{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T14:55:45Z","timestamp":1781794545795,"version":"3.54.5"},"reference-count":30,"publisher":"Walter de Gruyter GmbH","issue":"2","funder":[{"DOI":"10.13039\/501100001077","name":"Royal Brisbane and Women\u2019s Hospital Foundation","doi-asserted-by":"publisher","award":["RBWH-COVID-164-2020"],"award-info":[{"award-number":["RBWH-COVID-164-2020"]}],"id":[{"id":"10.13039\/501100001077","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2023-0196_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The COVID-19 pandemic imposed many challenges on pregnant women, including rapid changes to antenatal care aimed at reducing the societal spread of the virus. This study aimed to assess how the pandemic affected perinatal mental health and other pregnancy and neonatal outcomes in a tertiary unit in Queensland, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2023-0196_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective cohort study of pregnant women booked for care between March 2019\u00a0\u2013 June 2019 and March 2020\u00a0\u2013 June 2020. A total of 1984 women were included with no confirmed cases of COVID-19. The primary outcome of this study was adverse maternal mental health defined as an Edinburgh Postnatal Depression Scale score of\u00a0\u226513 or an affirmative response to \u2018EPDS Question 10\u2019. Secondary outcomes were preterm birth &lt;37\u00a0weeks and &lt;32\u00a0weeks, mode of birth, low birth weight, malpresentation in labour, hypertensive disease, anaemia, iron\/vitamin B12 deficiency, stillbirth and a composite of neonatal morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2023-0196_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were no differences in the primary perinatal mental health outcomes. The rates of composite adverse neonatal outcomes (27 vs. 34\u202f%, p&lt;0.001) during the pandemic were higher; however, there was no difference in perinatal mortality (p=1.0), preterm birth (p=0.44) or mode of delivery (p=0.38).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2023-0196_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although there were no adverse consequences on maternal mental health during the pandemic, there was a concerning increase in neonatal morbidity potentially due to the altered model of maternity care implemented in the early COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2023-0196","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T09:38:17Z","timestamp":1698313097000},"page":"222-229","source":"Crossref","is-referenced-by-count":1,"title":["The impact of the COVID-19 pandemic on antenatal care provision and associated mental health, obstetric and neonatal outcomes"],"prefix":"10.1515","volume":"52","author":[{"given":"Anousha","family":"Woods","sequence":"first","affiliation":[{"name":"The Royal Brisbane and Women\u2019s Hospital , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Ballard","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sailesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Mater Mothers Hospital, The Royal Brisbane and Women\u2019s Hospital , The University of Queensland , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Mackle","sequence":"additional","affiliation":[{"name":"Metro North Health , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie","family":"Callaway","sequence":"additional","affiliation":[{"name":"The Royal Brisbane and Women\u2019s Hospital , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alka","family":"Kothari","sequence":"additional","affiliation":[{"name":"Redcliffe Hospital , Redcliffe , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"De Jersey","sequence":"additional","affiliation":[{"name":"The Royal Brisbane and Women\u2019s Hospital , Brisbane , Australia"},{"name":"The University of Queensland , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Bennett","sequence":"additional","affiliation":[{"name":"Metro North Health , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Foxcroft","sequence":"additional","affiliation":[{"name":"The Royal Brisbane and Women\u2019s Hospital, The University of Queensland Centre for Clinical Research, Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meg","family":"Willis","sequence":"additional","affiliation":[{"name":"The Royal Brisbane and Women\u2019s Hospital , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akwasi","family":"Amoako","sequence":"additional","affiliation":[{"name":"The Royal Brisbane and Women\u2019s Hospital , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Lehner","sequence":"additional","affiliation":[{"name":"The Royal Brisbane and Women\u2019s Hospital , Brisbane , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2023,10,26]]},"reference":[{"key":"2026061814321975459_j_jpm-2023-0196_ref_001","unstructured":"Department of Health and Aged, Care. Australian Government. Providing health care remotely during the COVID-19 pandemic (2022). https:\/\/www.health.gov.au\/health-alerts\/covid-19\/coronavirus-covid-19-advice-for-the-health-and-disability-sector\/providing-health-care-remotely-during-the-covid-19-pandemic [Accessed 2 Nov 2022]."},{"key":"2026061814321975459_j_jpm-2023-0196_ref_002","doi-asserted-by":"crossref","unstructured":"Townsend, R, Chmielewska, B, Barratt, I, Kalafat, E, van der Meulen, J, Gurol-Urganci, I, et al.. Global changes in maternity care provision during the COVID-19 pandemic: a systematic review and meta-analysis. eClinicalMedicine 2021;37:100947. https:\/\/doi.org\/10.1016\/j.eclinm.2021.100947.","DOI":"10.1016\/j.eclinm.2021.100947"},{"key":"2026061814321975459_j_jpm-2023-0196_ref_003","doi-asserted-by":"crossref","unstructured":"Meaney, S, Leitao, S, Olander, EK, Pope, J, Matvienko-Sikar, K. 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