Healthcare Provider Narratives of the Impacts of the COVID-19 Pandemic on Pregnant and Parenting Youth in Canada: A Qualitative Study DOI Open Access
Salima Meherali, Mariam Ahmad, Amyna Ismail Rehmani

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(11), С. 1419 - 1419

Опубликована: Окт. 26, 2024

The COVID-19 pandemic led to significant challenges for healthcare providers working with pregnant and parenting youth. However, the impacts of on this population services from perspective are not well documented in Canada. We examined narratives experiences regarding these explored service provision. Using a qualitative interpretative description (ID) approach, we recruited 25 health Alberta, Ontario, British Columbia individual interviews. Our analysis resulted three themes: complexities provision during COVID-19, providers’ accounts youth, leveraging into opportunities Participants described influence policies distancing measures accessibility services, availability resources personnel, well-being their clients. They also reported increased mental issues, isolation, exacerbation inequities within population. Providers highlighted role telemedicine ensuring some degree continuity care. Additionally, they commented adaptations address evolving needs findings underline need resilient adaptable system that can better support vulnerable populations crises.

Язык: Английский

Maternal and perinatal outcomes after implementation of a more active management in late- and postterm pregnancies in Sweden: A population-based cohort study DOI Creative Commons
Karin Källén, Mikael Norman, Charlotte Elvander

и другие.

PLoS Medicine, Год журнала: 2025, Номер 22(1), С. e1004504 - e1004504

Опубликована: Янв. 16, 2025

Background The risk of perinatal death and severe neonatal morbidity increases gradually after 41 weeks pregnancy. We evaluated maternal outcomes a national shift from expectancy induction at 42 +0 to more active management late-term pregnancies in Sweden offering or an individual plan aiming birth labour no later than weeks. Methods findings Women with singleton pregnancy lasting fetus cephalic presentation ( N = 150,370) were included nationwide, register-based cohort study. Elective cesarean sections excluded. Outcomes during period 1, January 2017 December 2019 (before the shift) versus 2, 2020 October 2023 (after analysed. For comparison, 39 40 +6 358,548) also studied. Primary were: First, peri/neonatal (stillbirth before 28 days); second, composite adverse outcome (peri/neonatal death, Apgar score <4 5 min, hypoxic ischemic encephalopathy grades 1–3, meconium aspiration syndrome, trauma, admission intensive care unit (NICU) ≥4 third, excluding NICU; fourth, emergency section. Secondary components primary outcomes. Relative risks (RRs) 95% confidence intervals (CIs) for binary 2 1 computed using modified Poisson regression analyses adjustments age, parity, body mass index (BMI), smoking, educational level. Induction rates among increased 33.7% 52.4% 2. Mean (standard deviation) gestational age decreased 290.7 (2.9) days 289.6 (2.3) days. Infants born lower compared infants 1; 0.9/1,000 1.7/1,000 (adjusted RR 0.52; CI [0.38, 0.69]; p < 0.001), they had having outcome, both including (50.5/1,000 53.9/1,000, adjusted 0.92; [0.88, 0.96]; 0.001) NICU (18.5/1,000 22.5/1,000, 0.79; [0.74, 0.85]; 0.001). section rate 10.5% 11.9% 1.07; [1.04, 1.10]; births was 0.86 (95% [0.72, 1.02]). One limitation study is that we data on what extent monitoring fetal health performed. Conclusions A associated decrease deaths, Increased observed. advancing towards should be given balanced information benefits expectant until offered surveillance order mortality.

Язык: Английский

Процитировано

0

Impacts of COVID-19 on mothers’ and newborns’ health outcomes in regional Canada: A cross-sectional analysis DOI Creative Commons
Stefan Kurbatfinski, Aliyah Dosani,

Carlos Fajardo

и другие.

Heliyon, Год журнала: 2024, Номер 10(14), С. e34165 - e34165

Опубликована: Июль 1, 2024

BackgroundCOVID-19 infection and pandemic-related stressors (e.g., socioeconomic challenges, isolation) resulted in significant concerns for the health of mothers their newborns during perinatal period. Therefore, primary objective this study was to compare outcomes pregnant one year prior into pandemic period Alberta, Canada. Secondary objectives included investigating: 1) predictors admission neonatal intensive care units (NICU) NICU-admitted newborn between two time periods; 2) hospital utilization 3) following with COVID-19.MethodsThis analytical cross-sectional used a large administrative dataset (n = 32,107) obtained from provincial regional hospitals homebirths Canada, April 15, 2019, 14, 2021. Descriptive statistics characterized samples. Chi-squares two-sample t-tests statistically compared Multivariable logistic regression identified predictor variables.ResultsGeneral characteristics, pregnancy labor complications, infant were similar periods. Preterm birth low birthweight predicted NICU admission. During pandemic, prevalence visits rehospitalization after discharge decreased all infants neonates. The odds revisits higher among COVID-19 at birth.ConclusionsMost findings are contextualized on (rather than infection) briefly other countries. Hospitals Alberta appeared adapt well since conditions comparable periods or few observable impacts. Further investigation is required determine causal reasons changes greater pandemic-born infants.

Язык: Английский

Процитировано

1

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

и другие.

Public Health, Год журнала: 2024, Номер 235, С. 15 - 25

Опубликована: Июль 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.

Язык: Английский

Процитировано

1

Healthcare Provider Narratives of the Impacts of the COVID-19 Pandemic on Pregnant and Parenting Youth in Canada: A Qualitative Study DOI Open Access
Salima Meherali, Mariam Ahmad, Amyna Ismail Rehmani

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(11), С. 1419 - 1419

Опубликована: Окт. 26, 2024

The COVID-19 pandemic led to significant challenges for healthcare providers working with pregnant and parenting youth. However, the impacts of on this population services from perspective are not well documented in Canada. We examined narratives experiences regarding these explored service provision. Using a qualitative interpretative description (ID) approach, we recruited 25 health Alberta, Ontario, British Columbia individual interviews. Our analysis resulted three themes: complexities provision during COVID-19, providers’ accounts youth, leveraging into opportunities Participants described influence policies distancing measures accessibility services, availability resources personnel, well-being their clients. They also reported increased mental issues, isolation, exacerbation inequities within population. Providers highlighted role telemedicine ensuring some degree continuity care. Additionally, they commented adaptations address evolving needs findings underline need resilient adaptable system that can better support vulnerable populations crises.

Язык: Английский

Процитировано

0