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Children and COVID-19 Research Library

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

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Assessment of knowledge, attitudes and self-protective measures of postpartum women regarding COVID 19

A. Ali Doha; Entisar M. Youness; A. Ahmed Amal

Published: December 2022   Journal: Assiut Scientific Nursing Journal

Because of the physiological changes and a resulting immune-compromised state that render postpartum women more susceptible to COVID-19. This study aims to assess the levels of postpartum women's knowledge, attitudes and self-protective measures regarding COVID 19. Dscriptive cross sectional study design at Sohag University Hospital on 350 postpartum women by using an interviewing questionnaire, assess postpartum women`s knowledge and Likert scale to assess attitudes toward COVID -19 infection& prevention. 

Cite this research | Open access | Vol.: 10 | Issue: 33 | No. of pages: 64-75 | Language: English | Topics: Health | Tags: COVID-19, infectious disease, postnatal care, pregnancy, pregnant women | Countries: Egypt
Maternal and neonatal safety of COVID‐19 vaccination during peri‐pregnancy period: a prospective study

Minghui Li; Jianzhen Hao; Tingting Jiang (et al.)

Published: December 2022   Journal: Journal of Medical Virology

To investigate the safety of inactivated COVID-19 vaccine in Chinese pregnant women and their fetuses when inoculated during the peri-pregnancy period. Eligible pregnant women were prospectively collected and divided into a vaccine group (n = 93) and control group (n = 160) according to whether they had been vaccinated against COVID-19 within 3 months before their last menstruation period (LMP) and after pregnancy. Demographic data of couples, complications during pregnancy and delivery of pregnant women, and data of newborns at birth were collected.

Barriers and enablers of breastfeeding in mother–newborn dyads in institutional settings during the COVID-19 pandemic: a qualitative study across seven government hospitals of Delhi, India

Arti Maria; Ritika Mukherjee; Swati Upadhyay (et al.)

Published: December 2022   Journal: Frontiers in Nutrition

The COVID-19 pandemic disrupted newborn care and breastfeeding practices across most healthcare facilities. We undertook this study to explore the barriers and enablers for newborn care and breastfeeding practices in hospitals in Delhi, India for recently delivered mother (RDM)–newborn dyads during the first wave of the COVID-19 pandemic (2020) and inductively design a “pathway of impaction” for informing mitigatory initiatives during the current and future pandemics, at least in the initial months. This study used an exploratory descriptive design (qualitative research method) and collected information from seven leading public health facilities in Delhi, India. We conducted separate interviews with the head and senior faculty from the Departments of Pediatrics/Neonatology (n = 12) and Obstetrics (n = 7), resident doctors (n = 14), nurses (labor room/maternity ward; n = 13), and RDMs (n = 45) across three profiles: (a) COVID-19-negative RDM with healthy newborn (n = 18), (b) COVID-19-positive RDM with healthy newborn (n = 19), and (c) COVID-19 positive RDM with sick newborn needing intensive care (n = 8) along with their care-giving family members (n = 39). We analyzed the data using grounded theory as the method and phenomenology as the philosophy of our research.

Impact of COVID-19 on perinatal mental health among pregnant mothers infected with COVID-19, during the first wave of the epidemic in Jordan

Jehan Hamadneh; Shereen Hamadneh; Mohammed ALBashtawy

Published: November 2022   Journal: Heliyon
Data concerning the impact of Coronavirus disease (COVID-19) infection on the mental health of pregnant women are still limited. The study explored baseline information regarding the impact of COVID-19 on mental health in the perinatal period, among mothers infected with COVID-19, during the first wave of the epidemic in Jordan. The current study aimed to examine the anxiety levels of pregnant women infected with coronavirus over the COVID-19 pandemic. A cross-sectional study was conducted during the period from March to December 2021, using an online survey that addressed key issues related to the role of COVID-19 infection in developing anxiety among pregnant women using the Edinburgh Postnatal Depression Scale (EPDS). The study population was pregnant women with laboratory-confirmed COVID-19 infection, and who agreed to participate in the study (n = 530).
Impact of COVID-19 restrictions on the postpartum experience of women living in Eastern Canada during the early pandemic period: a cross-sectional study.

Justine Dol; Brianna Hughes; Megan Aston (et al.)

Published: November 2022   Journal: Journal of Nursing Scholarship

This study aimed to (1) compare changes in parenting self-efficacy, social support, postpartum anxiety, and postpartum depression in Canadian women before and during the early COVID-19 pandemic; (2) explore how women with a newborn felt during the pandemic; (3) explore ways that women coped with challenges faced. A cross-sectional design was used. Prior to the pandemic, an online survey was conducted with women who an infant 6 months old or less in one of the three Eastern Canadian Maritime provinces. A similar survey was conducted during the pandemic in mid-2020.

Speaking truth to power: Legal scholars as survivors and witnesses of the Covid-19 maternal mortality in Brazil

Gabriela Rondon; Debora Diniz; Juliano Zaiden Benvindo

Published: November 2022   Journal: International Journal of Constitutional Law
The Covid-19 health emergency has placed special demands on legal scholars, particularly on those based in the Global South. Brazil has been one of the epicenters of the pandemic, with over 680,000 deaths as of August 2022. Our narrative emerges from the duality of our positions amid a national tragedy—we are at the same time survivors of the collective threat of a would-be autocrat and a Covid-19-denialist government, and witnesses to how our preexisting privileges put us in a position of readiness “to speak truth to power.” Speaking truth to power means not only to exercise an independent spirit of analysis and judgment with respect to power, but also to interpellate power openly about its wrongdoings. We understand that our responsibility as legal scholars is to embrace the urgency of the moment—to expand our research agendas beyond our previous academic trajectories and work to mitigate situations of rights violations. It also means that our work as legal scholars has had to transcend the traditional academic spaces. We have positioned ourselves as advocates and litigators for those most affected by the pandemic, in particular vulnerable women. In this article, we share one of our key initiatives during the pandemic—a constitutional lawsuit to demand the right of pregnant and postpartum people to access Covid-19 vaccines.
Telemedicine utilization and perceived quality of virtual care among pregnant and postpartum women during the COVID-19 pandemic

Ann Davis; Dani Bradley

Published: November 2022   Journal: Journal of Telemedicine and Telecare
The aim of this research was to examine the association between perceived quality of care during the COVID-19 pandemic and the modality of maternity care visits, virtual or in-person. This study utilized an online nationwide survey about experiences in prenatal and postpartum care between 18 April and 6 August 2020. Perceived quality of care was categorized into worse care, better, or the same care as compared to before the pandemic. Barriers were categorized into five groups: (1) concern for the privacy of health information, (2) not having a private or quiet place, (3) lack of physical exam or measurements, (4) quality of care, and (5) technology issues. Data analyses included bivariate analyses and multivariate logistic regression.
Impact of the Coronavirus disease (COVID-19) pandemic on neonatal nutrition: focus on low- and middle-income countries

Mwawi Nyirongo; Neelima Agrawal; Amarilys Rojas (et al.)

Published: November 2022   Journal: Current Tropical Medicine Reports

This review serves to account for the published literature regarding the changing impact of the COVID-19 pandemic with a focus on neonatal nutrition in low- and middle-income countries. Initial national and international guidelines regarding breastfeeding were often contradictory. Lack of clear guidelines resulted in separation of mother-neonate dyads and the reliance on non-human sources of milk at institutional levels. Mothers and families were less likely to initiate and/or continue breastfeed during the pandemic due to confusion regarding guidelines, lack of support for lactation, and concern for infection transmission to their neonates. Continued research in neonatal nutrition, however, continues to support the use of breastmilk as the optimal nutritional source for neonates.

The Pandemial babies: effects of maternal stress on temperament of babies gestated and born during the pandemic

Hernán López-Morales; Rosario Gelpi Trudo; Macarena Verónica del-Valle (et al.)

Published: November 2022   Journal: Current Psychology
The COVID-19 pandemic may configure an adverse prenatal context for early development. The aim of this study was to analyze the effects of pandemic-related negative experiences, prenatal anxiety and depression on the temperament of six-month-old babies. The sample consisted of 105 mother–child dyads. A longitudinal evaluation was carried out using pre- and postnatal online surveys. Mothers completed the State-Trait Anxiety Inventory, the Beck Depression Inventory – II, the Pandemic Impact Questionnaire and the Infant Behavior Questionnaire Revised. Serial mediation models were tested, in which the pandemic-related negative experiences constituted the independent variable, the prenatal anxiety and depression were the mediators, and the children’s temperament dimensions were the dependent variables.
Severity of COVID‐19 infection in pregnancy and adverse maternal and neonatal outcomes: a retrospective study in a tertiary center

Paul Naseef; Ayman Abou Elnour; Ahmed Ramy

Published: November 2022   Journal: Reproductive, Female and Child Health

This study aimed to estimate the association between the severity of maternal SARS-CoV2 disease and adversity of maternal and neonatal outcomes. A retrospective single-site descriptive study was conducted, where the records of pregnant women, universally screened for COVID-19 infection, with laboratory-confirmed SARS-CoV2 disease during the period from March 2020 to March 2021 were reviewed. Patients were divided into two groups: an asymptomatic/mild disease group and a moderate/severe disease group. Maternal outcomes, including the incidence of pregnancy-induced hypertension (PIH)/pre-eclampsia, cesarean section (CS) rates, maternal intensive care unit (ICU) admission rates, and neonatal outcomes, including preterm birth, low birth weight, and neonatal ICU (NICU) admission rates, were compared in both study groups.

Child survival crisis due to maternal undernourishment during the COVID era

Ashu Tyagi; Abhishek Joshi

Published: November 2022   Journal: Medical Journeys
The coronavirus disease 2019 (COVID-19) pandemic caused a global crisis, creating the most challenging times faced by any country. The pandemic created a situation that shocked the whole world. It led to a condition of fear, and the ones to take the major hit were the vulnerable groups: children, pregnant women, and the elderly, as well as those belonging to low socio-economic groups who lost their source of daily income. It increased the pressure on already burdened healthcare and information systems and led to a situation where the well-being of even children and pregnant women could not be maintained. COVID-19 increased the risk of undernutrition in children. Though children are observed to be less affected by the virus, they are the hidden victims of the pandemic in terms of falling prey to undernutrition. Child undernutrition can also be linked to maternal malnutrition, starting from the preconception period through the postpartum period. The situation arose due to the rapid steps of mitigation taken to tackle the pandemic, leading to decreased food security, healthcare, and education. Maternal undernutrition leads to complications for the mother during childbirth and has long-term effects on both. It can lead to low birth weight (LBW) babies, postpartum complications, chronic child undernourishment, and even increased maternal and child mortality and morbidity. Because of the pandemic's disruption of immunization facilities, it appears that even preventable childhood diseases will worsen in the coming years. In these post-COVID-19 times, it has become necessary to take measures to improve the overall health status of the population, with special regard to these vulnerable groups. Proper maternal and child health should be targeted at community levels by introducing interventions that prioritize antenatal and postnatal care, nutritional education, immunization of both mother and child, and proper health and sanitation practices. The purpose of this narrative review is to create awareness about the child survival crisis that may occur in the coming years due to undernutrition and the failure of immunization.
The stress of parenting in the postpartum period during the COVID-19 pandemic

Ka'Derricka M. Davis; Layna Lu; Brittney Williams (et al.)

Published: November 2022   Journal: Women's Health Reports

The COVID-19 pandemic produced a major shift in parental roles, which disproportionally exacerbated existing challenges for low-income new parents. Our objective was to identify pandemic-related parenting challenges experienced by low-income postpartum individuals in the context of the early months of the COVID-19 pandemic. Semistructured interviews with 40 low-income postpartum individuals were conducted within 10 weeks after giving birth in April 2020–June 2020. Interviews addressed maternal health and well-being, parental stress, including COVID-related barriers to providing for children, and access to essential services. Interview themes were developed using the constant comparative method.

A comparative analysis of the occurrence of lower respiratory tract infections caused by respiratory syncytial virus among newborns in the years before and during Covid-19 pandemic at a tertiary referral hospital in Slovenia

Sandra Cerar; Vesna Pirnovar

Published: November 2022   Journal: Central European Journal of Paediatrics

This study aimed to compare the occurrence of lower respiratory tract infections caused by respiratory syncytial virus in the neonatal population in the years before and during the COVID-19 pandemic. Cases of newborns, hospitalized due to viral lower respiratory tract infection from 2015 to 2020, were analyzed retrospectively, and compared according to cause (respiratory syncytial virus, non-respiratory syncytial virus) and treatment requirements before (2015−2019) and after (2020) the outbreak of the COVID-19 pandemic.

Cite this research | Open access | Vol.: 18 | Issue: 2 | No. of pages: 8 | Language: English | Topics: Health | Tags: child health, COVID-19, hospitalization, infectious disease, postnatal care, respiratory diseases | Countries: Slovenia
Impact of COVID-19 lockdown restrictions on access to ante-natal and post-natal care services by women of childbearing age in Harare, Zimbabwe

Precious Chikhata; Johnson Magumise; Ngoni Makuvaza

Published: October 2022   Journal: European Journal of Development Studies
The research aimed to assess the impact of the COVID-19 lockdown restrictions on access to ante-natal and post-natal care services by women of childbearing age in Harare, Zimbabwe. The study used a crosssectional explanatory research design to assess the effects of lockdown restrictions on access to ante-natal and post-natal care services by women of childbearing age in Harare, Zimbabwe. A multi-stage cluster sampling was used to select the study respondents, who were women of childbearing age. The researcher used the structured questionnaire to electronically elicit data from a sample of 384 women of childbearing age in Harare between December 2021 and January 2022. Data were analyzed using a Statistical Package for Social Scientists (SPSS). Descriptive statistics were used to determine the proportion of women who accessed ante-natal and post-natal care services during the COVID-19 lockdown period. Furthermore, inferential statistical analysis was used to assess the level of satisfaction, comfortability, and accessibility of the ante-natal and post-natal care services by women of childbearing age.
Association of SARS-CoV-2 infection with early breastfeeding

Henry H. Bernstein; Eric J. Slora; Tara Mathias-Prabhu (et al.)

Published: October 2022   Journal: Academic Pediatrics
The association of maternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) status before delivery with breastfeeding is unknown. This study compares breastfeeding initiation, exclusivity, and duration between SARS-CoV-2-positive (+) and SARS-CoV-2-negative (-) mothers during the first 2 months of their newborns’ lives. A single center, retrospective cohort study of pediatric contacts during the first 2 months in a diverse mother-infant population (n = 285) compared breastfeeding outcomes by maternal SARS-CoV-2 status during a pandemic surge. Infants of SARS-CoV-2 positive mothers were also tested before discharge. Comparison of maternal demographics (age, race, ethnicity), maternal/infant characteristics (parity, insurance, delivery mode, infant sex, hospital length of stay), and pediatric contacts by maternal SARS-CoV-2 status included Fisher's exact and Wilcoxon tests and Poisson regression for count outcomes. Logistic regression compared breastfeeding outcomes between the 2 groups, adjusting for potential confounders and effect modifiers.
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UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.


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