• Karen Matvienko-Sikar, Johanna Pope, Avril Cremin, Hayley Carr, Sara Leitao, Ellinor K Olander, and Sarah Meaney.
• School of Public Health, University College Cork, Ireland. Electronic address: Karen.msikar@ucc.ie.
• Women Birth. 2021 Sep 1; 34 (5): 447-454.

BackgroundThe COVID-19 pandemic and related restrictions can adversely impact antenatal maternal well-being and health behaviours.AimTo examine antenatal stress and stress-reduction strategies, social support, and health behaviours between women pregnant before and during the pandemic in Ireland.Methods210 pregnant women were recruited online and in the antenatal department of a tertiary maternity hospital before the pandemic, and 235 women recruited online during the pandemic. Only women resident in Ireland were included in this study. Women completed measures of stress, social support, health-behaviours, and self-reported stress-reduction strategies. Differences in outcomes were examined between women pregnant before and during the pandemic, and between Phase 2 and Phase 3 of the Irish Government COVID-19 restrictions.FindingsWomen pregnant during the pandemic reported lower perceived social support, including support from a significant other, friends and family, than women pregnant before the pandemic. There were no significant differences in stress in health behaviours but women reported higher stress and less physical activity during the pandemic. Women reported a range of comparable stress-reduction strategies before and during the pandemic. No differences were observed between phases of pandemic-related restrictions for any outcome.DiscussionOur findings highlight negative impacts of the pandemic on social support, stress, and physical activity, which can have implications for maternal and child health. Lack of differences between restriction phases suggests on-going negative effects for antenatal well-being and behaviours.ConclusionDevelopment of supports for pregnant women during the pandemic should include social-support and stress-reduction components.Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.

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