Rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the COVID-19 pandemic in the Latin American region DOI Creative Commons
Evelina Chapman, Silvina Ramos, Mariana Romero

et al.

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Oct. 30, 2023

Abstract Background: COVID-19 infection in pregnant women was known to be associated with increased morbidity and mortality Latin America the Caribbean as a consequence of comorbidity disruption supply use health services. Methods: A multi-country qualitative study carried out Chile, Colombia, Ecuador investigate factors contributing maternal period March 2020 - July 2021. Four sources were analyzed: policy documents interviews decision-makers, service providers relatives who died due causes during aforementioned period. The information collected coded according dimensions SURE Collaborative model (Supporting Use Research Evidence Collaborative) for analysis implementation policies; their analyzed by applying Three Delays model. Sixty-two analyzed, 21 decision makers, 30 28 from conducted. Results: most relevant findings change reproductive care primary care; prioritization emergency patients affected COVID-19; fear seek atomization management problems communication/dissemination measures aimed at general population teams generally undermined provision quality Socioeconomic vulnerability combined lack systematic policies. An example this telemedicine home visits. There resource skills gaps both system among users. Likewise, deficits identified infrastructure, inputs, human resources, protection which mainly third delay. Conclusion: Various availability, use, maternal, reproductive, perinatal services COVID 19 pandemic. Access timely severely affected. Study registration: protocol registered on OSF storage website (1).

Language: Английский

Non-Uptake of Newborn Screening in Planned Homebirth Is Associated with Preventive Health Practices for Infants: A Retrospective Case-Control Study DOI Creative Commons
Chen Stein‐Zamir,

Hanna Shoob,

Sandra Katan

et al.

International Journal of Neonatal Screening, Journal Year: 2025, Volume and Issue: 11(1), P. 15 - 15

Published: Feb. 21, 2025

Universal Newborn Screening (NBS) programs (for endocrine, immunologic and metabolic disorders) are effective in reducing child morbidity mortality. Despite available health services, NBS is not carried out for some newborns. The contributing factors this should be explored. In high-income settings, homebirth generally refers to planned birth at home, attended by skilled professionals. We aimed assess trends characteristics of homebirths the uptake infant practices. A retrospective case-control study including 3246 infants compared (cases) age-matched hospital controls. During 2016–2023, 0.56% livebirths (1623/290,458) Jerusalem District (JD), Israel, were homebirths. rate has increased since 2020 (COVID-19 pandemic), 0.45% 2016–2019 vs. 0.67% 2020–2023. Homebirth had a higher birthweight, lower firstborn socioeconomic rank. overall was significantly (73.7% 99.5% births) declined over time (81.1% 68.7% 2020–2023). Regarding preventive practices infants, registration Mother Child Health Clinics (MCHCs) (47.1% 92.8% births), routine immunization rates decreased (DTaP-IPV-HiB3 90.7% 60.1%). among associated with MCHC immunizations (RR = 4.15, 95%CI 3.3–5.3). considerably subsequent patterns Notably, national program data also indicate trend increase non-uptake rates. Barriers identified targeted interventions implemented. necessitate further follow-up, evidence from successful outreach reviewed translated into guidelines organizations.

Language: Английский

Citations

1
An increase in cesarean section rate during the first wave of COVID-19 pandemic in Iran DOI Creative Commons
Maryam Gharacheh, Mohammad Ebrahimi Kalan, Narjes Khalili

et al.

BMC Public Health, Journal Year: 2023, Volume and Issue: 23(1)

Published: May 24, 2023

Abstract Background The COVID-19 pandemic and its impact on healthcare services is likely to affect birth outcomes including the delivery mode. However, recent evidence has been conflicting in this regard. study aimed assess changes C-section rate during Iran. Methods This a retrospective analysis of electronic medical records women delivered maternity department hospitals all provinces Iran before (February-August 30, 2019) 2020). Data were collected through Iranian Maternal Neonatal Network (IMAN), country-wide health record database management system for maternal neonatal information. A total 1,208,671 analyzed using SPSS software version 22. differences rates according studied variables tested χ2 test. logistic regression was conducted determine factors associated with C-section. Results significant rise observed compared pre-pandemic (52.9% vs 50.8%; p = .001). preeclampsia (3.0% 1.3%), gestational diabetes (6.1% 3.0%), preterm (11.6% 6.9%), IUGR (1.2% 0.4%), LBW (11.2% 7.8%), low Apgar score at first minute (4.2% 3.2%) higher who by those normal ( P Conclusions overall wave significantly than period. adverse outcomes. Thus, preventing overuse especially becomes an urgent need

Language: Английский

Citations

18
Choosing for a Homebirth during COVID-19 Lockdown in the Netherlands, who and why: a national prospective questionnaire study DOI Creative Commons
Benjamin Gravesteijn, Nienke W. Boderie, Roseriet Beijers

et al.

Midwifery, Journal Year: 2025, Volume and Issue: 144, P. 104361 - 104361

Published: March 6, 2025

During the first COVID-19 lockdown in Netherlands (9 March-1 June 2020), homebirth rate increased from 27 % to 37 among women with low-risk pregnancies starting labour primary midwife-led care (overall population: 15 2020). We explored characteristics and motivations of who change their preference a hospital birth home birth. A nationwide prospective online questionnaire. Questionnaires were distributed during wave (4 April-11 May as well at follow-up (infant ±6 months old). Women pregnant (N = 778), either changed preferred location or maintained original preference. compared characteristics, anticipatory worries, mental health between these groups, using descriptive statistics. The most frequently reported included was (15 %). This primarily experienced choice rather than out necessity (84 preferring homebirths had fewer risk factors (-11 %, 95 CI: -5 -16 %) higher related worry scores (+0.09, 0.01 0.18; for scale: IQR 0.45-1.09) Main concerns absence support friends family after birth, exposure COVID-19. Netherlands, changing more worries pertaining

Language: Английский

Citations

0
Home birth in Iran during the COVID-19 pandemic: a qualitative study DOI
Mojdeh Rahmanian, Mohammad Saeed Mirzaee, Mohammad Malekzadeh

et al.

British Journal of Midwifery, Journal Year: 2025, Volume and Issue: 33(4), P. 200 - 207

Published: April 1, 2025

Background/Aims Various factors can influence a woman's decision on where to give birth, and the COVID-19 pandemic led reported increase in home births. This study aimed explore Iranian couples' experiences of birth at during pandemic. Methods qualitative gathered data from purposive sample six women four men via in-depth semi-structured interviews. Conventional content analysis was used. Results The main theme, ‘linking dread joy’, had two subthemes describing that influenced participants' experiences: subjective factors, such as faith, motivation curiosity, objective having an experienced midwife suitable equipment. Conclusions Home planning could be included safe guidelines for Iran. would need consider all aspects health (physical psychological) needs preferences with low-risk pregnancies. Implications practice It is recommended further efforts made examine status across

Language: Английский

Citations

0
Impact of the COVID-19 Pandemic on Births, Vaginal Deliveries, Cesarian Sections, and Maternal Mortality in a Brazilian Metropolitan Area: A Time-Series Cohort Study DOI Creative Commons

Dilson Palhares Ferreira,

Cláudia Vicari Bolognani, Levy Aniceto Santana

et al.

International Journal of Women s Health, Journal Year: 2023, Volume and Issue: Volume 15, P. 1693 - 1703

Published: Nov. 1, 2023

The COVID-19 pandemic posed a worldwide challenge, leading to radical changes in healthcare. primary objective of the study was assess impact on birth, vaginal delivery, and cesarian section (c-section) rates. secondary compare maternal mortality before after pandemic.Time-series cohort including data all women admitted for childbirth (vaginal delivery or c-section) at maternities Public Health System Federal District, Brazil, between March 2018 February 2022, using extracted from Hospital Information Brazilian Ministry (SIH/DATASUS) September 30, 2022. Causal analysis used evaluate c-section CausalImpact R package, propensity score matching effect rate Easy (EZR) software.There were 150,617 births, considering total not statistically significant (absolute per week: 5.5, 95% CI: -24.0-33.4). However, there an increase c-sections 18.1; 11.9-23.9). After matching, period associated with increased (OR: 3.22, 1.53-6.81). e-value adjusted OR association post-COVID-19 5.89, 2.43, suggesting that unmeasured confounders unlikely explain entirety effect.Our revealed rise during pandemic, possibly due disruptions care. These findings highlight implementing effective strategies protect health times crisis improve outcomes mothers newborns is crucial.

Language: Английский

Citations

4
Effect of COVID-19 lockdown on maternity care and maternal outcome in the Netherlands: a national quasi-experimental study DOI Creative Commons
Benjamin Gravesteijn, Nienke W. Boderie, Thomas van den Akker

et al.

Public Health, Journal Year: 2024, Volume and Issue: 235, P. 15 - 25

Published: July 20, 2024

The COVID-19 pandemic and associated lockdowns disrupted health care worldwide. High-income countries observed a decrease in preterm births during lockdowns, but maternal pregnancy-related outcomes were also likely affected. This study investigates the effect of first lockdown (March-June 2020) on provision maternity Netherlands.

Language: Английский

Citations

1
Newborn Screening in a Pandemic—Lessons Learned DOI Creative Commons
Matej Mlinarič, James R. Bonham, Viktor Kožich

et al.

International Journal of Neonatal Screening, Journal Year: 2023, Volume and Issue: 9(2), P. 21 - 21

Published: April 11, 2023

The COVID-19 pandemic affected many essential aspects of public health, including newborn screening programs (NBS). Centers reported missing cases inherited metabolic disease as a consequence decreased diagnostic process quality during the pandemic. A number problems emerged at start pandemic, but from beginning, solutions began to be proposed and implemented. Contingency plans were arranged, these are reviewed described in this article. Staff shortage an important issue, result, new work schedules had importance personal protective equipment social distancing also helped avoid disruption. became stressed, needed addressed. timeframe for collecting bloodspot samples was adapted some cases, requiring reference ranges modified. supplies evident, laboratories sharing resources situations. courier system make timely safe transport possible. Telemedicine tool enable communication with patients, parents, medical staff. Despite difficulties, adaptations modifications, centers evaluated candidate conditions, continued developments, or NBS. can regarded stress test NBS under real-world highlighting critical multidisciplinary need establishing local, national, global strategies improve its robustness reliability times overloaded national healthcare systems.

Language: Английский

Citations

3
Changes to Birth Plans Due to COVID‐19: A Survey of Utah Midwives and Doulas DOI
Jessica Ellis, Katie Ward,

Kellie Garrett

et al.

Journal of Midwifery & Women s Health, Journal Year: 2023, Volume and Issue: 68(3), P. 353 - 363

Published: April 19, 2023

Introduction This study seeks to understand the experiences of Utah midwives and doulas caring for patients during recent coronavirus disease 2019 (COVID‐19) pandemic. Specifically, goal was describe perceived impact on community birth system explore differences in access use personal protective equipment (PPE) between in‐ out‐of‐hospital births. Methods used a cross‐sectional, descriptive design. A 26‐item survey developed by research team sent via email workers, including nurse‐midwives, midwives, doulas. Quantitative data were collected December 2020 January 2021. Descriptive statistics analysis. Results Of 409 workers who link survey, 120 (30%) responded: 38 (32%) CNMs, 30 (25%) direct‐entry or 52 (43%) The majority (79%) reported changes clinical practice COVID‐19 Community (71%) responded indicated volume increased. Survey participants an increased patient preference home births (53%) center (43%). Among those with one more transfers hospital, 61% experienced change process. One participant that it took 43 minutes longer transfer hospital. poor regular source PPE. Discussion planned locations When necessary, hospitals be slower. having insufficient PPE limited knowledge about testing resources educating COVID‐19. adds important perspective existing literature indicating policymakers should include partners planning natural disasters future pandemics.

Language: Английский

Citations

3
Increasing trends in a low 5-min Apgar score among (near) term singletons: a Dutch nationwide cohort study DOI
Carline E. Tacke, Wes Onland,

P. C. A. M. Bakker

et al.

Journal of Perinatology, Journal Year: 2023, Volume and Issue: 44(2), P. 217 - 223

Published: Oct. 18, 2023

Language: Английский

Citations

2
Policies and Practices on Out-of-Hospital Birth: a Review of Qualitative Studies in the Time of Coronavirus DOI Open Access
Patrizia Quattrocchi

Current Sexual Health Reports, Journal Year: 2022, Volume and Issue: 15(1), P. 36 - 48

Published: Dec. 9, 2022

Language: Английский

Citations

3