ABSTRACT
BACKGROUND: during the COVID-19 pandemic, psychological burden increased. Contact restrictions were predominantly stressful for families. Parenthood was reported to be especially challenging for parents of preterm children. MATERIAL AND METHODS: a cross-sectional online-based survey on the psychological burden of parents of preterm and full-term born infants and toddlers during the second lockdown of the COVID-19 pandemic in Germany was offered by social media, webpages, etc. Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-2 (PHQ-2), COVID-19 Anxiety (C-19-A), COVID-19-related child protection behavior (PB) were used. RESULTS: 2742 parents-predominantly females-took part in the study, 2025 parents of full-term and 717 parents of preterm born children. Female caregivers of full-term children reported significantly more depression symptoms than those of preterm children during the second lockdown of the COVID-19 pandemic. The PB correlated with increased COVID-19 anxiety as well as with increased generalized anxiety and depression symptoms. Female caregivers of preterm children showed significantly more protection behavior than those of full-term born children.
ABSTRACT
BACKGROUND: Substantial progress in perinatal care has decreased mortality of very preterm infants over the past decades, however long-term morbidity is still concerning. Social medical aftercare (SMA) is the interdisciplinary support of families to reduce the length of hospital stay, ensure treatment success, and avoid rehospitalisation. The directive of the German Federal Joined Committee (G-BA) requires in its quality control guidelines for perinatal centres level I (international level III equivalent) and II mandatory transition of infants to SMA. AIM: The purpose of this study was to investigate the effects of this directive on SMA services. METHODS: All SMA services were asked to complete an online survey for analysis. Numbers of patients reported online were compared with data of the effective reporting of the SMA head organization and the Institute for Quality Assurance and Transparency in Healthcare. RESULTS: 53 (52.4%) data sets from 9 federal states were analysed. 56.6% described effects in their work. 24.5% (n=13) reported the opening of new services, 17% (n=9) hired new personnel, and 18.9% (n=10) provided more services to patients. The number of cases in 2017 shows a supply rate of 24%. CONCLUSION: More than half of SMA services report effects in their work. However, statistically significant changes in the number of preterm patients in care between 2016 and 2017 were not found. In order to achieve complete realisation of the G-BA directive, a nationwide provision of this service and sufficient financing are necessary.
