Changes in prenatal care and vaccine willingness among pregnant women during the COVID-19 pandemic DOI Creative Commons
Daniel J. Erchick, Smisha Agarwal, Alexander Kaysin

и другие.

BMC Pregnancy and Childbirth, Год журнала: 2022, Номер 22(1)

Опубликована: Июль 13, 2022

Abstract Introduction Concerns about SARS-CoV-2 infection risk in health care settings have resulted changes prenatal and birth plans, such as shifts to in-person visits increased Cesarean delivery. These may affect quality of limit opportunities for clinicians counsel pregnant individuals, who are at higher severe COVID-19 disease adverse pregnancy outcomes, prevention vaccination. Methods We conducted a cross-sectional online survey United States adults on care, vaccine willingness, reasons unwillingness receive vaccine. summarized access examined differences willingness between propensity-score matched non-pregnant controls using chi-squared tests multivariable conditional logistic regression. Results Between December 15–23, 2020, 8481 participants completed the survey, which 233 were pregnant. Three-quarters women ( n = 186) experienced change including format 84, 35%) reduced 69, 24%). Two-thirds from hospital home 45, 18%) or vaginal delivery 42, 17%). Although 40% 78) unwilling vaccination, they had higher, though non-significant, odds reporting vaccination compared similar (aOR 1.38, 95% CI: 0.95, 2.00). Conclusion To support through perinatal continuum, maternity teams should develop protocols foster social support, patient-centered education around that focuses improved perception, expected due COVID-19, effectiveness safety.

Язык: Английский

Placental histopathology after SARS-CoV-2 infection in pregnancy: a systematic review and meta-analysis DOI Open Access
Raffaella Di Girolamo, Asma Khalil, Sara Alameddine

и другие.

American Journal of Obstetrics & Gynecology MFM, Год журнала: 2021, Номер 3(6), С. 100468 - 100468

Опубликована: Авг. 21, 2021

Язык: Английский

Процитировано

148
Placental lesions and SARS-Cov-2 infection: Diffuse placenta damage associated to poor fetal outcome DOI Creative Commons
Amine Bouachba, Fabienne Allias,

Béatrice Nadaud

и другие.

Placenta, Год журнала: 2021, Номер 112, С. 97 - 104

Опубликована: Июль 15, 2021

Язык: Английский

Процитировано

74
Women perception of SARS-CoV-2 vaccination during pregnancy and subsequent maternal anxiety: a prospective observational study DOI
Ilenia Mappa, Maria Luviso, Flavia Adalgisa Distefano

и другие.

The Journal of Maternal-Fetal & Neonatal Medicine, Год журнала: 2021, Номер 35(25), С. 6302 - 6305

Опубликована: Апрель 11, 2021

The use of Coronavirus 2 (SARS-CoV-2) vaccine in pregnant women is controversial and still not performed Italy. Our objective was to evaluate the propensity a population Italian receive its psychological impact.

Язык: Английский

Процитировано

60
COVID‐19 vaccine and pregnancy outcomes: A systematic review and meta‐analysis DOI
Luigi Carbone,

Maria Giuseppina Trinchillo,

Raffaella Di Girolamo

и другие.

International Journal of Gynecology & Obstetrics, Год журнала: 2022, Номер 159(3), С. 651 - 661

Опубликована: Июль 10, 2022

Язык: Английский

Процитировано

36
Worldwide beliefs among pregnant women on SARS-CoV-2 vaccine: a systematic review DOI Open Access
Luigi Carbone, Raffaella Di Girolamo, Ilenia Mappa

и другие.

European Journal of Obstetrics & Gynecology and Reproductive Biology, Год журнала: 2021, Номер 268, С. 144 - 164

Опубликована: Дек. 7, 2021

Язык: Английский

Процитировано

38
COVID-19, Pre-Eclampsia, and Complement System DOI Creative Commons
Chiara Agostinis, Alessandro Mangogna, Andrea Balduit

и другие.

Frontiers in Immunology, Год журнала: 2021, Номер 12

Опубликована: Ноя. 17, 2021

COVID-19 is characterized by virus-induced injury leading to multi-organ failure, together with inflammatory reaction, endothelial cell (EC) injury, and prothrombotic coagulopathy thrombotic events. Complement system (C) via its cross-talk the contact coagulation systems contributes significantly severity pathological consequences due SARS-CoV-2 infection. These immunopathological mechanisms overlap in pre-eclampsia (PE). Thus, mothers contracting infection during pregnancy are more vulnerable developing PE. of ECs, receptor ACE2 co-receptor TMPRSS2, can provoke dysfunction disruption vascular integrity, causing hyperinflammation hypercoagulability. This aggravated bradykinin increase inhibition activity virus. C important for progression normal pregnancy, dysregulation impact form PE-like syndrome as a consequence there also an between treatment regimens inhibitors, especially those targeting C3 or MASP-2, exciting options treating consequent In this review, we examine role C, well hyperactivation respect likely development

Язык: Английский

Процитировано

29
Systematic review and critical evaluation of quality of clinical practice guidelines on the management of SARS-CoV-2 infection in pregnancy DOI
Raffaella Di Girolamo, Asma Khalil, Giuseppe Rizzo

и другие.

American Journal of Obstetrics & Gynecology MFM, Год журнала: 2022, Номер 4(5), С. 100654 - 100654

Опубликована: Май 2, 2022

Язык: Английский

Процитировано

17
A comparative cross-sectional study of the impact of COVID-19 pandemic on obstetrics and gynecology admissions in Croatia DOI Creative Commons
Karolina Kalanj, Mislav Mikuš, Mirta Peček

и другие.

Frontiers in Medicine, Год журнала: 2025, Номер 12

Опубликована: Фев. 14, 2025

Background The COVID-19 pandemic placed unprecedented pressure on healthcare systems worldwide and altered patients' perceptions of the system's ability to protect them from virus transmission. One significant consequence was a marked decline in hospital activity, trend observed globally. This study aims evaluate impact hospitalization rates among patients with gynecological disorders Croatia. It compares number treated surgically vs. conservatively before (2017–2019) during (2020–2022) using Diagnostic-Related Group (DRG) patient classification system. DRG system is designed group based similar clinical conditions, complexity, resource utilization. Hospital activity categorized by DRGs analyzed assess case volumes within groups associated obstetric disorders. Materials methods We conducted comparative descriptive cross sectional pre-post type according STROBE guidelines determine admission for conditions illnesses abnormalities female reproductive system, as well pregnancy, delivery, puerperium. publicly available data collected Croatian Institute Public Health (CIPH) Insurance Fund (CHIF) were main source this study. All admissions Croatia grouped Australian Refined Diagnosis Related Groups (AR-DRGs) over two time periods: (2020–2022). Results average all hospitals 62,257 compared pre-pandemic when 71,519, decrease 15.5%. results show 10.56% total non-surgical 12.8% surgical across network Conclusion led inpatient treatments gynecology obstetrics departments Our findings highlight need practitioners develop innovative strategies maintain or enhance access appropriate care while ensuring stringent infection prevention measures both personnel. Furthermore, investing resilience crucial maintaining core functions future crises. lessons learned provide valuable opportunity fortify must not be ignored.

Язык: Английский

Процитировано

0
Assessing SARS-CoV-2 Vertical Transmission and Neonatal Complications DOI Open Access
Cosmin Cîtu, Radu Neamtu,

Virgiliu-Bogdan Șorop

и другие.

Journal of Clinical Medicine, Год журнала: 2021, Номер 10(22), С. 5253 - 5253

Опубликована: Ноя. 11, 2021

We designed and implemented a prospective study to analyze the maternal neonatal outcomes associated with COVID-19 determine likelihood of viral transmission fetus newborn by collecting samples from amniotic fluid, placenta, umbilical cord blood, breast milk. The followed observational design, starting in July 2020 lasting for one year. A total 889 pregnant women were routinely tested SARS-CoV-2 infection an outpatient setting at our clinic, using nasal swabs PCR testing. 76 diagnosed COVID-19. positive patients who accepted enrollment systematically analyzed weekly nasal, urine, fecal, serum samples, including cord, milk hospital admission postpartum. Mothers significantly higher risk developing gestational hypertension giving birth prematurely c-section than general population. Moreover, their mortality rates substantially higher. Their newborns did not have negative outcomes, except prematurity, insignificant number infected (5.4%). No fluid SARS-CoV-2, only 1.01% tests confirmed positive. Based on these results, we support idea that do expose infants additional via breastfeeding, close contact, or in-utero. Consequently, maternal-newborn separation delivery since they seem be increased infection.

Язык: Английский

Процитировано

21
Overview of Breastfeeding Under COVID-19 Pandemic DOI Creative Commons
Zehan Pang, Ruolan Hu, Lili Tian

и другие.

Frontiers in Immunology, Год журнала: 2022, Номер 13

Опубликована: Май 31, 2022

During the global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome 2 (SARS-CoV-2), pregnant and lactating women are at higher risk infection. The potential viral intrauterine transmission vertical breastfeeding has raised wide concerns. Breastmilk is rich in nutrients that contribute to infant growth development, reduce incidence rate illness death, as well inhibit pathogens significantly, protect infants from Although it controversial whether mothers infected with COVID-19 should continue breastfeed, many countries international organizations have provided recommendations guidance for breastfeeding. This review presents risks benefits COVID-19, reasons absence SARS-CoV-2 active virus human milk. In addition, antiviral mechanisms breastmilk, levels specific antibodies breastmilk vaccinated also summarized discussed, aiming provide some support both better deal pandemic.

Язык: Английский

Процитировано

15