Background: While the World Health Organisation (WHO) warned about mistreatment, disrespect and/or abuse during childbirth as early as 2014. This same year a social media movement with #payetonuterus brought to light the problematic of obstetrical violence in French speaking countries, and more specifically on issues of disrespect. The experience of care is an integral part of the quality of care, and perception on inadequate support during labour and loss of control in labour are some of the most frequently reported risk factors for childbirth-related post-traumatic stress disorder (CB-PTSD). Therefore, it seems crucial to study the associations between disrespect during childbirth and the mental well-being of mothers. Methods: We performed a multicentered cohort study using auto-questionnaires within a French perinatal network. The main outcome was women’s report of disrespect during childbirth measured by the Behavior of the Mother’s Caregivers – Satisfaction Questionnaire (BMC-SQ) 3 days and 2 months after childbirth. CB-PTSD and Postpartum Depression (PPD) were assessed 2 months after childbirth using respectively the Post-Traumatic Checklist Scale (PCLS) and the Edinburgh Postnatal Depression Scale (EPDS). Results: This study followed 123 mothers from childbirth to 2 months postpartum. Among them, 8.13% (n = 10/123) reported disrespect during childbirth at 3 days after childbirth. With retrospect, 10.56% (n = 13/123) reported disrespect during childbirth at 2 months postpartum, i.e. an increase of 31%. Some 10.56% (n = 13/123) of mothers suffered from postpartum depression, and 4.06% (n = 5/123) were considered to have CB-PTSD at 2 months after childbirth. Reported disrespect during childbirth 3 days after birth was significantly associated with higher CB-PTSD 2 months after birth (R² = 0.11, F(1,117) = 15.14, p < 0.001 and β = 9.11, p = 0.006), PPD at 2 months after childbirth was positively associated to reported disrespect in the birth room, 3 days after birth (R² = 0.04, F(1, 117) = 6.28, p = 0.01 and β = 3.36, p = 0.096). Meanwhile, PPD and CB-PTSD were significantly associated 2 months after childbirth (R² = 0.41, F=(1,117) = 82.39, p < 0.01 and β = 11.41, p < 0.001). Conclusions: Disrespect during childbirth was associated with poorer mental health during the postpartum period. Given the high prevalence of mental health problems and the increased susceptibility to depression during the postpartum period, these correlational results highlight the importance of gaining a deeper awareness of healthcare professionals about behaviours or attitudes which might be experienced as disrespectful during childbirth.

The objective of this study was to compare the mental well-being of French women who were and were not pregnant during the first COVID-19 pandemic lockdown. We performed a nationwide online quantitative survey including all women between 18 and 45 years of age during the second and third weeks of global lockdown (25 March–7 April 2020). The main outcome measure was mental well-being measured by the Warwick–Edinburgh Mental Well-Being Scale (WEMWBS). This study analysed 275 responses from pregnant women and compared them with those from a propensity score–matched sample of 825 non-pregnant women. In this French sample, the median WEMWBS score was 49.0 and did not differ by pregnancy status. Women living in urban areas reported better well-being, while those with sleep disorders or who spent more than an hour a day watching the news reported poorer well-being. During the first lockdown in France, women had relatively low mental well-being scores, with no significant difference between pregnant and non-pregnant women. More than ever, health-care workers need to find a way to maintain their support for women’s well-being. Minor daily annoyances of pregnancy, such as insomnia, should not be trivialised because they are a potential sign of poor well-being.

The objective of this study was to compare the mental well-being of French women who were and were not pregnant during the first COVID-19 pandemic lockdown. We performed a nationwide online quantitative survey including all women between 18 and 45 years of age during the second and third weeks of global lockdown (March 25–April 07, 2020). The main outcome measures was the mental well-being measured by the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). This study analysed 275 responses from pregnant women and compared them with those from a propensity score–matched sample of 825 non-pregnant women. The median WEMWBS score was 49.0 and did not differ by pregnancy status. Women living in urban areas reported better well-being, while those with sleep disorders or who spent more than an hour a day watching the news reported poorer well-being. During the first lockdown in France, women had relatively low mental well-being scores, with no significant difference between pregnant and non-pregnant women. More than ever, health-care workers need to find a way to maintain their support for women’s well-being. Minor daily annoyances of pregnancy, such as insomnia, should not be trivialised because they are a potential sign of poor well-being.

Background Not only health literacy is central in achieving the sustainable development goals, but there is a growing interest with the COVID-19 pandemic and the insecurities brought about climate change. Health literacy is defined by the WHO as the ability to “gain access to, understand and use information in ways which promote and maintain good health”. Health literacy not only allows one person to maintain good health, but also the family and the community. There is a lack of effective health interventions promoting health literacy and preventing hospitalisations. Knowing that health decisions often occur within the family, we aim to review all existing reviews on professional psychosocial interventions which are effective in promoting health literacy among children, adolescents, and their families. Methods We will search the following databases: MEDLINE via Pubmed, EMBASE, CINHAL, PsycINFO and Web of Science. We will include all cultural and socioeconomic contexts (low- middle- and high-income countries), either community-based or hospital settings. Each stage of the review will be conducted by two independent reviewers and a third reviewer will resolve conflicts. We will use the JBI Data Extraction Form for Review for Systematic Reviews and Research Syntheses to conduct data extraction of the selected studies. For each intervention of interest, an assessment of the quality of evidence will be performed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Findings will be disseminated via a peer-reviewed publication and useful in regard of a research project in collaboration with Geneva’s University Hospital on children’s psychosocial hospitalization. Discussion The findings of our umbrella review will facilitate the integration in healthcare and social practices of effective interventions promoting health literacy among children and their families and preventing child negligence and psychosocial hospitalization. Systematic review registration This protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on December 15, 2022 (registration number: CRD42022384377).

BACKGROUND Social media provides spaces to share postpartum experiences, seek advice and access support outside clinical settings. However, longitudinal and cross-country patterns in postpartum-related emotional language remain comparatively underexplored. OBJECTIVE This study characterised English-language #postpartum discourse over time and across countries and, as a secondary objective, explored whether its affective characteristics were associated with national perceived social connectedness among women. METHODS This descriptive study analysed English-language #postpartum tweets posted between January 2016 and January 2023, collected through academic access to the Twitter API. Tweet volume, engagement metrics, text valence (using VADER) and emotion-related language (using the NRC Emotion Lexicon) were summarized over time and by country. Exploratory ecological correlation analyses tested the hypothesis that higher national levels of perceived social connectedness among women would be associated with greater positive expression in postpartum-related online discourse, assessed using country-level mean VADER positive and negative scores. RESULTS Of 52’423 tweets retained for temporal analyses, 35’423 from 11 countries were included in geographic analyses, including high-, upper-middle-, and lower-middle-income countries, although 95.2% of geolocated tweets originated from high-income countries. The mean VADER compound score regarding 35’423 tweets included in geographic analysis was 0.18 (95% CI 0.18–0.19), with the highest country-level mean in Australia. Trust- and joy-associated language predominated, peaking in 2020, while fear-related language was also frequent. Among the 11 countries, perceived social connectedness was positively correlated with mean VADER positive scores (ρ = 0.63; p = 0.039), while its correlation with negative scores was negative but inconclusive (ρ = −0.51, p = 0.11). CONCLUSIONS English-language #postpartum tweets showed geographic and temporal variation in text valence and emotion-related language within a selective corpus dominated by high-income countries. These patterns describe online discourse and should not be interpreted as direct measures of maternal mental health. Exploratory findings suggest that perceived social connectedness may be related to the affective characteristics of postpartum-related online discourse, but this association requires investigation in larger, more representative and temporally aligned datasets. CLINICALTRIAL not applicable