Mental Health Impact of COVID-19 Infection on Postpartum Women from Lower and Middle-income Backgrounds in India and its Effects on Early Mother-infant Bonding: An Observational Study

Psychiatr Q. 2023 Sep;94(3):385-398. doi: 10.1007/s11126-023-10043-w. Epub 2023 Jul 21.

Abstract

The study was designed to examine the mental health impact of COVID-19 infection in postpartum women and its effects on mother-infant bonding during the first eight weeks postpartum. Fifty-seven consenting eligible postpartum women were recruited for the study. They were assessed at two time points using standardized rating scales to measure distress and uniquely designed scales assessing COVID-19-specific outcome fears and bonding. Almost half [42%] of postpartum women with COVID-19 suffered from a probable anxiety disorder, and one-third [33.3%] suffered from probable depression. The overwhelming majority [91.2%] experienced COVID-19-specific fear. There was an inverse relationship between one dimension of maternal caregiving and self-report depression and anxiety scores, respectively. Additionally, despite discharge, 25% of the mothers had not breastfed the infants till the 8th-week postpartum period, which is in discordance with the World Health Organization (WHO) recommendation of exclusive breastfeeding up to 6 months of age that is widely practiced in India. The novel COVID-19 pandemic was associated with anxiety and depression, impacting mother-infant bonding. Therefore, there is a need for specialized mental health services and individualized breastfeeding interventions for this vulnerable population to ensure positive outcomes.

Keywords: Bonding; COVID-19; Mental health; Pandemic; Perinatal; Post-partum.

Publication types

  • Observational Study

MeSH terms

  • COVID-19* / epidemiology
  • Depression, Postpartum* / epidemiology
  • Depression, Postpartum* / psychology
  • Female
  • Humans
  • India / epidemiology
  • Infant
  • Mental Health
  • Mother-Child Relations / psychology
  • Mothers / psychology
  • Pandemics
  • Postpartum Period