Changes in perinatal care occurring during the coronavirus disease 2019 (COVID-19) pandemic may negatively affect mothers’ mental health and breastfeeding. This study, performed between April and May 2020, aimed to investigate the effect of restricted partners’ visiting policies on non-infected mother’s anxiety symptoms, the perceived postpartum support, and the breastfeeding outcomes at discharge. A cross-sectional study was conducted in a neonatal tertiary referral center in northern Italy during Italy’s lockdown. We enrolled mothers with a negative nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), adequate oral and written comprehension of the Italian language, and absence of underlying maternal or neonatal clinical conditions. Maternal anxiety levels were assessed through the State-Trait Anxiety Inventory-Form Y (STAI-Y). Maternal perception of staff’s support was evaluated by the Nurse Parent Support Tool (NPST). A STATE-A (concurrent emotional state after a specific situation) score ≥ 40 was considered indicative of clinically significant symptoms of anxiety. A total of 109 mothers completed the study. Mean STATE-A score was ≥40 in 42% of mothers, and median NPST score was 4.23. Mothers separated from their partner had a mean STATE-A score ≥ 40 in a higher percentage of cases than those who were not (51% vs. 30%, p = 0.03) and a lower perception of caregiver support. A NPST score ≤4.23, partner ‘s absence during the hospital stay and primiparity were independently associated with a STATE-A score ≥ 40. Breastfeeding rates at discharge were not influenced by maternal anxiety levels and partner’s restricted policies. Instead, they were influenced by mode of delivery, a well-known risk factor, and pre-pandemic intention to breastfeed. Our study demonstrates the positive impact of a partner’s presence on maternal mental health and perception of caregiver support.

中文翻译：

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探索在 COVID-19 大流行期间限制性伴侣的探视政策对未感染母亲的心理健康和母乳喂养率的影响

2019 年冠状病毒病 (COVID-19) 大流行期间围产期护理的变化可能会对母亲的心理健康和母乳喂养产生负面影响。这项研究于 2020 年 4 月至 5 月期间进行，旨在调查限制性伴侣的探视政策对未感染母亲的焦虑症状、感知到的产后支持以及出院时母乳喂养结果的影响。在意大利封锁期间，在意大利北部的新生儿三级转诊中心进行了一项横断面研究。我们招募了严重急性呼吸系统综合症冠状病毒 2 (SARS-CoV-2) 鼻咽拭子检测阴性、对意大利语有足够的口头和书面理解以及没有潜在的母体或新生儿临床疾病的母亲。通过状态-特质焦虑量表-表格 Y (STAI-Y) 评估产妇焦虑水平。护士家长支持工具 (NPST) 评估了母亲对员工支持的看法。STATE-A（特定情况后的并发情绪状态）评分≥ 40 被认为是具有临床意义的焦虑症状的指标。共有 109 位母亲完成了这项研究。42% 的母亲平均 STATE-A 评分≥40，NPST 评分中位数为 4.23。与伴侣分居的母亲的平均 STATE-A 评分 ≥ 40 的案例百分比高于未分居的母亲（51% 对 30%，共有 109 位母亲完成了这项研究。42% 的母亲平均 STATE-A 评分≥40，NPST 评分中位数为 4.23。与伴侣分居的母亲的平均 STATE-A 评分 ≥ 40 的案例百分比高于未分居的母亲（51% 对 30%，共有 109 位母亲完成了这项研究。42% 的母亲平均 STATE-A 评分≥40，NPST 评分中位数为 4.23。与伴侣分居的母亲的平均 STATE-A 评分 ≥ 40 的案例百分比高于未分居的母亲（51% 对 30%，p = 0.03) 并且对护理人员支持的感知较低。NPST 评分 ≤ 4.23、伴侣住院期间缺席和初产与 STATE-A 评分 ≥ 40 独立相关。出院时的母乳喂养率不受母亲焦虑水平和伴侣限制政策的影响。相反，他们受到分娩方式、众所周知的风险因素和大流行前母乳喂养意图的影响。我们的研究证明了伴侣的存在对孕产妇心理健康和对照顾者支持的看法的积极影响。