Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review

Infectious disease outbreaks can be distressing for everyone, especially those deemed to be particularly vulnerable such as pregnant women, who have been named a high-risk group in the current COVID-19 pandemic. This paper aimed to summarise existing literature on the psychological impact of infectious disease outbreaks on women who were pregnant at the time of the outbreak. The design of this study is a rapid review. Five databases were searched for relevant literature, and main findings were extracted. Thirteen articles were included in the review. The following themes were identified: negative emotional states; living with uncertainty; concerns about infection; concerns about and uptake of prophylaxis or treatment; disrupted routines; non-pharmaceutical protective behaviours; social support; financial and occupational concerns; disrupted expectations of birth, prenatal care and postnatal care and sources of information. Pregnant women have unique needs during infectious disease outbreaks and could benefit from up-to-date, consistent information and guidance; appropriate support and advice from healthcare professionals, particularly with regards to the risks and benefits of prophylaxis and treatment; virtual support groups and designating locations or staff specifically for pregnant women. •Pregnant women may be particularly susceptible to distress during pandemics.•Infection fears and prophylaxis concerns may exacerbate distress.•Disrupted routines, financial concerns and uncertainty are also stressors.•Disrupted expectations of birth and related healthcare may be distressing.•Pregnant women may benefit from clear information/guidance and support groups.