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- Title
Veterans' Perinatal Care and Mental Health Experiences During the COVID-19 Pandemic: An Examination of the Role of Prior Trauma and Pandemic-Related Stressors.
- Authors
Mattocks, Kristin M.; Kroll-Desrosiers, Aimee; Marteeny, Valerie; Walker, Lorrie; Vogt, Dawne; Iversen, Katherine M.; Bastian, Lori
- Abstract
Background: Many pregnant and postpartum Veterans have experienced multiple lifetime traumas, including military sexual trauma, intimate partner violence, and combat trauma. These women may be particularly vulnerable to increased post-traumatic stress disorder and other mental health problems following additional trauma exposures or stressful events, such as Coronavirus disease 2019 (COVID-19). This study sought to examine the impact of prior trauma exposures on the lived experience of pregnant and postpartum Veterans during the COVID-19 pandemic. Materials and Methods: Pregnant Veterans at 15 VA medical centers were surveyed at 20 weeks of pregnancy and 3 months postpartum asked about their COVID-19-related perinatal and mental health experiences, as well as the stressors that impacted them as a result of the COVID-19 pandemic. Results: Overall, 111 women Veterans completed both the pregnancy and postpartum surveys that included COVID-19 items. Sixty percent of our sample had experienced at least one potentially traumatic lifetime event, with 22% of our sample experiencing two or more of the included exposures. Women with a trauma history had 3.5 times increased odds of reporting their mental health as "much worse" compared to before the COVID-19 pandemic (95% confidence interval [CI]: 1.06–11.75) and were more likely to report that COVID-19 negatively affected their mental or emotional health "a lot" compared with women without a trauma history (odds ratio: 8.5; 95% CI: 1.93–37.48). Conclusions: COVID-19 has had a significant impact on pregnant and postpartum Veterans' mental health. Obstetricians should consider strategies to ensure women have access to mental health care during pregnancy, especially as the COVID-19 pandemic continues. Hospitals should also consider the importance of labor support companions during the COVID-19 pandemic and examine adjusting policies to allow for at least one labor support companion during labor and delivery.
- Subjects
COVID-19; MENTAL illness risk factors; MATERNAL health services; VETERANS' hospitals; CONFIDENCE intervals; HEALTH services accessibility; SOCIAL support; PSYCHOLOGY of mothers; EMOTIONAL trauma; PREGNANT women; OCCUPATIONAL exposure; PSYCHOLOGY of veterans; EXPERIENCE; PATIENTS' attitudes; RISK assessment; QUESTIONNAIRES; DESCRIPTIVE statistics; ODDS ratio; COVID-19 pandemic; PSYCHIATRIC treatment; DISEASE complications
- Publication
Journal of Women's Health (15409996), 2022, Vol 31, Issue 10, p1507
- ISSN
1540-9996
- Publication type
Article
- DOI
10.1089/jwh.2021.0209