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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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121 - 135 of 433
Safety of SARS-CoV-2 vaccination during pregnancy- obstetric outcomes from a large cohort study

AUTHOR(S)
Aharon Dick; Joshua I. Rosenbloom; Einat Gutman-Ido (et al.)

Published: February 2022   Journal: BMC Pregnancy and Childbirth

COVID-19 during pregnancy is associated with adverse outcomes for mother and fetus. SARS-CoV-2 vaccination has significantly reduced the risk of symptomatic disease. Several small studies have reported the safety of SARS-CoV-2 vaccination during pregnancy, with no adverse effect on obstetric outcomes. To examine the association between SARS-CoV-2 vaccination during pregnancy and maternal and neonatal outcomes in a large cohort study. Furthermore, to evaluate if timing of vaccination during pregnancy is related to adverse outcomes.

Indonesian midwives’ perspectives on changes in the provision of maternity care during the COVID-19 pandemic: a qualitative study

AUTHOR(S)
Alya Hazfiarini; Rana Islamiah Zahroh; Shahinoor Akter (et al.)

Published: February 2022   Journal: Midwifery

To explore how COVID-19 influenced the provision of high-quality maternity care in Indonesia. A qualitative descriptive study using in-depth interviews was undertaken. Thematic analysis was used to analyse data, and behaviour change frameworks (Theoretical Domain Framework (TDF) and Capability, Opportunity, and Motivation (COM-B)) were used to identify and map facilitators and barriers influencing maternity care provision during the COVID-19 pandemic.

Association between early initiation of breastfeeding and reduced risk of respiratory infection: implications for nonseparation of infant and mother in the COVID-19 context

AUTHOR(S)
Bindi Borg; Karleen Gribble; Karan Courtney-Haag (et al.)

Published: February 2022   Journal: Maternal & child nutrition
Early initiation of breastfeeding, within 1 h of birth, is vital for the health of newborns and reduces morbidity and mortality. Secondary analysis of the 2016 Nepal Demographic and Health Survey (DHS) showed that early initiation of breastfeeding significantly reduced the risk of acute respiratory infection (ARI) in children under 2 years. Early initiation of breastfeeding requires maternal proximity. Separation of infant and mother inhibits early initiation of breastfeeding and increases the risk that infants will suffer from ARIs. However, during the COVID-19 pandemic, guidance varied, with some recommending that infants and mothers with SARS-CoV-2 be isolated from one another. Nepal's Ministry of Health and Population recommended nonseparation, but the adherence to this guidance was inconsistent. Maternal proximity, nonseparation and early initiation of breastfeeding should be promoted in all birthing facilities.
Knowledge, attitude and practices of pregnant women related to COVID-19 infection: a cross-sectional survey in seven countries from the Global Network for Women’s and Children’s Health

AUTHOR(S)
Farnaz Naqvi; Seemab Naqvi; Masum Billah (et al.)

Published: February 2022   Journal: BJOG : an international journal of obstetrics and gynaecology

This study sought to understand knowledge, attitudes and practices (KAP) regarding COVID-19 in pregnant women in seven low and middle-income countries (LMIC). Population-based prospective, observational study SETTINGS: Study sites in DRC, Kenya, Zambia, Bangladesh, India (two sites), Pakistan, and Guatemala. Pregnant women in the Global Network's Maternal and Neonatal Health Registry (MNHR). A KAP questionnaire was administered in face-to-face interviews with pregnant women from September 2020 through October 2021 in the MNHR.

Prenatal and neonatal complications of COVID-19: a systematic review

AUTHOR(S)
Zahra Pashaei; SeyedAhmad SeyedAlinaghi; Kowsar Qaderi (et al.)

Published: February 2022   Journal: Health Science Reports
The outbreak of coronavirus disease 2019 (COVID-19) over the past year has affected public health worldwide. During pregnancy, the maternal immune system and inflammatory responses are widely suppressed. Pregnancy-related immune system suppression could make the mother vulnerable to infectious diseases like SARS-COV-2. However, current data suggest little to no possibility of COVID-19 transmission in pregnant women to the fetus during pregnancy or childbirth. This systematic review focused on the possible complications of COVID-19 infection in the fetus and newborn babies including the possibility and evidence of vertical transmission by reviewing articles published during the first year of the COVID-19 pandemic.
I felt like I was going crazy: understanding mother’s and young children’s educational experiences at home during COVID-19

AUTHOR(S)
Samantha Burns; Calpanaa Jegatheeswaran; Michal Perlman

Published: February 2022   Journal: Early Childhood Education Journal
The COVID-19 disruptions to children’s education have been a major issue for families. This study examined how demographic, family, and mental health characteristics of 375 low-income children and their mothers from the City of Toronto were associated with children’s educational experiences at home during COVID-19. Many mothers (82.3%) reported that they and their children (80.0%) experienced challenges related to children’s education at home during the pandemic. However, a small percentage of mothers (1.1%) reported that this mode of learning was better for them and their children (4.3%).
The prevalence and correlates of peripartum depression in different stages of pregnancy during COVID-19 pandemic in China

AUTHOR(S)
Manji Hu; Yongjie Zhou; Mei Xue (et al.)

Published: February 2022   Journal: BMC Pregnancy and Childbirth

Peripartum depression in and after pregnancy are common, reported by 11.9% of women worldwide, and the proportion was even higher during the outbreak of coronavirus disease 2019 (COVID-19). This study aimed to investigate the prevalence and risk factors of peripartum depression under the influence of COVID-19 in China. Using a cross-sectional design, 2026 pregnant and postpartum women residing in Beijing, Wuhan, and Lanzhou of China were recruited from February 28 to April 9, 2020. The Patient Health Questionnaire-9 was used to assess their depressive symptoms. The women were divided into four subgroups based on pregnancy stage, and a binary logistic regression analysis was conducted on each subgroup.

The effect of maternal SARS-CoV-2 infection timing on birth outcomes: a retrospective multicentre cohort study

AUTHOR(S)
Samantha N. Piekos; Ryan T. Roper; Yeon Mi Hwang (et al.)

Published: February 2022   Journal: The Lancet Digital Health

The impact of maternal SARS-CoV-2 infection remains unclear. This study evaluated the risk of maternal SARS-CoV-2 infection on birth outcomes and how this is modulated by the pregnancy trimester in which the infection occurs. It also developed models to predict gestational age at delivery for people following a SARS-CoV-2 infection during pregnancy. This is a retrospective cohort study of the impact of maternal SARS-CoV-2 infection on birth outcomes. It used clinical data from Providence St Joseph Health electronic health records for pregnant people who delivered in the USA at the Providence, Swedish, or Kadlec sites in Alaska, California, Montana, Oregon, or Washington. The SARS-CoV-2 positive cohort included people who had a positive SARS-CoV-2 PCR-based test during pregnancy, subdivided by trimester of infection. No one in this cohort had been vaccinated for COVID-19 at time of infection.

Cite this research | Open access | Vol.: 4 | Issue: 2 | No. of pages: 95-104 | Language: English | Topics: Health | Tags: COVID-19, infectious disease, maternal and child health, pandemic, postnatal care, pregnancy, prenatal care | Countries: United States
Adverse perinatal outcomes in a large US birth cohort during the COVID-19 pandemic: adverse perinatal outcomes during COVID-19

AUTHOR(S)
Ethan A. Litman; Ying Yin; Stuart J. Nelson

Published: February 2022   Journal: American Journal of Obstetrics & Gynecology MFM

This study aimed to investigate whether coronavirus disease 2019 (COVID-19) is associated with adverse perinatal outcomes in a large national dataset and to examine rates of adverse outcomes during the pandemic compared to pre-pandemic period. This observational cohort study included 683,905 patients, between the ages of 12-50, hospitalized for childbirth and abortion between January 1, 2019 and May 31, 2021. During the pre-pandemic period, 271,444 women were hospitalized for childbirth. During the pandemic, 308,532 women were hospitalized for childbirth and 2,708 had COVID-19. Associations between COVID-19 and in-hospital adverse perinatal outcomes were examined using propensity score-adjusted logistic regression.

Impact of Covid-19 on maternal health seeking in Ghana

AUTHOR(S)
Patrick Opoku Asuming; Deborah Aba Gaisie; Caesar Agula (et al.)

Published: January 2022   Journal: Journal of International Development
The Covid-19 pandemic is widely speculated to have disrupted the delivery of primary health care in low-income countries. Yet, there is little rigorous empirical research identifying this effect. This paper estimates the impact of Covid-19 on facility and skilled delivery and utilisation of antenatal care (ANC) services by comparing these outcomes for women who were pregnant/delivered before and during the Covid-19 period. The results show that Covid-19 led to 23% and 25% reductions, respectively, in the likelihood of facility delivery and four or more ANC visits during pregnancy. These findings highlight the need to build more resilient health systems in low-income settings.
COVID-19 pandemic and population-level pregnancy and neonatal outcomes in general population: A living systematic review and meta-analysis (Update#2: November 20, 2021)

AUTHOR(S)
Jie Yang; Rohan D’Souza; Ashraf Kharrat (et al.)

Published: January 2022   Journal: Acta Obstetricia et Gynecologica Scandinavica.

Conflicting reports of increases and decreases in rates of preterm birth (PTB) and stillbirth in the general population during the coronavirus disease 2019 (COVID-19) pandemic have surfaced. The objective of this study was to conduct a living systematic review and meta-analyses of studies reporting pregnancy and neonatal outcomes by comparing the pandemic and pre-pandemic periods. PubMed and Embase databases and reference lists of articles published up until November 20, 2021, and included English language studies that compared outcomes between the COVID-19 pandemic time period with pre-pandemic time periods were searched. Risk of bias was assessed using the Newcastle-Ottawa scale.

Changes in Japanese junior high school students' sense of coherence before and after the onset of the COVID-19 pandemic: a longitudinal study of children and mothers

AUTHOR(S)
Tomoko Omiya; Naoko Deguchi; Yumiko Sakata (et al.)

Published: January 2022   Journal: Frontiers in Psychiatry
This longitudinal study aimed to clarify the changes in the sense of coherence (SOC); that is, the ability to cope with stress successfully, of 166 Japanese junior high school students and their mothers before and after the onset of the COVID-19 pandemic. First, it analyzed changes in SOC at three time points for all students and divided them into two groups: Group 1 included students with SOC scores that increased or maintained before and after the onset of the pandemic and Group 2 included students with decreased SOC scores after the onset of the pandemic. Second, it conducted a comparative analysis between the two groups. Overall, results indicated that student's SOC scores increased. Additionally, interpersonal stress scores were lower after the onset of the pandemic than before. There were almost no differences in family relationships, financial conditions, or personality tendencies between the two groups.
Maternal mental health and child adjustment problems in response to the COVID-19 pandemic in families experiencing economic disadvantage

AUTHOR(S)
Stephanie F. Thompson; Lisa Shimomaeda; Rebecca Calhoun (et al.)

Published: January 2022   Journal: Research on Child and Adolescent Psychopathology
Parents living in low-income contexts shouldered disproportionate hardships during the COVID-19 pandemic with consequences to maternal mental health and child adjustment. The current study uses a sample of first-time mothers (N = 147) of young toddlers, all living in low-income contexts, to examine the roles of pre-pandemic and COVID-19-specific risk and individual resilience factors in the prediction of changes to maternal mental health coinciding with the onset of the pandemic. Maternal mental health symptoms, in turn, were examined as predictors of child adjustment problems across 6 months of the pandemic and as a potential mechanism conferring pandemic risks to children. While pre-pandemic cumulative contextual risk (i.e., low income, single parent status, adolescent parent status, financial instability) did not predict changes in maternal mental health from prior to during the pandemic, COVID-19-specific health risks predicted changes in maternal mental health from before the pandemic, as well as across 6 months of the pandemic.
Behavioral coping phenotypes and associated psychosocial outcomes of pregnant and postpartum women during the COVID-19 pandemic

AUTHOR(S)
Denise M. Werchan; Cassandra L. Hendrix; Natalie H. Brito (et al.)

Published: January 2022   Journal: Scientific Reports
The impact of COVID-19-related stress on perinatal women is of heightened public health concern given the established intergenerational impact of maternal stress-exposure on infants and fetuses. There is urgent need to characterize the coping styles associated with adverse psychosocial outcomes in perinatal women during the COVID-19 pandemic to help mitigate the potential for lasting sequelae on both mothers and infants. This study uses a data-driven approach to identify the patterns of behavioral coping strategies that associate with maternal psychosocial distress during the COVID-19 pandemic in a large multicenter sample of pregnant women (N = 2876) and postpartum women (N = 1536). Data was collected from 9 states across the United States from March to October 2020. Women reported behaviors they were engaging in to manage pandemic-related stress, symptoms of depression, anxiety and global psychological distress, as well as changes in energy levels, sleep quality and stress levels.
The mental health crisis of expectant women in the UK: effects of the COVID-19 pandemic on prenatal mental health, antenatal attachment and social support

AUTHOR(S)
Maria Laura Filippetti; Alasdair D. F. Clarke; Silvia Rigato (et al.)

Published: January 2022   Journal: BMC Pregnancy and Childbirth

Pregnancy has been shown to be times in a woman’s life particularly prone to mental health issues, however a substantial percentage of mothers report subclinical perinatal mental health symptoms that go undetected. Experiences of prenatal trauma, such as the COVID-19 pandemic, may exacerbate vulnerability to negative health outcomes for pregnant women and their infants. We aimed to examine the role of: 1) anxiety, depression, and stress related to COVID-19 in predicting the quality of antenatal attachment; 2) perceived social support and COVID-19 appraisal in predicting maternal anxiety and depression. A sample of 150 UK expectant women were surveyed during the COVID-19 pandemic. Questions included demographics, pregnancy details, and COVID-19 appraisal. Validated measures were used to collect self-reported maternal antenatal attachment (MAAS), symptoms of anxiety (STAI), depression (BDI-II), and stress related to the psychological impact of COVID-19 (IES-r).

121 - 135 of 433

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