Factors associated with father-infant bonding in the COVID-19 pandemic: An internet-based cross-sectional study in Japan (preprint)

The Covid-19 pandemic has forced changes in our lifestyles and affected the relationships between father and infant. The aim of this study was to explore factors associated with father-infant bonding during the Covid-19 pandemic in Japan. This study was a cross-sectional study using a nationwide online survey data. The Japanese version of the Mother-to-Infant Bonding Scale (MIBS) was used for father-infant bonding. The study participants were divided into two groups depending on their partners’ parity. A linear regression model (Gauss-Markov-type) was used for the two groups. A total of 1,055 men were included in the analysis. Of these men, 521 (49.4%) had a partner who was primipara, and 534 (50.6%) had a partner who was multipara. No significant differences were found between the two groups for MIBS-J scores. The fathers’ mental health, relationship with the partner and family members, abusive behavior towards children, wanted pregnancy, and admission history to NICU for the youngest child were associated with father-infant bonding. As for factors related to Covid-19, caring for the child while the partner is at home has a negative impact on bonding, while fear related to infection with Covid-19 has no negative impact on the bonding.

The effect of social restrictions, loss of social support, and loss of maternal autonomy on postpartum depression in 1 to 12-months postpartum women during the COVID-19 pandemic (preprint)

Background This study focuses on postpartum women, who are one of the most vulnerable populations during the COVID-19 pandemic, aiming to reveal mental health consequences of social restrictions, loss of social support, or loss of autonomy. Methods A cross-sectional study for postpartum women was conducted in October 2020 (N = 600). The Edinburgh Postpartum Depression Scale (EPDS) was used to measure postpartum depression. The prevalence ratios were estimated by log-binomial regression models, adjusting for age, education, household income, residence area, parity, the timing of delivery, and a prior history of depression. Results The prevalence of postpartum depression was 28.7% (EPDS ≥ 9), 18.6% (≥ 11), and 13.1% (≥ 13). Social restrictions including cancellation of home visits by health care professionals, or cancellation of infant checkups or vaccinations, loss of support during pregnancy or after delivery including loss of opportunities to consult with health care professionals or friends, or cancellation of parents or other family members’ visits to support, and loss of autonomy about delivery or breastfeeding, were associated with postnatal depression. Conclusion About 30% of women who delivered and raised a baby during the COVID-19 pandemic had postpartum depression, which is much higher than a pre-pandemic meta-analysis. COVID-19 related social restrictions or loss of social support from healthcare professionals, family, and friends were significantly associated with postpartum depression. Also, loss of maternal autonomy in delivery and breastfeeding is associated with postpartum depression. The results indicate that both formal and informal support should not be limited to prevent postpartum depression during the pandemic.

Use of heated tobacco products may be associated with hypertensive disorders of pregnancy and low birth weight in Japan: An analysis of the JACSIS study (preprint)

ABSTRACT Background Little is known about heated tobacco product (HTP) use in pregnant women and associated maternal and neonatal risks for hypertensive disorders of pregnancy (HDP) and low birth weight (LBW). Thus, this study aimed to assess the status of HTP use among pregnant women in Japan and explore the risk of HDP and LBW associated with HTP use. Methods Using data from the Japan “COVID-19 and Society” Internet Survey (JACSIS) study, a web-based nationwide survey, we investigated 558 post-delivery and 365 currently pregnant women in October 2020. We assessed the prevalence of ever HTP smokers (defined as ever experiencing HTP use) in post-delivery and currently pregnant women. Among post-delivery women, we collected the information regarding HDP and LBW based on their Maternal and Child Health Handbooks (maternal and newborn records). In the multivariable regression analysis, we estimated the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of ever HTP smokers for HDP and LBW compared with those of never HTP smokers using logistic regression. A stratified analysis with respect to combustible cigarette smoking (never/ever) was also performed. Results The prevalence of ever HTP use were 11.7% and 12.6% in post-delivery and currently pregnant women, respectively. Among post-delivery women, ever HTP smokers had higher HDP incidence (13.8% vs. 6.5%, P =0.03), with an OR of 2.78 (95% CI 0.84–9.15) and higher LBW incidence (18.5% versus 8.9%, P =0.02), with an elevated OR of 2.08 (95% CI 0.80–5.39). A similar tendency was observed among never and ever combustible cigarette smokers. Conclusion In Japan, the incidence of HTP use has exceeded 10% among pregnant women, and HTP smoking may be associated with increased maternal and neonatal risks. School-based tobacco prevention and cessation programs should be conducted regardless of product types to prevent life-threatening perinatal complications and deaths. What this paper adds Little is known about heated tobacco product (HTP) use and associated perinatal risks among pregnant women. In Japan, the prevalence of ever HTP use exceeded 10% among pregnant women. HTP use approximately doubled perinatal risk of hypertensive disorders of pregnancy and low birth weight. When stratified by cigarette smoking status, a similar tendency was observed among never and ever cigarette smokers.