Do not forget our pregnant women during the COVID-19 pandemic

Osanan, Gabriel Costa; Vidarte, María Fernanda Escobar; Ludmir, Jack

doi:10.1080/03630242.2020.1789264

Cited by 24 publications

(23 citation statements)

References 14 publications

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“…In Kenya, the pandemic may have resulted in significant health system breakdowns due to, in part, risk mitigation strategies (eg, limiting in-person visits), limited supply of and cost for acquiring personal protective equipment and healthcare worker strikes that forced facility closures. The expansion of telemedicine may be a helpful strategy for ensuring women achieve adequate utilisation of ANC during pandemics and other emergencies by reducing barriers to care related to lockdowns, health system breakdowns and psychosocial stressors 20. One quasiexperimental study conducted in Australia found that ANC service delivery via telemedicine during COVID-19 successfully reduced in-person visits by roughly 50% with no differences in the detection and management of common pregnancy complications 21.…”

Section: Discussionmentioning

confidence: 99%

“…The expansion of telemedicine may be a helpful strategy for ensuring women achieve adequate utilisation of ANC during pandemics and other emergencies by reducing barriers to care related to lockdowns, health system breakdowns and psychosocial stressors. 20 One quasiexperimental study conducted in Australia found that ANC service delivery via telemedicine during COVID-19 successfully reduced in-person visits by roughly 50% with no differences in the detection and management of common pregnancy complications. 21 Research is needed on the feasibility of telemedicine in LMICs, particularly during public health emergencies.…”

Section: Discussionmentioning

confidence: 99%

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Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: a cross-sectional study

et al. 2022

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ObjectiveThe aim of this study was to assess the effects of COVID-19 on antenatal care (ANC) utilisation in Kenya, including women’s reports of COVID-related barriers to ANC and correlates at the individual and household levels.DesignCross-sectional study.SettingSix public and private health facilities and associated catchment areas in Nairobi and Kiambu Counties in Kenya.ParticipantsData were collected from 1729 women, including 1189 women who delivered in healthcare facilities before the COVID-19 pandemic (from September 2019–January 2020) and 540 women who delivered during the pandemic (from July through November 2020). Women who delivered during COVID-19 were sampled from the same catchment areas as the original sample of women who delivered before to compare ANC utilisation.Primary and secondary outcome measuresTiming of ANC initiation, number of ANC visits and adequate ANC utilisation were primary outcome measures. Among only women who delivered during COVID-19 only, we explored women’s reports of the pandemic having affected their ability to access or attend ANC as a secondary outcome of interest.ResultsWomen who delivered during COVID-19 had significantly higher odds of delayed ANC initiation (ie, beginning ANC during the second vs first trimester) than women who delivered before (aOR 1.72, 95% CI 1.24 to 2.37), although no significant differences were detected in the odds of attending 4–7 or ≥8 ANC visits versus <4 ANC visits, respectively (aOR 1.12, 95% CI 0.86 to 1.44 and aOR 1.46, 95% CI 0.74 to 2.86). Nearly half (n=255/540; 47%) of women who delivered during COVID-19 reported that the pandemic affected their ability to access ANC.ConclusionsStrategies are needed to mitigate disruptions to ANC among pregnant women during pandemics and other public health, environmental, or political emergencies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: a cross-sectional study

et al. 2022

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“…The association between increased maternal mortality and COVID-19 pandemic can also be explained by the pregnant woman's hesitation to seek care, out of fear of the disease; financial and/or transportation problems that hinder access to health services; maternal isolation of infected pregnant women in distant regions, which compromise timely care in severe conditions and reduction of consultations, supplies and health professionals, compromising the quality of care. Thus, maternal mortality secondary to COVID-19 demonstrates the disparities of minorities and the vulnerable population (Osanan et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

COVID‐19 and pregnancy: A scoping review on pregnancy characteristics and outcomes

Oliveira

Wernet

et al. 2021

Int J of Nursing Practice

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Aim The study aim was to map clinical characteristics and the evolution of pregnancies in pregnant women with confirmed diagnosis of SARS‐CoV‐2 infection. Methods Searching four databases, studies were investigated that described the evolution of pregnancies in women diagnosed with SARS‐CoV‐2 infection through laboratory tests. A scoping review was undertaken, including 35 articles published in English. Two pairs of independent researchers synthesized the data. Results Most studies were case studies or case series and had a low risk of bias. A predominance of cases was found in women over the age of 30 years who got infected in the third term of pregnancy and who had comorbidities. The prematurity index varied with the heterogeneity of the samples, and the cases of abortion occurred in combination with severe forms of infection. Caesarean section deliveries predominated, indicated mainly by respiratory decompensation caused by infection. Most women were discharged. Conclusion Based on the reviewed studies, the profile and evolution of pregnant women infected with COVID‐19 could be evaluated.

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“…11 Although there are multiple strategies reported to maintain the quality of obstetric care during the pandemic, most of them focus on prenatal care. 12 , 13 With regard to delivery care, few publications recommend strengthening midwife-assisted home births, all in countries with robust health systems. 14 , 15 The Colombian health system, as in many other low- and middle-income countries, continues to recommend hospital care for all deliveries, probably due to the impossibility of providing support and surveillance for home births.…”

Section: Discussionmentioning

confidence: 99%

Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report

Nieto-Calvache

Padilla

Tabares-Blanco

et al. 2021

Maternal-Fetal Medicine

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Indirect effects of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic are difficult to calculate. Fear of intrahospital infection has led to a decrease in the use of emergency services and the performance of elective procedures. Several low- and middle-income countries have seen the number of institutional deliveries reduced, even in the absence of a follow-up program for home births. We present the case of a patient with adequate prenatal care and an institutional delivery plan who, due to the SARS-CoV-2 pandemic, chose to have a home delivery with unsafe conditions. The lack of supervision by health personnel and the absence of an immediate consultation plan facilitated the presentation of postpartum hemorrhage and poor neonatal results. Little attention has been paid during the pandemic to pregnant women who decide to have their birth at home. A broad discussion is necessary in this regard, to regain the confidence of the population and strengthen institutional births, or to strengthen midwife-assisted home births programs. Patients’ fear to acquiring SARS-CoV-2 infection inside hospitals is a factor that must be taken into account in prenatal care programs.

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Do not forget our pregnant women during the COVID-19 pandemic

Cited by 24 publications

References 14 publications

Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: a cross-sectional study

Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: a cross-sectional study

COVID‐19 and pregnancy: A scoping review on pregnancy characteristics and outcomes

Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report

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