Did the COVID-19 Pandemic Affect the Stress Levels among the Mothers of Premature Infants? A Narrative Review of the Present State of Knowledge, Prevention Strategies, and Future Directions.

Agata Trześniowska, Emilia Wagner, Alicja Ściseł, Kinga Szymańska, Karol Szyprowski, Żaneta Kimber-Trojnar
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Abstract

Understanding COVID-19's effects on susceptible populations remains essential for clinical implementations. Our review aimed to examine whether the pandemic significantly impacted the stress levels in the mothers of premature infants in NICUs. The review of the literature from Google Scholar and PubMed resulted in identifying specific stressors such as the disruption of healthcare systems, limited access to neonatal care, uncertainty due to frequent changes in restrictions, the risk of COVID-19 infection, social isolation, and financial stress. While some quantitative studies concerning this topic did not show a significant increase in the perception of stress in this population compared to the pre-pandemic group, various research has indicated that the COVID-19 pandemic may result in enduring impacts on the emotional and neurological development of children. This article demonstrates a correlation between the repercussions of the COVID-19 pandemic and an elevated incidence of depressive symptoms among the mothers of premature infants. Further studies are needed to assess the long-term impact of pandemic-induced stress.

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COVID-19 大流行是否影响了早产儿母亲的压力水平?知识现状、预防策略和未来方向的叙述性回顾。
了解 COVID-19 对易感人群的影响对于临床实施仍然至关重要。我们的综述旨在研究大流行是否会对新生儿重症监护室早产儿母亲的压力水平产生重大影响。通过对 Google Scholar 和 PubMed 上的文献进行综述,我们发现了一些特定的压力因素,如医疗保健系统的混乱、新生儿护理服务的有限性、限制条件频繁变化带来的不确定性、感染 COVID-19 的风险、社会隔离和经济压力。虽然与大流行前相比,有关这一主题的一些定量研究并未显示该人群的压力感显著增加,但各种研究表明,COVID-19 大流行可能会对儿童的情绪和神经发育造成持久影响。本文证明了 COVID-19 大流行的影响与早产儿母亲抑郁症状发生率升高之间的相关性。要评估大流行引起的压力的长期影响,还需要进一步的研究。
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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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