Ultrasound in Obstetrics and Gynecology,
Год журнала:
2022,
Номер
60(1), С. 96 - 102
Опубликована: Апрель 20, 2022
There
is
little
evidence
related
to
the
effects
of
Omicron
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
variant
on
pregnancy
outcomes,
particularly
in
unvaccinated
women.
This
study
aimed
compare
outcomes
women
infected
with
SARS-CoV-2
during
pre-Delta,
Delta
and
waves.
Nature Medicine,
Год журнала:
2022,
Номер
28(6), С. 1314 - 1324
Опубликована: Март 14, 2022
Abstract
Declines
in
health
service
use
during
the
Coronavirus
Disease
2019
(COVID-19)
pandemic
could
have
important
effects
on
population
health.
In
this
study,
we
used
an
interrupted
time
series
design
to
assess
immediate
effect
of
31
services
two
low-income
(Ethiopia
and
Haiti),
six
middle-income
(Ghana,
Lao
People’s
Democratic
Republic,
Mexico,
Nepal,
South
Africa
Thailand)
high-income
(Chile
Korea)
countries.
Despite
efforts
maintain
services,
disruptions
varying
magnitude
duration
were
found
every
country,
with
no
clear
patterns
by
country
income
group
or
intensity.
Disruptions
often
preceded
COVID-19
waves.
Cancer
screenings,
TB
screening
detection
HIV
testing
most
affected
(26–96%
declines).
Total
outpatient
visits
declined
9–40%
at
national
levels
remained
lower
than
predicted
end
2020.
Maternal
disrupted
approximately
half
countries,
declines
ranging
from
5%
33%.
Child
vaccinations
for
shorter
periods,
but
estimate
that
catch-up
campaigns
might
not
reached
all
children
missed.
By
contrast,
provision
antiretrovirals
was
affected.
2020,
substantial
Preliminary
data
2021
indicate
likely
persisted.
Although
a
portion
observed
result
decreased
needs
lockdowns
(from
fewer
infectious
illnesses
injuries),
larger
share
reflects
shortfall
system
resilience.
Countries
must
plan
compensate
missed
healthcare
current
invest
strategies
better
resilience
future
emergencies.
The Lancet,
Год журнала:
2022,
Номер
399(10344), С. 2381 - 2397
Опубликована: Март 3, 2022
Gender
is
emerging
as
a
significant
factor
in
the
social,
economic,
and
health
effects
of
COVID-19.
However,
most
existing
studies
have
focused
on
its
direct
impact
health.
Here,
we
aimed
to
explore
indirect
COVID-19
gender
disparities
globally.
BMJ Global Health,
Год журнала:
2021,
Номер
6(9), С. e006204 - e006204
Опубликована: Сен. 1, 2021
The
COVID-19
pandemic
has
disrupted
health
systems
around
the
world.
objectives
of
this
study
are
to
estimate
overall
effect
on
essential
service
use
and
outcomes
in
Mexico,
describe
observed
predicted
trends
services
over
24
months,
number
visits
lost
through
December
2020.
Abstract
Background
During
the
COVID-19
pandemic,
reductions
in
healthcare
utilization
are
reported
different
contexts.
Nevertheless,
studies
have
not
explored
specifically
gender
disparities
access
to
context
of
COVID-19.
Methods
To
evaluate
medical
Chile
we
conducted
an
interrupted
time
series
analysis
using
segmented
regression.
The
outcome
variable
was
number
weekly
confirmed
cases
a
set
oncologic
and
cardiovascular
time-sensitive
conditions
at
national
level.
contained
data
from
weeks
1
39
for
2017
2020.
intervention
period
started
week
12.
We
selected
this
because
preventive
interventions,
such
as
school
closures
or
teleworking,
were
implemented
point.
estimated
level
effect
dummy
indicating
slope
continuous
12
39.
test
heterogeneity
by
age
group,
stratified
analysis.
Results
observed
sizable
reduction
care
with
slowly
recovery
(level
0.323;
95%
CI
0.291–0.359;
1.022;
1.016–1.028)
diseases
0.586;
0.564–0.609;
1.009;
1.007–1.011).
Greater
occurred
women
compared
men,
particularly
marked
on
myocardial
infarction
0.595;
0.566–0.627
versus
0.532;
0.502–0.564)
colorectal
cancer
0.295;
0.248–0.35
0.19;
0.159–0.228).
Compared
greater
absolute
diseases,
excluding
sex-specific
cancer,
(1352;
743–1961)
(1268;
946–1590).
Conclusion
large
drop
new
diagnoses
during
pandemic
Chile.
This
women.
Our
findings
should
alert
policy-makers
about
urgent
need
integrate
perspective
into
response.
BJOG An International Journal of Obstetrics & Gynaecology,
Год журнала:
2021,
Номер
129(4), С. 550 - 561
Опубликована: Авг. 29, 2021
To
assess
national
and
regional
trends
causes-specific
distribution
of
maternal
mortality
in
India.Nationally
representative
cross-sectional
surveys.All
India
from
1997
to
2020.About
10
000
deaths
among
4.3
million
live
births
over
two
decades.We
analysed
the
ratio
(MMR)
through
2020,
estimated
absolute
examined
causes
death
using
nationally
data
sources.
We
partitioned
female
(aged
15-49
years)
birth
totals,
based
on
2001-2014
Million
Death
Study
United
Nations
(UN)
demographic
totals
for
country.Maternal
burden
causes.The
MMR
declined
by
about
70%
398/100
(95%
CI
378-417)
1997-98
99/100
(90-108)
2020.
About
1.30
1.26-1.35
million)
occurred
between
with
23
800
21
700-26
000)
most
occurring
poorer
states
(63%)
women
aged
20-29
years
(58%).
The
MMRs
Assam
(215),
Uttar
Pradesh/Uttarakhand
(192)
Madhya
Pradesh/Chhattisgarh
(170)
were
highest,
surpassing
India's
2016-2018
estimate
113
103-123).
After
adjustment
education
other
variables,
risks
highest
rural
tribal
areas
north-eastern
northern
states.
leading
obstetric
haemorrhage
(47%;
higher
states),
pregnancy-related
infection
(12%)
hypertensive
disorders
pregnancy
(7%).India
could
achieve
UN
2030
goals
if
average
rate
reduction
is
maintained.
However,
without
further
intervention,
will
not.We
that
1.3
Indian
died
last
decades.
Although
rates
have
fallen
overall,
lag
behind.