INTRODUCTION This study explored maternal and infant outcomes in the periods of pregnancy, birth and the postpartum, in women with COVID-19. METHODS After PROSPERO registration (CRD42020191106), scanning for the studies was carried out over the period 5-15 May 2020 in the PubMed, Science Direct, EBSCO and Web of Science databases with the search string: ['COVID-19' AND ('pregnancy' OR 'pregnant' OR 'maternal outcomes' OR 'infant outcomes' OR 'fetal outcomes' OR 'birth')]. Studies reporting maternal and perinatal outcomes of pregnant women with COVID-19 were included. Data were extracted independently by two researchers and combined with meta-analysis and pooled analysis. RESULTS The 54 studies included in this analysis contained data on 517 pregnant women diagnosed with COVID-19 and 385 infants. Of the pregnant women, 18% had gone into preterm labor and 77% had given birth by caesarean. Of the newborns, 19% had low birth weight, 14% had fetal distress, and 24% were admitted into the neonatal intensive care unit. Nine maternal and eight baby mortalities were reported in the studies. CONCLUSIONS The study revealed that COVID-19 in pregnant women appeared to be negative maternal and infant outcomes, with mortalities as well.
Introduction Telehealth is an applicable, acceptable, cost-effective, easily accessible, and speedy method for pregnant women. This study aimed to examine the impact of telehealth applications on pregnancy outcomes and costs in high-risk pregnancies. Methods Studies were selected from PubMed, Science Direct, Web of Science, EBSCO, Scopus, and Clinical Key databases according to the inclusion and exclusion criteria from January to February 2021. Cochrane risk-of-bias tools were used in the quality assessment of the studies. Results Four observational and eight randomized controlled studies were included in this meta-analysis (telehealth: 135,875, control: 94,275). It was seen that the number of ultrasound ( p < 0.01) and face-to-face visits ( p < 0.01), fasting insulin ( p < 0.01), hemoglobin A1C before delivery ( p < 0.01), and emergency cesarean section rates ( p = 0.05) were lower in the telehealth group. In the telehealth group, the women's use of antenatal corticosteroids ( p = 0.03) and hypoglycemic medication at delivery ( p = 0.03), the total of nursing interventions ( p < 0.01), compliance with actual blood glucose measurements ( p < 0.01), induction intervention at delivery ( p = 0.003), and maternal mortality ( p < 0.001) rates were higher. Two groups were similar in terms of the use of medical therapy, total gestational weight gain, health problems related to pregnancy, mode and complications of delivery, maternal intensive care unit admission, fetal-neonatal growth and development, neonatal health problems and mortality, follow-up, and care costs. Discussion Telehealth and routine care yielded similar maternal/neonatal health and cost outcomes. It can be said that telehealth is a safe technique to work with in the management of high-risk pregnancies.
PurposeThe purpose of this study was to determine the present status of studies as midwifery published over the period 2000–2015 in Turkey.MethodThe study, based on the literature, is of retrospective and descriptive design and was carried out between January and June 2016. Five hundred and forty-three articles were included in the field of midwifery found in a scan of the Google Academic, PubMed, and National Thesis Center databases in search of the keywords “ebelik” (“midwifery” in Turkish) and “midwifery and Turkey.” Numbers and percentage calculations were used in the evaluation of the data.ResultsOf the articles included in the study, 30.6% were published in a journal that concerned all health-care professions, 84.7% were of observational studies, 24.2% were conducted by academics in the midwifery departments, 19.0% were thesis studies, and 75.0% were published in the Turkish language. Of academic authors in the midwifery departments, 31.6% were midwives. In an examination of the subject fields of the articles, 25.8% pertained to midwifery professional development, knowledge, opinions, roles, ethics, and malpractice in the sampling of midwives and student midwives, whereas 26.7% of the sample groups comprised midwifery and other students.ConclusionThis study revealed that studies made in the field of midwifery education and practice were inadequate. Increasing studies in this area might contribute to ensuring improvements in the professional development of midwifery in Turkey and more globally.
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