Health care in pregnancy during the COVID-19 pandemic and pregnancy outcomes in six low- and-middle-income countries: Evidence from a prospective, observational registry of the Global Network for Women's and Children's Health
NJ; BJOG: Int J Obstet Gy; July, 2022. 10 p. tab. (PCI-277).
Non-conventional
en En
| REPincaP, LIGCSA
| ID: biblio-1400934
Biblioteca responsable:
GT3.1
Ubicación: GT3.1; INCAP/PCI-277
ABSTRACT
Objective:
To assess, on a population basis, the medical care for pregnant women in specific geographic regions of six countries before and during the first year of the coronavirus disease 2019 (COVID-19) pandemic in relationship to pregnancy outcom.Results:
Across all sites, a small but statistically significant increase in home births occurred between the pre-COVID-19 and COVID-19 periods (18.9% versus 20.3%, adjusted relative risk [aRR] 1.12, 95% CI 1.051.19). A small but significant decrease in the mean number of antenatal care visits (from 4.1 to 4.0, p = <0.0001) was seen during the COVID-19 period. Of outcomes evaluated, overall, a small but significant decrease in low-birthweight infants in the COVID-19 period occurred (15.7% versus 14.6%, aRR 0.94, 95% CI 0.890.99), but we did not observe any significant differences in other outcomes. There was no change observed in maternal mortality or antenatal haemorrhage overall or at any of the sites.Conclusions:
Small but significant increases in home births and decreases in the antenatal care services were observed during the initial COVID-19 period; however, there was not an increase in the stillbirth, neonatal mortality, maternal mortality, low birthweight, or preterm birth rates during the COVID-19 period compared with the previous year. Further research should help to elucidate the relationship between access to and use of pregnancy-related medical services and birth outcomes over an extended period
Texto completo:
1
Colección:
06-national
Base de datos:
LIGCSA
/
REPincaP
Asunto principal:
Atención Médica
/
Mujeres Embarazadas
/
Pandemias
/
Estudio Observacional
/
COVID-19
Idioma:
En
Año:
2022
Tipo del documento:
Non-conventional