COVID-19 Concerns Experienced by Pregnant and Postpartum Women and Their Influence on Health-Related Quality-of-Life
Author(s)
Aytha Swathi P1, Regan A1, Grinshteyn E1, Nosek M1, Gu NY2
1University of San Francisco, Sacramento, CA, USA, 2NYG Technologies, Santa Clarita, CA, USA
Presentation Documents
OBJECTIVES: Pregnant and postpartum women may be particularly susceptible to pandemic-induced anxiety/depression, which can adversely affect maternal and infant health. This study investigates the COVID-19 concerns experienced by pregnant and postpartum women and their Influence on health-related quality-of-life (HRQoL). METHODS: We conducted an online, national US survey (EuroQol grant: 260-2020RA) between May and June 2021. Respondents completed the EQ-5D-5L instrument and rated their level of concerns for their own health, their baby’s health, and their family’s health, being pregnant and giving birth during the pandemic. Women indicated whether they strongly agreed, agreed, neither agreed nor disagreed, disagreed or strongly disagreed with each concern. Respondents who indicated they “strongly agreed” were classified as having strong concerns. We used median regression to estimate the EQ-5D-5L utility and EQ-VAS scores by level of maternal concerns. RESULTS: Among 2,070 respondents, pregnant and postpartum women commonly expressed strong concerns about giving birth during the pandemic (44%; 95% CI 39%, 48%), the health of their baby (44%; 95% CI 40%, 48%), the health of their family (38%; 95% CI 34%, 42%), and being pregnant during the pandemic (38%; 95% CI 34%, 42%). Fewer respondents expressed strong concerns about their own health (27%; 95% CI 23%, 31%). Overall, there was no association between HRQoL measures and maternal concerns during COVID-19. Among women who gave birth during 2020 (n=536), each unit increase in concerns about being pregnant was associated a 0.02 decline in the EQ-5D-5L utility (95% CI -0.04, -0.01). No difference was observed in EQ5D-VAS scores (ß=0.00; 95% CI -0.01, 0.01). No other differences in HRQoL were observed. CONCLUSIONS: Although overall, there was no relationship between maternal concerns during the COVID-19 pandemic and HRQoL, we did observe small declines in HRQoL associated with concern of being pregnant during the pandemic among women pregnant early in the pandemic.
Conference/Value in Health Info
2021-11, ISPOR Europe 2021, Copenhagen, Denmark
Value in Health, Volume 24, Issue 12, S2 (December 2021)
Acceptance Code
P61
Topic
Epidemiology & Public Health, Patient-Centered Research
Topic Subcategory
Health State Utilities, Patient-reported Outcomes & Quality of Life Outcomes, Public Health
Disease
reproductive-and-sexual-health