Landrian A, Mboya J, Golub G, Moucheraud C, Kepha S, Sudhinaraset M. Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: a cross-sectional study. With the emergence of COVID-19 pandemic, it is not impossible that access to quality antenatal care services would be further threatened in the region. <> -, Tadesse E. Antenatal Care Service utilization of pregnant women attending Antenatal Care in Public Hospitals during the COVID-19 pandemic period. COVID-19 in humanitarian settings and lessons learned from past epidemics. 1School of Nursing and Midwifery; 2Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran. The long-term effects of maternal morbidity and mortality on families and communities should not be underestimated. The United States documented 198,598 pregnant people with COVID-19 from January 22, 2020, to April 11, 2022. Funding/Support: This study was supported by grants DA047405, DA043604, and DA048033 from the National Institute on Drug Abuse. Zaigham MAO. Booking in and risk definition process for pregnant women have to achieved with a clinician (e.g. Wu H, 388 0 obj
<>stream
Sex Reprod Health Matters. endstream
endobj
startxref
In order to promote physical distancing and create a safe environment for you when you come to Mass General for visits, some prenatal care visits may be performed virtuallywhen doing so is safe for your pregnancy. Key principles for the provision of antenatal care through the evolving coronavirus (COVID-19) pandemic 3.1 Maintaining essential monitoring Many elements of antenatal care may require in-person assessment, in particular blood pressure and urine checks, measurement of fetal growth, and blood tests. Aim: This study uses National Survey on Drug Use and Health data to examine prevalence and frequency of medical and nonmedical cannabis use among pregnant and nonpregnant women between 2013 and 2017. 6 The general content of the ANC remains unchanged in the context of COVID-19. However, only 46.37% had six or more in-person antenatal visits, with the majority attended to by midwives at community health centers. 2023 Jan 21;23(1):53. doi: 10.1186/s12884-023-05383-1. A, Kim
et al. J Matern Fetal Neonatal Med 2020 May 18:1-7. 2021;326(17):1745-1747. doi:10.1001/jama.2021.16328.
"Anxious and traumatised": Users' experiences of maternity care in the UK during the COVID-19 pandemic. Please enable it to take advantage of the complete set of features! Web Resume usual antenatal care after release from self-quarantine or self-isolation Advise to telephone maternity service if concerned. The study aimed to determine the utilization of antenatal care services of Filipino women during the COVID-19 pandemic. addy50899 = addy50899 + 'mums' + '.' + 'ac' + '.' + 'ir'; Our findings indicate how the lack of access to antenatal care and reduced perceived social support as a result of the restrictions implemented in response to the COVID-19 pandemic, potentially intensifies pregnancy specific stress. and transmitted securely. child care available for families beyond the pandemic. Pregnant women can also be guided to study pregnancy and labor instructions through books, and receive antenatal care education by online conferencing. Rates of Prenatal Cannabis Use Among Pregnant Women Before and During the COVID-19 Pandemic. A total of 983 Chinese pregnant women completed the questionnaire, and it was found that more than 80% had taken self-protection actions, such as wearing a face mask, handwashing, and home quarantine, to avoid being infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Figure 1). Reduction in maternal COVID-19 of any severity (including severe and critical disease). The future of maternal care is likely to include technological innovations to address the above challenges. Implementation of Obstetric Telehealth during COVID-19 and Beyond. midwife) (3,7,9). Clipboard, Search History, and several other advanced features are temporarily unavailable. Aim: The aim of this study was to assess pregnant women's satisfaction with antenatal care and social support and to examine stress-reduction strategies women used during the pandemic. doi: 10.2147/IJWH.S287534. 2023 Jan-Dec;19:17455057231157480. doi: 10.1177/17455057231157480. Zhang CJP, Dowswell T, Carroli G, Duley L, Gates S, Glmezoglu AM, KhanNeelofur D, et al. Careers. BMC Pregnancy Childbirth. MC, Khurana
For pregnant women who are self-quarantine at home, it should be guarantee that they remain well hydrated and are mobile during this period. Cannabis tax revenues. Geneva: WHO/UNFPA; 2020 (https://www.unfpa.org/resources/covid-19-technical-brief-maternity-services). Am J Obstet Gynecol. Web COVID-19 Public Health Emergency Order No. %%EOF
The median monthly sample size in the months before COVID-19 was 4085 (range, 3655-5040), with a mean of 4189. WebThe COVID-19 resource centre is hosted on Elsevier Connect , the company s public news and information . 2023 American Medical Association. Epub 2020 Oct 23. /NumberofPages 1 At present, additional face-to-face visits take place when there are significant risk factors in pregnant women (7). Maternity services in low resource countries and Bakacak, M. (2022) Factors Associated with Antenatal Depression during the COVID-19 (SARS-CoV2) Pandemic A Cross-Sectional Study in a Cohort of Turkish Pregnant Women. and Bakacak, M. (2022) Factors Associated with Antenatal Depression during the COVID-19 (SARS-CoV2) Pandemic A Cross-Sectional Study in a Cohort of Turkish Pregnant Women. Unauthorized use of these marks is strictly prohibited. How will the COVID-19 pandemic impact my prenatal care? -. MG)g%LI;5u.+C1TXcCBh EW|BuK7)jNH ,f*KkDAS|$D[]IM"WjWHv 5&,}h 4(
2Hj\]!YgvE348;:4::@RGGCsG`GDG b +e`CGG4& S@d8n^@x3:&[J/J~RfxPS8QF=rW3g. doi: 10.1007/s10995-020-02967-7. The study aimed to determine the utilization of antenatal care services of Filipino women during the COVID-19 pandemic. 2020;34(3):206209. Pregnant women, for example, tend to be more physiologically and psychologically susceptible to infectious diseases, putting them at higher risk of maternal complications such as preterm birth, gestational hypertension, gestational diabetes, and miscarriage [2-4]. Ming, https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200628-covid-19-sitrep-160.pdf?sfvrsn=2fe1c658_2, http://www.nhc.gov.cn/fys/s3581/202002/4f80657b346e4d6ba76e2cfc3888c630.shtml, https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/covid-19-virus-infection-and-pregnancy/, https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnancy-breastfeeding.html, http://www.nwccw.gov.cn/2020-02/11/content_278883.htm, Add this article to your Mendeley library. Follow Methodist on Facebook, Twitter and Instagram for the latest COVID-19 updates. URL: Coronavirus infection and pregnancy: Information for pregnant women and their families. It has been declared that the coronavirus can survive on surfaces for up to 17 days. Notice on strengthening maternal disease treatment and safe midwifery during the prevention and control of new coronavirus pneumonia (in Chinese). 2020;1:599327. doi: 10.3389/fgwh.2020.599327. Because there is a shortage of evidence about rationalizing visit numbers, but evidence from lower and middle income countries suggests that attendance at five visits or less is associated with an increased risk of perinatal mortality (RR 1.15; 95% CI 1.01 to 1.32, three trials) (12). PMCID: PMC Antenatal care; COVID-19; maternity care; social support; stress-reduction. In the absence of a central directive in England, the nature of restrictions varied across Also fetal movements, mental wellbeing and domestic violence should be checked (8). For example, online antenatal care programs may guide pregnant women to perform blood and urine glucose tests at regular intervals, especially for those with or at high risk of gestational diabetes mellitus (GDM). The COVID-19 pandemic has had a major impact on the capacity of health systems to continue the delivery of essential health services. Corresponding Author: Kelly C. Young-Wolff, PhD, MPH, Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (kelly.c.young-wolff@kp.org). Women with suspected or confirmed COVID-19 should be advised not to attend in clinics. This cross-sectional study examines the association of cannabis retailer proximity and density with cannabis use among pregnant women after legalization of cannabis for recreational use in California. Downe S, Finlayson K, Tunalp , Glmezoglu AM. The aim of the project is to understand how a health system shock such as the Covid-19 pandemic impacts women seeking care, demonstrated by pregnant women from underserved groups in a diverse, inner-city population of south London. [, Ferguson S, Davis D, Browne J. URL: Ahmed F, Ahmed N, Pissarides C, Stiglitz J. Government of Western Australia Department of Health. Governments should use their financial budget to support the popularization of modern electronic devices and internet service, which are essential for online antenatal care programs. >> This reduces the chance of Covid-19 transmission to the maternity care providers and other women attending for care (4). In the meantime, this can be combined with information technology products, such as using electronic devices with remote monitoring functions to monitor basic indicators such as fetal heart rate and movement, to serve as a proxy for some routine obstetric examinations. East Mediterr Health J. Conclusion: (2020) hb```f``Ab,0N4BELv9/4y>,}Bg}W\RkW~o8;:%p:tDG]@; iI Y p#LF>U:4/YUT4Cr@P3Z3C@8oS%@d ` ?
Subject to determining the most appropriate models for providing medical services, health care providers should use clinical judgment and consider the individual circumstances of pregnant women (3,7,9). There are some challenges and areas for improvement associated with online antenatal care. The Covid-19 pandemic impacts reproductive and perinatal health both directly through infection itself but also indirectly as a consequence of changes in health care, social policy, or social and economic circumstances. This could contribute to a reduction in medical resources inequality and help pregnant women resolve various health problems during the pandemic. Customize your JAMA Network experience by selecting one or more topics from the list below. Characteristics of marijuana use during pregnancyeight states, Pregnancy Risk Assessment Monitoring System, 2017. document.write( '
' ); Landrian A, Mboya J, Golub G, Moucheraud C, Kepha S, Sudhinaraset M. BMJ Open. In the current situation, home based care model can be considered when pregnant women are stable enough to receive care and enough midwifes and adequate health care are available. -, Chivers B.R., Garad R.M., Boyle J.A., Skouteris H., Teede H.J., Harrison C.L. WebThe NIH COVID-19 Treatment Guidelines Panels Statement on Potential Drug-Drug Interactions Between Ritonavir-Boosted Nirmatrelvir (Paxlovid) and Concomitant Medications states that any drug interactions between ritonavir-boosted nirmatrelvir (Paxlovid) and hormonal contraception are not expected to be clinically significant during There is a need for the provision of supportive care, both formally and informally, particularly with women who may be more vulnerable during a pandemic. Terms of Use| Royal College of Obstetricians and Gynaecologists. By continuing to use our site, or clicking "Continue," you are agreeing to our, Figure. WebCannabis use among pregnant women is common and has increased in recent years in the US, from an estimated 3.4% in 2002 to 7.0% in 2017. In relation to home visits, it should be considered whether visits are necessary or can be delayed. Trust the science. 2021;326(17):17451747. URL: Online Antenatal Care During the COVID-19 Pandemic: Opportunities and Challenges, JMIR Theme Issue: COVID-19 Special Issue (2062), Outbreak and Pandemic Preparedness and Management (1429), Theme Issue: Novel Coronavirus (COVID-19) Outbreak Rapid Reports (1316), Midwifery, Nurse-midwifery and Care for Pregnant or New Mothers (48), https://preprints.jmir.org/preprint/19916, Huailiang Matern Child Health J. An official website of the United States government. Research on refugee women access to and utilisation of antenatal care (ANC), delivery and post-natal care (PNC) are generally underrepresented in the global The survey included closed and open-ended questions to assess women's perceptions and satisfaction with their antenatal care, social support, and stress-reduction strategies. The .gov means its official. PMID: This site needs JavaScript to work properly. However, with limited understanding of the effects of COVID-19 during pregnancy, clinicians and patients are forced to make uninformed decisions. 2021 Nov;102:103069. doi: 10.1016/j.midw.2021.103069. The evidence indicates that if women do not attend antenatal services then they are at risk of maternal death, stillbirth and other adverse perinatal outcomes (3,4). 2020;136:3741. During the pandemic, patients completed toxicology testing slightly earlier in their pregnancies (before pandemic mean, 8.51 weeks gestation; during pandemic mean, 8.04 weeks gestation). Online antenatal care can provide relatively less expensive medical services and diminish inequalities in health care due to its convenience and cost-effectiveness, especially in developing countries or regions. Of 100005 pregnancies (95412 women), 26% were Asian or Pacific Islander; 7%, Black; 28%, Hispanic; 34%, non-Hispanic White; and 5%, other, unknown, or multiracial. /LastModified (4 Examining inequities associated with changes in obstetric and gynecologic care delivery during the coronavirus disease 2019 (COVID-19) pandemic. The ITS analysis confirmed that these rates before and during the pandemic were stable, with no statistically significant month-to-month trends (Table). Before SARS: hospital infection control and admission strategies. Maternity services in low resource countries It should be noted that, the required schedule and the models of care should be reassessed at each visit according to the individual needs and current risks. It is recommended if positive COVID-19 is confirmed (7,8). Effect of COVID-19 pandemic on provision of sexual and reproductive health services in primary health facilities in Nigeria: a cross-sectional study. This topic will provide an overview of these issues, provide links to UpToDate content that is relevant to both pregnant and nonpregnant people, and discuss aspects of ). doi: 10.1002/14651858.CD012392.pub2. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. 6 0 obj Concept and design: Young-Wolff, Alexeeff, Adams, Does, Ansley, Avalos. In such cases, further obstetric examinations and consultations in a hospital are essential. /PageItemUIDToLocationDataMap <0 [220 0 3 -562.5 -354.898 -49.5 -338.953 1 0 0 1 -487.5 -279.898] 2020;(January).