Postpartum mental health visits during the COVID-19 pandemic increased by 30%

New mothers’ mental health visits were 30% more pre-pandemic than before the COVID-19 pandemic, especially in the first three months after delivery. CMAJ (Canadian Medical Association Journal).

“Although the state of emergency was declared only in the middle of the month, the increase in visit rates began in March 2020, but pandemic-related distress was transformed very quickly into an increased need for care. “It suggests that,” wrote Dr. Simone Vigod, Chief of Psychiatry, Senior Scientist and Interim Vice President of Academics at Women’s College Hospital (WCH), Senior Adjunct of ICES in Toronto, Ontario. Scientist and co-author.

Postpartum mental illness affects one in five mothers, and chronicity can have long-term consequences for children and their families.

Researchers surveyed 137,609 mental health visits in Ontario. Postpartum period From March to November 2020 (from date of birth to 365 days later), age, number of children, neighborhood income based on zip code, ethnic diversity in the neighborhood, residential area based on 34 public health units in the state Collected data about. They also divided the state into northern and southern public health units.

During the study period, both family and psychiatrist visits to mental health were higher than before the pandemic, especially among parents with anxiety, depression, alcohol and substance use disorders. Since July 2020, the rate of increase in people living in northern public health units has been relatively low, probably due to the low restrictions on COVID-19 in these areas in the later stages.

The way care was provided during the pandemic period was different from the previous period.In April 2020, 84.8% of postpartum mental health visits were virtually made, but during the pre-pandemic period. Visits were only 3.1%.

The authors found that increasing use of virtual care removes barriers to postpartum mental health support, such as traveling, looking for care for older children, and managing precarious schedules, and more people It suggests that you may be able to seek care.

Patients in the lowest-income areas had the least increase in mental health visits compared to people in other areas.

“This is unsatisfied because low-income patients may have significant barriers to access to care, such as providing the necessary skills and having difficulty finding a medical institution. There are concerns about potential needs. Private space The chances of attending a “live” appointment to attend a virtual appointment (eg, a crowded house) or to hire for a front-line job are reduced, “the author writes.

They recommend a targeted approach to providing the spirit health I will support you.

“Health systems actively focus on high-risk groups of patients, monitor care waiting lists, seek creative solutions to increase system capacity, and experience care barriers. Special attention should be paid to postpartum patients who may be present, “they advise.

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Increased ED visits for pediatric mental health problems during COVID-19

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For more information:
Canadian Medical Association Journal (2021). www.cmaj.ca/lookup/doi/10.1503/cmaj.210151

Provided by
Canadian Medical Association Journal

Quote: 30% increase in postpartum mental health visits during the COVID-19 pandemic (June 7, 2021)

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