The COVID-19 Pandemic and Routine Prenatal Care: Use of Online Visits.
Matern Child Health J
; 28(7): 1219-1227, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38270717
ABSTRACT
OBJECTIVE:
To evaluate whether prenatal visits or screening/testing were fewer or occurred later during the initial phase of the COVID-19 pandemic in 2020 (CINT) as compared to the prior year (PreCINT).METHODS:
A retrospective cohort study compared CINT (n = 2,195) to PreCINT (n = 2,395) at seven public hospitals in New York City. The primary outcome was total number of prenatal-care visits. Secondary outcomes were components of prenatal-care visits completion, timing of standard pregnancy screening tests, and adverse neonatal outcomes.RESULTS:
CINT patients had more total prenatal-care visits (B = 1.30, 95% CI1.04, 1.56, p < 0.001), lower odds for initiation of prenatal care which was inadequate according to widely used criteria (OR0.39, 95% CI0.34, 0.45, p < 0.001), and lower gestational age at initial visit (B=-4.51, 95% CI-5.10, -3.93, p < 0.001) than PreCINT patients. In-person visits did not differ between the two groups. PreCINT patients had no televisits, while CINT patients had a median of one televisit (Median = 1, p < 0.001). CINT patients had increased odds for group B Streptococcus screening (OR1.27, 95% CI 1.10, 1.48, p = 0.001), quadrivalent screening (OR1.30, 95% CI1.15, 1.48, p < 0.001), and anatomy sonogram (OR2.30, 95% CI2.04, 2.59, p < 0.001) but decreased odds for glucose challenge test screening (OR0.81, 95% CI0.72, 0.91, p < 0.001). Adverse neonatal outcome did not differ between CINT and PreCINT pregnancies. CONCLUSIONS FOR PRACTICE Despite the difficulties and perceived dangers of in-person visits during the COVID-19 pandemic, the COVID-19 pandemic had little negative impact upon the outpatient prenatal care received by patients in this hospital system.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cuidado Pré-Natal
/
SARS-CoV-2
/
COVID-19
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Matern Child Health J
Assunto da revista:
PERINATOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos