{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:26:42Z","timestamp":1792171602236,"version":"4.4.0"},"reference-count":49,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Many pregnant and postpartum Veterans have experienced multiple lifetime traumas, including military sexual trauma, intimate partner violence, and combat trauma. These women may be particularly vulnerable to increased post-traumatic stress disorder and other mental health problems following additional trauma exposures or stressful events, such as Coronavirus disease 2019 (COVID-19). This study sought to examine the impact of prior trauma exposures on the lived experience of pregnant and postpartum Veterans during the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Pregnant Veterans at 15 VA medical centers were surveyed at 20 weeks of pregnancy and 3 months postpartum asked about their COVID-19-related perinatal and mental health experiences, as well as the stressors that impacted them as a result of the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall, 111 women Veterans completed both the pregnancy and postpartum surveys that included COVID-19 items. Sixty percent of our sample had experienced at least one potentially traumatic lifetime event, with 22% of our sample experiencing two or more of the included exposures. Women with a trauma history had 3.5 times increased odds of reporting their mental health as \u201cmuch worse\u201d compared to before the COVID-19 pandemic (95% confidence interval [CI]: 1.06\u201311.75) and were more likely to report that COVID-19 negatively affected their mental or emotional health \u201ca lot\u201d compared with women without a trauma history (odds ratio: 8.5; 95% CI: 1.93\u201337.48).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>COVID-19 has had a significant impact on pregnant and postpartum Veterans' mental health. Obstetricians should consider strategies to ensure women have access to mental health care during pregnancy, especially as the COVID-19 pandemic continues. Hospitals should also consider the importance of labor support companions during the COVID-19 pandemic and examine adjusting policies to allow for at least one labor support companion during labor and delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2021.0209","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T10:22:33Z","timestamp":1646130153000},"page":"1507-1517","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Veterans' Perinatal Care and Mental Health Experiences During the COVID-19 Pandemic: An Examination of the Role of Prior Trauma and Pandemic-Related Stressors"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6012-3008","authenticated-orcid":false,"given":"Kristin M.","family":"Mattocks","sequence":"first","affiliation":[{"name":"Department of Research, VA Central Western Massachusetts Healthcare System, Leeds, Massachusetts, USA."},{"name":"UMass Chan Medical School, Department of Population and Quantitative Health Sciences (PQHS), Worcester, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee","family":"Kroll-Desrosiers","sequence":"additional","affiliation":[{"name":"Department of Research, VA Central Western Massachusetts Healthcare System, Leeds, Massachusetts, USA."},{"name":"UMass Chan Medical School, Department of Population and Quantitative Health Sciences (PQHS), Worcester, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Marteeny","sequence":"additional","affiliation":[{"name":"Department of Research, VA Central Western Massachusetts Healthcare System, Leeds, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorrie","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Research, VA Central Western Massachusetts Healthcare System, Leeds, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawne","family":"Vogt","sequence":"additional","affiliation":[{"name":"Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Jamaica Plains, Massachusetts, USA."},{"name":"Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine M.","family":"Iversen","sequence":"additional","affiliation":[{"name":"Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Jamaica Plains, Massachusetts, USA."},{"name":"Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori","family":"Bastian","sequence":"additional","affiliation":[{"name":"Pain Research, Informatics, Multimorbidities, and Education (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA."},{"name":"Department of General Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,26]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Centers for Disease Control. 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