Comparison of Pregnancy and Birth Outcomes Before vs During the COVID-19 Pandemic

Molina, Rose L.; Tsai, Thomas C.; Dai, Dannie; Soto, Mark J.; Rosenthal, Ning; Orav, E. John; Figueroa, José F.

doi:10.1001/jamanetworkopen.2022.26531

Cited by 46 publications

(56 citation statements)

References 53 publications

(87 reference statements)

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“…Importantly, women of color were twice as likely as White women to report that a healthcare provider had ignored, refused, or delayed treatment [ 7 ], which is particularly problematic because the delayed clinical response is associated with maternal mortality [ 4 , 7 ]. Moreover, although racial disparities in birth outcomes, such as fetal deaths, stillbirths, or maternal deaths during hospitalizations, remained consistent with pre-COVID-19 levels [ 8 , 9 ], women of color reported increased challenges in access to obstetric and mental healthcare compared to White women [ 10 , 11 ]. Visitor restriction policies were more strictly enforced for women of color compared to White women, which isolated them from the social support systems that provided a source of advocacy and protection against discriminatory treatment by healthcare workers [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Racism During Pregnancy and Birthing: Experiences from Asian and Pacific Islander, Black, Latina, and Middle Eastern Women

Nguyen

Criss

Kim

et al. 2022

J. Racial and Ethnic Health Disparities

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Background Despite persistent racial disparities in maternal health in the USA, there is limited qualitative research on women’s experiences of discrimination during pregnancy and childbirth that focuses on similarities and differences across multiple racial groups. Methods Eleven focus groups with Asian American and Pacific Islander (AAPI), Black, Latina, and Middle Eastern women ( N = 52) in the USA were conducted to discuss the extent to which racism and discrimination impact pregnancy and birthing experiences. Results Participants across groups talked about the role of unequal power dynamics, discrimination, and vulnerability in patient-provider relationships. Black participants noted the influence of prior mistreatment by providers in their healthcare decisions. Latinas expressed fears of differential care because of immigration status. Middle Eastern women stated that the Muslim ban bolstered stereotypes. Vietnamese participants discussed how the effect of racism on mothers’ mental health could impact their children, while Black and Latina participants expressed constant racism-related stress for themselves and their children. Participants recalled better treatment with White partners and suggested a gradient of treatment based on skin complexion. Participants across groups expressed the value of racial diversity in healthcare providers and pregnancy/birthing-related support but warned that racial concordance alone may not prevent racism and emphasized the need to go beyond “band-aid solutions.” Conclusion Women’s discussions of pregnancy and birthing revealed common and distinct experiences that varied by race, skin complexion, language, immigration status, and political context. These findings highlight the importance of qualitative research for informing maternal healthcare practices that reduce racial inequities.

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Section: Introductionmentioning

confidence: 99%

Racism During Pregnancy and Birthing: Experiences from Asian and Pacific Islander, Black, Latina, and Middle Eastern Women

Nguyen

Criss

Kim

et al. 2022

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

show abstract

“…According to a large cohort study of more than 1.6 million pregnant patients across 463 U.S. hospitals, the mode of delivery remained stable during the pandemic with only a marginal relative increase in having a primary CB, a marginal relative decrease in having a repeat CB, and no changes in rates of vaginal, assisted vaginal and vaginal birth after caesarean births (VBACs), in comparison to pre-pandemic period ( 53 ). However, in our study we saw significant changes in modes of delivery rates during the pandemic, with significantly fewer emergency CBs and assisted vaginal births and almost a double increase in planned CBs.…”

Section: Discussionmentioning

confidence: 99%

The impacts of the COVID-19 pandemic on birth satisfaction and birth experiences in Russian women

Suarez

Yakupova

2022

Front. Glob. Womens Health

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BackgroundWomen's satisfaction with their childbirth experiences has significant impacts on their health and the health of their children. Recently, childbirth and maternity care systems have been disrupted by the COVID-19 pandemic. This study aimed to investigate the association of birth satisfaction with mode of birth, medical interventions, support during labour, type of childbirth healthcare plan and antenatal education in the context of the COVID-19 pandemic in Russia.Methods1,645 Russian women who gave birth during the first year of the COVID-19 pandemic and 611 matched controls who gave birth in the previous year participated in an anonymous Internet survey about their childbirth experience. The survey included questions regarding women's demographic and obstetric characteristics as well as their childbirth experiences. Birth satisfaction was measured using the Birth Satisfaction Scale Revised Indicator (BSS-RI).ResultsBirth satisfaction scores did not show notable changes before and during the pandemic (Pearson Chi-square = 19.7, p = 0.22). Women had lower BSS-RI scores if they tested positive for COVID-19 during labour (F = 9.18, p = 0.002), but not during pregnancy or postpartum (p > 0.32). In both cohorts women who had vaginal births rated birth satisfaction higher than those who had caesarean births. The more medical interventions there were, the lower were the BSS-RI scores (B = −0.234, 95% CI: −0.760; −0.506, p < 0.001), but only during the pandemic. Birth satisfaction was higher if women had a support person present during labour (F > 7.44, p < 0.001), which was not possible for over 70% of participants during the pandemic. In both cohorts birth satisfaction was associated with the childbirth healthcare plan (F > 5.27, p < 0.001), but not with antenatal education (F < 0.15, p > 0.43).ConclusionsOur study highlights the significant impacts of the COVID-19 pandemic on the birth experiences of Russian women. Sustaining the rights of women to informed decisions during labour, respect for their preferred childbirth healthcare plan, presence of the birth team of choice and professional support for home birth are essential for higher birth satisfaction and better health outcomes for mothers and their infants.

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“…También aumentaron las probabilidades de muerte materna, los trastornos cardiovasculares y la hemorragia obstétrica. Se necesitan más esfuerzos para asegurar que los riesgos potenciales asociados con la pandemia COVID-19 no persistan más allá del estado actual (17) .…”

Section: Muerte Maternaunclassified

El enigma del coronavirus – ¿El final de la pandemia COVID-19? – La mujer, la gestante y el feto – Vacunas - Futuro

Romero¹

2022

Rev peru ginecol obstet.

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El Director General de la OMS Tedros Adhanom Ghebreyesus ha dicho recientemente que ‘Elfin de la pandemia está cerca. Todavía no hemos llegado, pero el final está a la vista’. Y elpresidente de los EE. UU. Joe Biden, con alrededor de 400 muertes por día en los EE. UU., harepetido dicha aseveración. Por lo que podemos leer en la literatura, aún no estaríamos en talsituación y pudiera haber un buen trecho por recorrer. Si bien se conoce más acerca del virusy su capacidad de transformación en variantes y subvariantes de manera de ingresar con másfacilidad al huésped, algunas de estas transformaciones son motivo de preocupación.Hacemos una revisión somera sobre lo aprendido sobre la morbimortalidad por el SARS-CoV-2, cómo ha empeorado la salud de las mujeres, algunas alteraciones en el esperma, lasdefensas ante el virus, las reinfecciones, su accionar malsano sobre la gestante, el feto y elneonato, las vacunas y refuerzos y una visión de lo que nos espera.

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Comparison of Pregnancy and Birth Outcomes Before vs During the COVID-19 Pandemic

Cited by 46 publications

References 53 publications

Racism During Pregnancy and Birthing: Experiences from Asian and Pacific Islander, Black, Latina, and Middle Eastern Women

Racism During Pregnancy and Birthing: Experiences from Asian and Pacific Islander, Black, Latina, and Middle Eastern Women

The impacts of the COVID-19 pandemic on birth satisfaction and birth experiences in Russian women

El enigma del coronavirus – ¿El final de la pandemia COVID-19? – La mujer, la gestante y el feto – Vacunas - Futuro

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