The effect of the COVID‐19 pandemic on maternal health due to delay in seeking health care: Experience from a tertiary center
- 21 December 2020
- journal article
- research article
- Published by Wiley in International Journal of Gynecology & Obstetrics
- Vol. 152 (2), 231-235
- https://doi.org/10.1002/ijgo.13457
Abstract
Objective To assess the effects of the COVID‐19 pandemic on obstetric care and outcomes. Methods A prospective observational single‐center study was performed, including all antenatal and parturient women admitted from April to August 2020. Data were collected regarding number of admissions, deliveries, antenatal visits, reason for inaccessibility of health care, and complications during pregnancy, and compared with data from the pre‐COVID period of October 2019 to February 2020. Results There was a reduction of 45.1% in institutional deliveries (P<0.001), a percentage point increase of 7.2 in high‐risk pregnancy, and 2.5‐fold rise in admission to the intensive care unit of pregnant women during the pandemic. One‐third of women had inadequate antenatal visits. The main reason for delayed health‐seeking was lockdown and fear of contracting infection, resulting in 44.7% of pregnancies with complications. Thirty‐two symptomatic women who tested positive for COVID‐19 were managed at the center with good maternal and fetal outcomes. Conclusion Although COVID‐19 disease does not directly affect pregnancy outcomes, it has indirect adverse effects on maternal and child health. Emergency obstetric and antenatal care are essential services to be continued with awareness of people while maintaining social distancing and personal hygiene.Keywords
This publication has 10 references indexed in Scilit:
- Preparedness, administrative challenges for establishing obstetric services, and experience of delivering over 400 women at a tertiary care COVID‐19 hospital in IndiaInternational Journal of Gynecology & Obstetrics, 2020
- Pregnancy, Birth and the COVID-19 Pandemic in the United StatesMedical Anthropology, 2020
- Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling studyThe Lancet. Global Health, 2020
- Perinatal-Neonatal Management of COVID-19 Infection — Guidelines of the Federation of Obstetric and Gynaecological Societies of India (FOGSI), National Neonatology Forum of India (NNF), and Indian Academy of Pediatrics (IAP)Indian Pediatrics, 2020
- Utilization of non-Ebola health care services during Ebola outbreaks: a systematic review and meta-analysisPublished by International Society of Global Health ,2019
- Counting indirect crisis-related deaths in the context of a low-resilience health system: the case of maternal and neonatal health during the Ebola epidemic in Sierra LeoneHealth Policy and Planning, 2017
- The health impact of the 2014–15 Ebola outbreakPublic Health, 2016
- Impact of the Ebola outbreak on health systems and population health in Sierra LeoneJournal of Public Health, 2015
- The Impact of the SARS Epidemic on the Utilization of Medical Services: SARS and the Fear of SARSAmerican Journal of Public Health, 2004