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This study examined the rates of unexpected birth experiences due to the COVID-19 pandemic and its association with women’s postpartum mental health symptoms (depression, generalized anxiety, and PTSD).

Our cross-sectional analysis included postpartum women (N = 506) who reported on birth plan changes attributed to the COVID-19 pandemic through the PEACE (Perinatal Experiences and COVID-19 Effects) Study, an online survey that took place between May 2020 and May 2021. Covariates included sociodemographic variables, number of days since the pandemic, pre-pregnancy mental health history, and protective factors such as social support, distress tolerance, and resilience.

Prevalent COVID-19 pandemic changes in the birth experience included not having support people (e.g …