{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T21:24:04Z","timestamp":1774301044228,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T00:00:00Z","timestamp":1668384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To understand the barriers to abortion in Shanghai during the COVID\u201019 pandemic, and to compare pre\u2010abortion mental health status before and during the crisis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this case\u2013control study, two groups of women seeking abortion (age\u2009\u226518\u2009years, pregnancy duration &lt;98\u2009days) were recruited from March to September, 2021 (<jats:italic>n<\/jats:italic>\u00a0=\u20091070) and from February to April 2022 (<jats:italic>n<\/jats:italic>\u00a0=\u2009625). The evaluation included COVID\u201019\u2010related abortion stress questions, the Symptom Checklist\u201090 Revised questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Family Environment Scale Chinese version. The researchers conducted interviews and collected questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median pregnancy duration at abortion among women during the pandemic was 65\u2009days, compared with 51\u2009days in the pre\u2010pandemic group (<jats:styled-content><jats:italic>P<\/jats:italic><\/jats:styled-content>\u00a0&lt;\u20090.001). Anxiety and depression symptoms increased during the crisis (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001). Sleep disturbances were more common. Higher PSQI scores were related to increased anxiety and depression symptoms. A more negative family climate was described during the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>During the COVID\u201019 pandemic, abortion access was delayed and pre\u2010abortion mental disorders increased. More attention should be paid to the mental health of women seeking abortions, and innovations should be promoted to ensure abortion services without delay.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14516","type":"journal-article","created":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T12:44:01Z","timestamp":1666615441000},"page":"1035-1041","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The impact of the coronavirus disease 2019 pandemic on abortion access and pre\u2010abortion mental health in Shanghai"],"prefix":"10.1002","volume":"160","author":[{"given":"Zhifang","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shanghai General Hospital Shanghai Jiao Tong University, School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shanghai General Hospital Shanghai Jiao Tong University, School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shanghai General Hospital Shanghai Jiao Tong University, School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingjing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Shanghai Guojia Healthcare Company Ltd.  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