Trend of psychological symptoms from pregnancy to postpartum: a prospective study during COVID-19 pandemic

Abstract Psychological symptoms during pregnancy and the postpartum period require special attention, particularly in the context of the COVID-19 pandemic. This study aims to evaluate the trajectory of psychiatric symptoms from pregnancy to the postpartum period during the COVID-19 pandemic. This pr...

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Main Authors: Angela Hamidia, Faezeh Hosseini, Shahnaz Barat, Soraya Khafri, Faezeh Khorshidian, Shirin Shahrokhi, Mahbobeh Faramarzi
Format: Article
Language:English
Published: Springer 2025-05-01
Series:Discover Mental Health
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Online Access:https://doi.org/10.1007/s44192-025-00184-8
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author Angela Hamidia
Faezeh Hosseini
Shahnaz Barat
Soraya Khafri
Faezeh Khorshidian
Shirin Shahrokhi
Mahbobeh Faramarzi
author_facet Angela Hamidia
Faezeh Hosseini
Shahnaz Barat
Soraya Khafri
Faezeh Khorshidian
Shirin Shahrokhi
Mahbobeh Faramarzi
author_sort Angela Hamidia
collection DOAJ
description Abstract Psychological symptoms during pregnancy and the postpartum period require special attention, particularly in the context of the COVID-19 pandemic. This study aims to evaluate the trajectory of psychiatric symptoms from pregnancy to the postpartum period during the COVID-19 pandemic. This prospective study was conducted at Babol University of Medical Sciences from February 2020 to September 2021. A total of 252 pregnant women completed the Symptom Checklist 25 (SCL-25), the Corona Disease Anxiety Scale, and the Post-Traumatic Stress Diagnostic Scale at both prenatal and postpartum time points. Results indicated that the mean total score of psychological symptoms decreased modestly from pregnancy to postpartum (39.61 ± 11.67 vs. 32.78 ± 12.15, p < 0.001). Additionally, symptoms of somatization, depression, anxiety, and phobia significantly declined from pregnancy to postpartum (p < 0.05). However, levels of depression, anxiety, and phobia remained significantly higher among women with a positive history of COVID-19 infection compared to those without, during both pregnancy and postpartum. While the overall mean score of psychological symptoms showed a slight reduction from pregnancy to postpartum, many symptoms persisted, particularly in individuals with a COVID-19 infection history or post-traumatic stress symptoms. The study recommends that healthcare providers, including obstetricians, nurses, and midwives, implement timely screening and treatment for psychological symptoms from pregnancy through postpartum.
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spelling doaj-art-39845298f9d44a78bb2cf238dc6a4f462025-08-20T01:49:40ZengSpringerDiscover Mental Health2731-43832025-05-015111010.1007/s44192-025-00184-8Trend of psychological symptoms from pregnancy to postpartum: a prospective study during COVID-19 pandemicAngela Hamidia0Faezeh Hosseini1Shahnaz Barat2Soraya Khafri3Faezeh Khorshidian4Shirin Shahrokhi5Mahbobeh Faramarzi6Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesHealth Research Institute, Babol University of Medical SciencesInfertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical SciencesSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesBehshahr Azad UniversitySocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesAbstract Psychological symptoms during pregnancy and the postpartum period require special attention, particularly in the context of the COVID-19 pandemic. This study aims to evaluate the trajectory of psychiatric symptoms from pregnancy to the postpartum period during the COVID-19 pandemic. This prospective study was conducted at Babol University of Medical Sciences from February 2020 to September 2021. A total of 252 pregnant women completed the Symptom Checklist 25 (SCL-25), the Corona Disease Anxiety Scale, and the Post-Traumatic Stress Diagnostic Scale at both prenatal and postpartum time points. Results indicated that the mean total score of psychological symptoms decreased modestly from pregnancy to postpartum (39.61 ± 11.67 vs. 32.78 ± 12.15, p < 0.001). Additionally, symptoms of somatization, depression, anxiety, and phobia significantly declined from pregnancy to postpartum (p < 0.05). However, levels of depression, anxiety, and phobia remained significantly higher among women with a positive history of COVID-19 infection compared to those without, during both pregnancy and postpartum. While the overall mean score of psychological symptoms showed a slight reduction from pregnancy to postpartum, many symptoms persisted, particularly in individuals with a COVID-19 infection history or post-traumatic stress symptoms. The study recommends that healthcare providers, including obstetricians, nurses, and midwives, implement timely screening and treatment for psychological symptoms from pregnancy through postpartum.https://doi.org/10.1007/s44192-025-00184-8Psychological symptomsPregnancyPostpartumCOVID-19
spellingShingle Angela Hamidia
Faezeh Hosseini
Shahnaz Barat
Soraya Khafri
Faezeh Khorshidian
Shirin Shahrokhi
Mahbobeh Faramarzi
Trend of psychological symptoms from pregnancy to postpartum: a prospective study during COVID-19 pandemic
Discover Mental Health
Psychological symptoms
Pregnancy
Postpartum
COVID-19
title Trend of psychological symptoms from pregnancy to postpartum: a prospective study during COVID-19 pandemic
title_full Trend of psychological symptoms from pregnancy to postpartum: a prospective study during COVID-19 pandemic
title_fullStr Trend of psychological symptoms from pregnancy to postpartum: a prospective study during COVID-19 pandemic
title_full_unstemmed Trend of psychological symptoms from pregnancy to postpartum: a prospective study during COVID-19 pandemic
title_short Trend of psychological symptoms from pregnancy to postpartum: a prospective study during COVID-19 pandemic
title_sort trend of psychological symptoms from pregnancy to postpartum a prospective study during covid 19 pandemic
topic Psychological symptoms
Pregnancy
Postpartum
COVID-19
url https://doi.org/10.1007/s44192-025-00184-8
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