Coping Strategies and Health-Related Quality of Life in Pregnant Women with SARS-CoV-2 Infection

Medicina, Journal Year: 2021, Volume and Issue: 57(10), P. 1113 - 1113

Published: Oct. 16, 2021

Background and Objectives: As maternal deaths associated with the SARS-CoV-2 infection remain at several times greater than general population, significant factors that might contribute to higher mortality morbidity rate are psychological impact of disease pregnancy itself. Therefore, current study's main objective was assess how pregnant women react cope stress COVID-19 it influences their overall health quality life in healthcare facilities. Materials Methods: In this cross-sectional study, we included 304 who successfully completed standardized forms our topics interest, comprising Hospital Anxiety Depression Scale, Short Form Health Survey-12, Coping Orientation Problems Experienced Inventory scale, CORE-Outcome Measure Questionnaire, Quality from Patient's Perspective questionnaire. Results: Unemployed, living poverty rural areas had rates during pregnancy. They faced anxiety levels depression rates, increased physical burden exhaustion. However, these findings not influenced by hospital care since remained unchanged among non-COVID-19 maternity units, excepting significantly lower technical competence scores Conclusions: pandemic's consequences emerge additional outbreaks occur, must prioritize experienced have contracted COVID-19, as well psychological, emotional, mental support.

Language: Английский

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Development of placental lesions after recovery from COVID‐19 during pregnancy: case–control study

BJOG An International Journal of Obstetrics & Gynaecology, Journal Year: 2023, Volume and Issue: 130(8), P. 949 - 958

Published: April 2, 2023

To study whether the occurrence and type of placental lesions vary according to time onset COVID-19 in pregnant women.Case-control study.Departments Gynaecology-Obstetrics Pathology, Strasbourg University Hospital, France.Cases were 49 placentas women with COVID-19. Controls 50 from who had a past history molar pregnancy. categorised based on birth occurred at more or less than 14 days post-infection.Comparison between case controls.Maternal neonatal outcomes recorded. Macroscopic microscopic examination was performed.The rate vascular complications higher COVID groups controls (8 [16.3%] versus 1 [2%], p = 0.02). Signs fetal (22[44.9%] 13 [26%], 0.05) maternal (44 [89.8%] 36 [72.0%], 0.02) malperfusion signs inflammation (11 [22.4%] 3 [6.0%], 0.019) significantly common control group. Fetal (9 [39.1%] [50.0%], 0.45) (4 [17.4%] 7 [26.9%], 0.42) rates not different two groups. Chronic villitis when delivery >14 after infection group that delivered <14 (7 [26.9%] [4.4%], 0.05).Our suggests SARS-COV-2 induces evolve disease recovery, especially development inflammatory lesions, such as chronic villitis.

Language: Английский

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Evolution of National Guidelines on Medicines Used to Treat COVID-19 in Pregnancy in 2020–2022: A Scoping Review

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(13), P. 4519 - 4519

Published: July 6, 2023

The lack of inclusion pregnant women in clinical trials evaluating the effectiveness medicines to treat COVID-19 has made it difficult establish evidence-based treatment guidelines for women. Our aim was provide a review evolution and updates national on used with published by obstetrician gynecologists’ societies thirteen countries 2020–2022. Based results RECOVERY (Randomized Evaluation Therapy) trial, successively recommended against prescribing hydroxychloroquine, lopinavir–ritonavir azithromycin. Guidelines remdesivir differed completely between countries, from compassionate or conditional use recommendation against. Nirmatrelvir–ritonavir authorized Australia UK only research settings no longer at end 2022. After initial reluctance corticosteroids, trial have enabled dexamethasone case severe since mid-2020. Some tocilizumab patients hypoxia systemic inflammation June 2021. Anti-SARS-CoV-2 monoclonal antibodies were 2021 some then Belgium USA gradual convergence recommendations, although delayed compared general population, highlights importance international collaboration improve pharmacological COVID-19.

Language: Английский

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Protecting Breastfeeding during the COVID-19 Pandemic: A Scoping Review of Perinatal Care Recommendations in the Context of Maternal and Child Well-Being

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(6), P. 3347 - 3347

Published: March 11, 2022

The objective of this scoping review is to determine what extent the recommendations on perinatal care protect breastfeeding during COVID-19 pandemic. follows PRISMA ScR Extension guidelines. research was conducted in Scopus, Medline via Pubmed, and Web Science databases from 1 March 2020 31 May 2021, using 392 combinations keywords. We searched for reviews original papers published English providing delivery mode, companion labor, possibility skin-to-skin contact (SSC), breastfeeding, visitors policy. After screening, 86 out 8416 publications qualified data extraction. majority them indicated that infection not a sufficient reason cesarean section; however, national level, births severely ill patients were overrepresented. A significant number deprived mothers necessary support their labor stay maternity ward. shared decision-making model hardly visible. Only earliest suspended direct breastfeeding; later publications, decisions related mother’s health, but other options natural feeding rarely discussed.

Language: Английский

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Mother’s Loneliness: Involuntary Separation of Pregnant Women in Maternity Care Settings and Its Effects on the Experience of Mothers during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(9), P. 5081 - 5081

Published: April 21, 2022

The aim of the study was to investigate challenges involuntary separation experienced by women during pregnancy and childbirth in time COVID-19 pandemic. conducted means a self-administered questionnaire. One thousand eleven (1011) from Poland took part study, with an average age approximately 30 years. approved Research Ethics Committee Warmia Mazury University Olsztyn, Poland. results show that majority surveyed their partners childbirth: 66.27% had no choice but give birth alone 84.37% not been able attend medical appointments partners. Solitary encounters healthcare were associated feeling fear (36.4%), anger (41%), sense injustice (52.2%), acute sadness (36.6%) loss (42.6%), all reported levels higher younger women. Over 74% respondents afraid without partner present. Almost 70% felt depressed because lonely delivery experience. Nearly quarter mothers declared if they could go back time, would have made decision become pregnant Based on our we found adjustments prenatal neonatal care arrangements under COVID-19-related regimens are needed. Our proposal is implement at least three fundamental actions: (1) risk calculations for pandemic-related cautionary measures should take into account benefits accompanied births, which be restored maintained plausible; (2) personnel pre-trained recognise respond needs patients as crisis preparedness. If situation does allow patient stay her family important moments maternity care, other forms contact, including new technologies, used; (3) psychological consultation available These solutions included plan women, taking risk-benefit assessment.

Language: Английский

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Did we observe changes in obstetric interventions in SARS-CoV-2 infected pregnant women at the beginning of COVID-pandemic in Belgium? Results of a nationwide population-based study.

European Journal of Obstetrics & Gynecology and Reproductive Biology X, Journal Year: 2024, Volume and Issue: 23, P. 100328 - 100328

Published: July 26, 2024

Pregnant women are more vulnerable to the severe effects of COVID-19 compared their non-pregnant peers. Early in pandemic, there was a rise cesarean deliveries and preterm births among infected pregnant women. This study aims evaluate whether were any changes obstetric interventions during first two waves pandemic Belgium.

Language: Английский

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Impact of COVID-19 on Maternal Health Service Uptake and Perinatal Outcomes in Sub-Saharan Africa: A Systematic Review

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(9), P. 1188 - 1188

Published: Sept. 6, 2024

Coronavirus 2019 (COVID-19) is a major global public health threat that has impeded infrastructures in low- and middle-income countries. This systematic review examines the impact of COVID-19 on maternal service uptake perinatal outcomes Sub-Saharan Africa. We searched four databases August 2020 updated search 22 December 2023: PubMed/MEDLINE, CINAHL, Maternity Infant Care, EMBASE. Data extraction was performed using standardised Joana Briggs Institute data format for eligibility articles, any discrepancies were solved through discussion consensus. includes 36 studies met inclusion criteria. Antenatal care attendance institutional childbirth significantly decreased during pandemic, home births increased. Fear contracting virus, lack transport, shortage logistic supplies, personal protective equipment, lockdown policies, economic food security, stigmatisation sick persons, long waiting times hospital, system weakness barriers to accessing maternity care. The findings this showed significant decrease antenatal birth pandemic. Based our findings, we recommend stakeholders ensure availability essential medical supplies hospital.

Language: Английский

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The effect of national antenatal care guidelines and provider training on obstetric danger sign counselling: a propensity score matching analysis of the 2014 Ethiopia service provision assessment plus survey

Reproductive Health, Journal Year: 2022, Volume and Issue: 19(1)

Published: June 6, 2022

Most pregnant women in low and lower-middle-income countries do not receive all components of antenatal care (ANC), including counselling on obstetric danger signs. Facility-level ANC guidelines provider in-service training are major factors influencing counselling. In Ethiopia, little is known about the extent to which can increase quality counselling.We examined effect national sign for receiving using 2014 Ethiopian service provision assessment plus (ESPA +) survey data. We created two analysis samples by applying a propensity score matching method. The first sample consisted who received at health facilities with matched those without guidelines. second from providers had undertaken last 24 months untrained providers. outcome variable was number signs described during counselling, ranging zero eight. covariates included women's socio-demographic characteristics, history, facility characteristics.We found that their session varied according availability (61% 70%) (62% 68%). After study participants measured covariates, level significantly increased average 24% (95% CI: 12-35%). Similarly, providing refresher 37% 26-48%).The findings suggest Ethiopia needs strengthening ensuring available every regular related training.Maternal death preventable pregnancy-related complications remains global challenge. 2017, there were 295,000 maternal deaths worldwide, two-thirds these Sub-Saharan Africa. African country 401 per 100,000 live births this rate higher than target indicated sustainable development goals. due could have been averted through early detection treatment. Providing enhances women’s awareness encourages seek treatment skilled provider. However, most low-income settings, improve what present used data estimated involved method 1725 women. 37%, respectively. finding suggests improving each clinic

Language: Английский

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Managing Labour in Women with COVID-19

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(12), P. 3980 - 3980

Published: June 12, 2023

Since first reported in December 2019 Wuhan, China, COVID-19 caused by Severe Acute Respiratory Syndrome (SARS) Corona virus2 (SARS CoV-2) quickly spread to become a pandemic that has significant morbidity and mortality. The rapidity of the virus high mortality at outset threatened overwhelm health systems worldwide, and, indeed, this significantly impacted maternal health, especially since there was minimal experience draw from. Experience with Covid 19 grown exponentially as unique needs pregnant labouring women infection have more evident. Managing parturients requires multidisciplinary team consisting anaesthesiologists, obstetricians, neonatologists, nursing staff, critical care infectious disease control experts. There should be clear policy on triaging patients depending severity their condition stage labour. Those risk respiratory failure managed tertiary referral centre facilities for intensive assisted respiration. Staff delivery suites operating rooms protected enforcing protection principles such offering dedicated theatres SARS CoV-2 positive using personal protective equipment. All hospital staff must trained measures which updated regularly. Breastfeeding new-born part healthcare package offered parturient mothers.

Language: Английский

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Knowledge and Expectations of Perinatal Care Among Pregnant Women During the COVID-19 Pandemic

Frontiers in Global Women s Health, Journal Year: 2022, Volume and Issue: 3

Published: July 14, 2022

This study aimed to investigate the knowledge and expectations of pregnant women on perinatal care during coronavirus disease 2019 (COVID-19) pandemic.

Language: Английский

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