Birth in the time of COVID-19

Project Details







Principal Investigators



Birth in the time of COVID-19

This study aimed to investigate how COVID-19 affected pregnant and postnatal women and health workers and is being replicated internationally. This mixed methods longitudinal cohort study received survey data 2020-2022 (5274 participants), with follow up at two and six months. Over the course of the study there have been five papers published; four under review and 11 papers in draft: Topics of these are – Vaccine paper 2, telehealth, PPE, social media, research protocol, future reproductive choices, model of care and maternal mental health, model of care and neurodevelopment, model of care and birth outcomes and birth trauma

7 published; 2 under review; 11 in progress

  • Levett, K, Sutcliffe, K, Keedle, H, Dahlen, H. (2023). Women’s experiences of changes to childbirth and parenting education in Australia during the COVID-19 pandemic: The Birth in the Time of COVID-19 (BITTOC) study. 2023 Aug 28;38:100904.doi: 10.1016/j.srhc.2023.100904.

  • Dahlen, H. G., Homer, C., Boyle, J., Lequertier, B., Kildea, S., & Agho, K. E. (2023). Vaccine intention and hesitancy among Australian women who are currently pregnant or have recently given birth: the Birth in the Time of COVID-19 (BITTOC) national online survey. BMJ Open, 13(4), e063632. 

  • Keedle, H., Tomczak, K., Lequertier, B., & Dahlen, H. G. (2023). Feeling anxious’- women’s experiences of having a baby in Australia during the COVID-19 pandemic using the Voqual real time app. BMC Pregnancy Childbirth, 23(1), 670. 

  • Di Paolo, A. L., King, S., McLean, M. A., Lequertier, B., Elgbeili, G., Kildea, S., & Dahlen, H. G. (2022, Oct 1). Prenatal stress from the COVID-19 pandemic predicts maternal postpartum anxiety as moderated by psychological factors: The Australian BITTOC Study. J Affect Disord, 314, 68-77. 

  • Gladstone, M. E., Paquin, V., McLean, M. A., Lequertier, B., Elgbeili, G., Kildea, S., Klimos, C., King, S., & Dahlen, H. G. (2023, Apr 8). Prenatal maternal stress was not associated with birthweight or gestational age at birth during COVID-19 restrictions in Australia: The BITTOC longitudinal cohort study. Aust N Z J Obstet Gynaecol  

  • Kluwgant, D., Homer, C., & Dahlen, H. (2022, Jul). “Never let a good crisis go to waste”: Positives from disrupted maternity care in Australia during COVID-19. Midwifery, 110, 103340. 

  • Lequertier, B., McLean, M. A., Kildea, S., King, S., Keedle, H., Gao, Y., Boyle, J. A., Agho, K., & Dahlen, H. G. (2022). Perinatal Depression in Australian Women during the COVID-19 Pandemic: The Birth in the Time of COVID-19 (BITTOC) Study. Int J Environ Res Public Health, 19 (9).