Postpartum Depression, however, it is important and interesting to have more studies to deepen these results.
Introduction: Perinatal mental health covers mental health during pregnancy and the first year after birth. As this is influenced by the patient's psychiatric background, by her socioeconomic context and also by the occurrence of a range of changes in the psychosocial and physiological sphere throughout this period, it is of interest to deepen our knowledge as well as to invest on the care to be provided in such a vulnerable period for a woman. We are currently experiencing the COVID-19 pandemic, which represents a crisis in the various domains of our society. Given all the changes that this crisis has caused in the daily lives of the population and, in particular, of pregnant women, both in the follow-up of patients and in the psychological consequences in which all these measures culminated, we can assume the pandemic as an aggravating factor of this vulnerability state. Objectives: To explore the effect of COVID-19 prevention measures on the mental health of postpartum women followed at the Centro Hospitalar Universitário Cova da Beira, in particular, on the incidence of Postpartum Anxiety and Depression. Methods: The initial sample of this study is composed by 240 women, of which 132 answered to the EPDS scale - Edinburgh Postpartum Depression Scale, answers that are subject to study. Statistical analysis was performed using Microsoft Excel 365® and IBM SPSS (Statistical Package for Social Sciences) 25.0® software (IBM Corp., Armonk, NY). Results: We didn’t find a statistically significant association between the variables, the year and the result obtained on the EPDS scale, except for a longer gestation period, which could translate into a greater propensity to have developed Postpartum Depression, in the year 2019, pre-pandemic. Conclusion: The COVID-19 factor seems to be a predisposing factor or potentiator of risk factors for pathologies such as Anxiety and Postpartum Depression, however, it is important and interesting to have more studies to deepen these results.
Description
Keywords
Ansiedade e Depressão Ansiedade Pós-Parto Covid-19 Depressão Pós-Parto Sars-Cov-2