Psychological assessment needed for pregnant women to reduce stress during COVID-19

Reviewed by Emily Henderson, B.Sc.Nov 17 2020

There is consensus among studies dealing with natural disasters, such as famines, earthquakes, and pandemics, that the stress to which pregnant women are exposed during such crises has short and long-term consequences, both on their health and on that of their unborn babies. In light of this finding, and given the current COVID-19 pandemic, one researcher from the University of Granada (UGR) is recommending that, in addition to routine medical check-ups, pregnant women should undergo a psychological assessment, to reduce the potential risks of such stress.

The researcher in question is Rafael Caparrós González, Assistant Professor at the UGR and Head of the research project 'Psychological and Social Impact of the COVID-19 Pandemic in Pregnancy, Vertical Transmission of SARS-CoV-2, Foetal Development and Child Health' (GESTACOVID). His recent findings have led him to publish two articles, in the Revista Española de Salud Pública(Spanish Journal of Public Health) and the Journal of Reproductive and Infant Psychology.

Caparrós clarifies that, on the one hand, one must consider the direct impact of contagion with the SARS-CoV-2 virus (which is responsible for the COVID-19 disease) on the health of pregnant women; but, on the other, there are also indirect effects that pregnant women may suffer as a result of experiencing the uncertain circumstances associated with such pandemics.

The current COVID-19 pandemic is giving rise to particular sources of stress for pregnant women. These include lockdown and social distancing, fear of catching the virus, financial problems due to job loss, or home-schooling of children under lockdown conditions. In some cases, pregnant women also have to deal with sharing their home with a potentially violent partner, which increases the risk of intimate-partner violence."

Rafael Caparrós González, Assistant Professor, UGR

Assessing psychological well-being

Stressful circumstances are known to have a direct impact on the pregnant woman and her unborn baby. It is known that, for example, those babies who were exposed to the 1918 influenza (Spanish flu) virus during their foetal development were at greater risk of premature death in adulthood from diseases such acute myocardial infarction, of developing metabolic syndrome, or of being diagnosed with autism, schizophrenia, or Attention Deficit Hyperactivity Disorder.

Both Caparrós and his colleagues Fiona Alderdice (scientist at the National Perinatal Epidemiology Unit of the University of Oxford, United Kingdom) and Miguel ángel Luque Fernández (Assistant Professor at the London School of Hygiene and Tropical Medicine, United Kingdom, and researcher at the Biohealth Research Institute in Granada, Spain) highlight the importance of taking special care of mental health at this time.

They recommend that pregnant women, in addition to the routine check-ups offered by midwives and obstetricians concerning their physical and medical health, receive an adequate psychological assessment to minimize any psychological risks to which they are exposed—and even more so during the current COVID-19 pandemic. Implementing such assessments would improve the health of pregnant women and therefore that of future generations, and is a practice that is already carried out in other countries, such as the United Kingdom.

"It is important to take care of mental health during pregnancy or the perinatal period, as psychological alterations can have repercussions on the physical health of the pregnant woman and her baby throughout their lives. Such alterations will affect both her and the baby she is carrying, and these are problems that will present over time," warns Caparrós.