A call for science preparedness for pregnant women during public health emergencies

Faherty, Laura J.; Rasmussen, Sonja A.; Lurie, Nicole

doi:10.1016/j.ajog.2016.08.031

Cited by 12 publications

(9 citation statements)

References 14 publications

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“…[18][19][20] These adverse events may have significant consequences, possibly greater than the COVID-19 infection itself. 9,21,22 Greater science preparedness for pregnant women during public health emergencies has been advocated 23 but we know little about women's decisions during the COVID-19 and other PHEs.…”

Section: Introductionmentioning

confidence: 99%

Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID‐19 outbreak: a cross‐sectional study

Liu

Chen

Wang

et al. 2020

BJOG

164

182

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Objectives To investigate the mental status of pregnant women and to determine their obstetric decisions during the COVID‐19 outbreak. Design Cross‐sectional study. Setting Two cities in China––Wuhan (epicentre) and Chongqing (a less affected city). Population A total of 1947 pregnant women. Methods We collected demographic, pregnancy and epidemic information from our pregnant subjects, along with their attitudes towards COVID‐19 (using a self‐constructed five‐point scale). The Self‐Rating Anxiety Scale (SAS) was used to assess anxiety status. Obstetric decision‐making was also evaluated. The differences between cities in all of the above factors were compared and the factors that influenced anxiety levels were identified by multivariable analysis. Main outcome measures Anxiety status and its influencing factors. Obstetric decision‐making. Results Differences were observed between cities in some background characteristics and women's attitudes towards COVID‐19 in Wuhan were more extreme. More women in Wuhan felt anxious (24.5 versus 10.4%). Factors that influenced anxiety also included household income, subjective symptom and attitudes. Overall, obstetric decisions also revealed city‐based differences; these decisions mainly concerned hospital preference, time of prenatal care or delivery, mode of delivery and infant feeding. Conclusions The outbreak aggravated prenatal anxiety and the associated factors could be targets for psychological care. In parallel, key obstetric decision‐making changed, emphasising the need for pertinent professional advice. Special support is essential for pregnant mothers during epidemics. Tweetable abstract The COVID‐19 outbreak increased pregnant women's anxiety and affected their decision‐making.

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Section: Introductionmentioning

confidence: 99%

Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID‐19 outbreak: a cross‐sectional study

Liu

Chen

Wang

et al. 2020

BJOG

164

182

View full text Add to dashboard Cite

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“…It is urgent that a protocol designed for surveillance of pregnant women in endemic and invasive zones of A. aegypti allow collection of information about the effects of ZIK in pregnant women, and to delineate the neonatal phenotype of congenital abnormalities of the fetus related with ZIK. This protocol will allow the establishment strategies related to the prevention and control of emerging infectious diseases for future use [41,42].…”

Section: Discussionmentioning

confidence: 99%

An Integrated Intervention Model for the Prevention of Zika and Other Aedes-Borne Diseases in Women and their Families in Mexico

Pavía-Ruz¹,

Contreras-Capetillo²,

González³

et al. 2018

Current Topics in Zika

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We describe and discuss the rationale, design and current implementation of a model for an integrated intervention for the primary and secondary prevention of Zika and other Aedes-borne diseases and sexually transmitted infections that impact reproductive health, pregnancy and perinatal life stages in women and their families in Merida, Mexico. The intervention includes enhanced surveillance of pregnant women, implementation of communication strategies to promote good practices to prevent disease transmission, determination of the frequency of structural anomalies detected prenatally in the foetus, umbilical cord and placenta of pregnancies diagnosed with ZIK infection, detection of ZIKV and other arboviruses/viruses in products of abortion, in-utero and early newborn, provision of Aedes aegypti-proof houses" (protecting homes with door/ window screens with insecticide to prevent the access of mosquitoes), mosquito repellents, larvicides and education/promotion of best practices for the prevention of infection with dengue (DENV), chikungunya (CHIKV) and Zika (ZIKV) and an anthropological studies on sociocultural factors of pregnant women associated with ZIKV. This intervention is being developed in a population of 10,000 people of the city of Merida and with the participation of a multidisciplinary group of public health professionals in collaboration with the Ministry of Health and the Government of Yucatan.

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“…Several interrelated planning components have been proposed in the literature to ensure critical information about the effects of both the threat and the MCMs on pregnant women is captured during a public health emergency. The components proposed are: (1) generic protocols to conduct research with human subjects approval that includes pregnant women; (2) a network of obstetric and pediatric experts; and (3) funding specific to pregnant women (Faherty et al, ). As biological threats are increasingly recognized as a public health threat and new MCMs are researched, developed, procured, and stockpiled, the needs of pregnant women must be considered in preparedness planning.…”

Section: Discussionmentioning

confidence: 99%

Preparing for biological threats: Addressing the needs of pregnant women

Watson

Ellington

Nelson

et al. 2017

Birth Defects Research

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Intentional release of infectious agents and biological weapons to cause illness and death has the potential to greatly impact pregnant women and their fetuses. We review what is known about the maternal and fetal effects of seven biological threats: Bacillus anthracis (anthrax); variola virus (smallpox); Clostridium botulinum toxin (botulism); Burkholderia mallei (glanders) and Burkholderia pseudomallei (melioidosis); Yersinia pestis (plague); Francisella tularensis (tularemia); and Rickettsia prowazekii (typhus). Evaluating the potential maternal, fetal, and infant consequences of an intentional release of an infectious agent requires an assessment of several key issues: (1) are pregnant women more susceptible to infection or illness compared to the general population?; (2) are pregnant women at increased risk for severe illness, morbidity, and mortality compared to the general population?; (3) does infection or illness during pregnancy place women, the fetus, or the infant at increased risk for adverse outcomes and how does this affect clinical management?; and (4) are the medical countermeasures recommended for the general population safe and effective during pregnancy? These issues help frame national guidance for the care of pregnant women during an intentional release of a biological threat. Birth Defects Research 109:391-398, 2017.© 2017 Wiley Periodicals, Inc.

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A call for science preparedness for pregnant women during public health emergencies

Cited by 12 publications

References 14 publications

Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID‐19 outbreak: a cross‐sectional study

Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID‐19 outbreak: a cross‐sectional study

An Integrated Intervention Model for the Prevention of Zika and Other Aedes-Borne Diseases in Women and their Families in Mexico

Preparing for biological threats: Addressing the needs of pregnant women

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