Stay Home, Stay Connected: A virtual model for enhanced prenatal support during the COVID‐19 pandemic and beyond

Biermann, Chloe Ramirez; Choo, Monica; Carman, Kelsey; Siden, Jonathan Y.; Minns, Annie; Peahl, Alex

doi:10.1002/ijgo.13676

Cited by 6 publications

(5 citation statements)

References 2 publications

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“…While hospital-based obstetric care remained an essential service during the COVID-19 pandemic, outpatient prenatal care experienced substantial disruptions, and much routine care was done virtually. 41 , 42 It is possible that these disruptions and limitations in monitoring with telehealth may have contributed to the slight worsening of pregnancy-related complications. Additionally, increased rates of hypertensive disorders may be due to heightened stress provoked by the pandemic, or reluctance to engage in for prenatal care due to concerns about COVID-19 exposure.…”

Section: Discussionmentioning

confidence: 99%

“…While SARS-CoV-2 was low in our sample, our work extends these findings to demonstrate the associations of the overall disruptions of the COVID-19 pandemic with the health of pregnant people. While hospital-based obstetric care remained an essential service during the COVID-19 pandemic, outpatient prenatal care experienced substantial disruptions, and much routine care was done virtually . It is possible that these disruptions and limitations in monitoring with telehealth may have contributed to the slight worsening of pregnancy-related complications.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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Key Points Question Was the COVID-19 pandemic associated with changes in pregnancy-related outcomes? Findings In a cohort of more than 1.6 million pregnant patients across 463 US hospitals, the number of live births decreased by 5.2% during the COVID-19 pandemic (March 2020 to April 2021) compared with the 14 months prior. While live-birth outcomes and mode of delivery remained stable, small but significant increases in pregnancy-related complications and maternal death during delivery hospitalization were observed. Meaning In this study, the COVID-19 pandemic was associated with increases in pregnancy-related complications and maternal deaths during delivery hospitalization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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“…] 2021 Israel 421 N/A 102 Liu CH [ 109. ] 2021 US 628 p < 0.01 103 Ramirez Biermann C [ 110. ] 2021 US 162 N/A 104 Palalioglu RM [ 111.…”

Section: Resultsmentioning

confidence: 99%

“…] Wuhan 817 2021 Anxiety SAS Mirzaei N [ 104. ] Iran 200 2021 Anxiety,Depression HADS-A, HADS-D Ramirez Biermann C [ 110. ] US 162 2021 Anxiety,Depression self-designed questionnaire Palalioglu RM [ 111.…”

Section: Resultsmentioning

confidence: 99%

The prevalence of mental ill-health in women during pregnancy and after childbirth during the Covid-19 pandemic: a systematic review and Meta-analysis

Delanerolle

McCauley

Hirsch

et al. 2023

BMC Pregnancy Childbirth

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Background This systematic review aims to explore the prevalence of the impact of the COVID-19, MERS, and SARS pandemics on the mental health of pregnant women. Methods All COVID-19, SARS and MERS studies that evaluated the mental health of pregnant women with/without gynaecological conditions that were reported in English between December 2000 – July 2021 were included. The search criteria were developed based upon the research question using PubMed, Science Direct, Ovid PsycINFO and EMBASE databases. A wide search criterion was used to ensure the inclusion of all pregnant women with existing gynaecological conditions. The Newcastle-Ottawa-Scale was used to assess the risk of bias for all included studies. Random effects model with restricted maximum-likelihood estimation method was applied for the meta-analysis and I-square statistic was used to evaluate heterogeneity across studies. The pooled prevalence rates of symptoms of anxiety, depression, PTSD, stress, and sleep disorders with 95% confidence interval (CI) were computed. Results This systematic review identified 217 studies which included 638,889 pregnant women or women who had just given birth. There were no studies reporting the mental health impact due to MERS and SARS. Results showed that women who were pregnant or had just given birth displayed various symptoms of poor mental health including those relating to depression (24.9%), anxiety (32.8%), stress (29.44%), Post Traumatic Stress Disorder (PTSD) (27.93%), and sleep disorders (24.38%) during the COVID-19 pandemic. Discussion It is important to note that studies included in this review used a range of outcome measures which does not allow for direct comparisons between findings. Most studies reported self-reported measure of symptoms without clinical diagnoses so conclusions can be made for symptom prevalence rather than of mental illness. The importance of managing mental health during pregnancy and after-delivery improves the quality of life and wellbeing of mothers hence developing an evidence-based approached as part of pandemic preparedness would improve mental health during challenging times. Other The work presented in this manuscript was not funded by any specific grants. A study protocol was developed and published in PROSPERO (CRD42021235356) to explore several key objectives.

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“…A cross-sectional study conducted during the stay-at-home order found that unhealthy lifestyles involving smoking and drinking habits and being a female were important risk factors for depressive symptoms, whereas having exercise habits and someone to consult about worries were protective factors (24) . A short report suggested that staying connected was important even when staying at home (25) . Pregnant women with COVID-19 reportedly had a disproportionately poor socioeconomic status, regardless of the economic status of the country (26) .…”

Section: Impact Of Disasters On Pregnant Womenmentioning

confidence: 99%

The Significance of Observing the Risk of Non-communicable Diseases after Large-scale Disasters and Communicable Disease Epidemics

Metoki

2021

JMA J

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Non-communicable diseases (NCDs) are a global challenge, accounting for 71% of all deaths worldwide. The spread of coronavirus disease 2019 (COVID-19) and past huge disasters have affected the prevention and treatment of NCDs and require urgent action. In this narrative review, I will discuss several reports on the risk of NCDs during past disasters and propose possible future directions. Hypertension, the most common NCD, carries a high risk of death due to cerebrovascular, renal, and other complications. Effective use of information and communication technology-based telemedicine is necessary to manage the risk of cardiovascular diseases during disasters and pandemics. We observed the cumulative incidence of metabolic syndrome in subjects from tsunami-affected areas. We found that moving into prefabricated temporary housing was a risk factor for a higher incidence of metabolic syndrome in elderly females. Our follow-up of 1,009 subjects showed a slight, but significant, increase in HbA1c values after a state of emergency was introduced, even though the lockdown was not as stringent as in other countries. In a study elucidating the prevalence of wheezing and eczema symptoms and the associated factors after the Great East Japan Earthquake, psychological effects, such as depression and self-reported posttraumatic stress disorder, were observed, particularly in people with allergic diseases. In recent years, new birth cohort studies have been initiated to complement the studies designed to collect information across multiple generations, such as the Lifelines study in the Netherlands and the Avon Longitudinal Study of Parents and Children (ALSPAC) study in the UK. It is desirable to assess the effects of COVID-19 to complement the existing cohort studies in Japan as well.

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Stay Home, Stay Connected: A virtual model for enhanced prenatal support during the COVID‐19 pandemic and beyond

Abstract: Synopsis Virtual prenatal support groups addressed heightened mental health, psychosocial support, and anticipatory guidance needs in pregnant patients during the COVID‐19 pandemic.

Cited by 6 publications

References 2 publications

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

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

The prevalence of mental ill-health in women during pregnancy and after childbirth during the Covid-19 pandemic: a systematic review and Meta-analysis

The Significance of Observing the Risk of Non-communicable Diseases after Large-scale Disasters and Communicable Disease Epidemics

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