The effects of Coronavirus disease-2019 (COVID-19) pandemic on routine antenatal care visits and complications of pregnancy
*Abortion, Spontaneous/epidemiology *covid-19 Cross-Sectional Studies Female Humans Infant, Newborn Pandemics Pregnancy *Pregnancy Complications/epidemiology Prenatal Care Retrospective Studies SARS-CoV-2
; 2021(Rev Assoc Med Bras (1992))
Article
in English
| Jun | ID: covidwho-1496631
ABSTRACT
OBJECTIVE:
Routine follow-up of pregnancy is a comprehensive care process starting from planning of pregnancy that involves rational and careful use of medical, psychological, and social support. In this study, our objective was to compare the adherence rate to routine antenatal follow-up program during the COVID-19 pandemic with that of previous years among pregnant women, in an effort to shed light on health policies to be developed similar events in the future.METHODS:
This retrospective cross-sectional study was carried out between March 11, 2019, when isolation measures were initiated in the context of precautionary steps taken in Turkey against the COVID-19 pandemic, and June 1, 2020, when the "normalization" was initiated.RESULTS:
During the study period in 2020, the proportion of cesarean sections were higher, 61.1%, as compared to previous years (p=0.27). The stillbirths were numerically lower (1.2%, p=0.77), but the rate of spontaneous abortions was significantly higher (19.6%, p=0.009). The number of follow-up visits per pregnancy was lower than in previous years (3.8, p=0.02), although the proportion of patients visiting the outpatient units for regular controls to the overall patient group increased as compared to previous years (52.0%).CONCLUSION:
During the flare-up of the COVID-19 pandemic (i.e. between March and June 2020), the rate of obstetric/neonatal morbidity and mortality except spontaneous abortion was not significantly higher as compared to the corresponding period in previous years. However, considering the potential increase in the risk of obstetric complications during a pandemic, specialized management programs targeting basic pregnancy follow-up services should be developed.
Full text:
Available
Collection:
Databases of international organizations
Database:
Jun
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Language:
English
Journal:
Epidemiology *covid-19 Cross-Sectional Studies Female Humans Infant, Newborn Pandemics Pregnancy *Pregnancy Complications
Document Type:
Article
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