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Children and COVID-19 Research Library

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

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Magnitude and determinants of food insecurity among pregnant women in Rwanda during the COVID-19 pandemic

Erigene Rutayisire; Michael Habtu; Nicholas Ngomi (et al.)

Published: January 2023   Journal: Journal of Agriculture and Food Research

Globally, food insecurity is becoming a major public health concern, and has seriously been impacted by the COVID-19 pandemic. In the last decade, Rwanda has made significant improvement in terms of overall household food security. However, the magnitude of food insecurity among pregnant women is not well known. This study investigated the magnitude and factors associated with food insecurity among pregnant women during the COVID-19 pandemic. It was a cross-sectional study conducted in 30 health facilities across the country where a total of 1159 pregnant women in their first trimester of pregnancy were recruited during antenatal care visits (ANC).

COVID-19 anxiety and quality of life among adolescent pregnant women: a cross-sectional study

Mohammad Saeed Jadgal; Hadi Alizadeh-Siuki; Nayyereh Kasiri (et al.)

Published: December 2022   Journal: International Journal of Adolescent Medicine and Health

This study aims to determine the relationship between the COVID-19 anxiety and the quality of life among adolescent pregnant women in Dashtiari city, Iran. In this cross-sectional study, 216 adolescent pregnant women in Dashtiari city, Iran in 2021 who met the inclusion criteria participated in a multi-stage sampling. Data collection tools included: demographic information, COVID-19 Anxiety Scale and a questionnaire of quality of life. Finally, the obtained data were analyzed in SPSS software version 21 using descriptive, Chi-square, Tukey and logistic regression tests.

COVID-19-related attitude and risk perception among pregnant women attending antenatal care, and the associated factors, at public health facilities of East Gojjam Zone, Ethiopia, 2020: a multi-center cross-sectional study

Keralem Anteneh Bishaw; Yibelu Bazezew Bitewa; Mamaru Getie Fetene (et al.)

Published: December 2022   Journal: Journal of Public Health

This study aimed to assess COVID-19 (coronavirus disease 2019)-related attitude and risk perception among pregnant women attending antenatal care, and the associated factors, at public health facilities of the East Gojjam Zone, Ethiopia. A multi-center cross-sectional study was conducted, from December 1–30, 2020. A total of 847 pregnant women were included in the study using a simple random sampling technique. To collect the data, we used an interviewer-administered questionnaire. Bi-variable and multi-variable logistic regression analyses were used to identify factors associated with pregnancy-related anxiety. A p-value of < 0.05 with a 95% confidence level was used to declare statistical significance.

Worries, beliefs and factors influencing perinatal COVID-19 vaccination: a cross-sectional survey of preconception, pregnant and lactating individuals

Serine Ramlawi; Katherine A. Muldoon; Sandra I. Dunn (et al.)

Published: December 2022   Journal: BMC Public Health

COVID-19 vaccines are recommended for pregnant and lactating individuals, and there is substantial evidence for their safety and effectiveness. As the pandemic continues, information on worries and beliefs surrounding perinatal COVID-19 vaccination remains important to inform efforts aimed at improving vaccine uptake. Our objectives were to assess factors associated with COVID-19 vaccination among perinatal individuals; and to explore motivational factors associated with willingness to be vaccinated among unvaccinated perinatal individuals. This was a cross-sectional web-based survey of preconception, pregnant, and lactating individuals in Canada. The outcomes of interest were vaccination with at least one dose of any COVID-19 vaccine and willingness to be vaccinated among unvaccinated individuals. Sample characteristics were summarized using frequencies and percentages. The association between eight prespecified risk factors and two outcomes (vaccination status and willingness to be vaccinated) was assessed by logistic regression. Odds ratios (OR) and 95% confidence intervals (CI) were calculated for the total sample, and across perinatal sub-groups.

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
COVID-19 vaccination status and pregnancy outcome during third wave

Pranjali Dhume; Madhusudan Dey; Shyamji Tiwari (et al.)

Published: December 2022   Journal: Gynecology Obstetrics & Reproductive Medicine

Omicron was declared as a variant of concern by WHO on 26 Nov 2021. Omicron is highly transmissible, but the disease severity and morbidity were lesser compared to the Delta variant. However, COVID-19 Vaccine efficacy was reduced for the Omicron variant whereas it was highly efficacious for the Delta variant. Hence, for evidence-based counseling in pregnant patients about expected outcomes depending on their vaccination status, this prospective cohort study was conducted. This study was conducted in Base Hospital Delhi Cantt, New Delhi, India during the third wave of SARS-CoV-2 i.e. from Jan 2022 to Mar 2022. All COVID-19-positive patients who were admitted for delivery were followed up till discharge from the hospital. The outcomes in terms of severity of COVID-19 infection, period of gestation at the time of delivery, intrapartum/postpartum complications, fetal distress, meconium staining of liquor, the requirement of neonatal intensive care unit admission were documented and data was analyzed to assess clinical severity of the disease in fully/partially vaccinated+unvaccinated women.

Differentiated mental health patterns in pregnancy during COVID-19 first two waves in Sweden: a mixed methods study using digital phenotyping

Emma Fransson; Maria Karalexi; Mary Kimmel (et al.)

Published: December 2022   Journal: Scientific Reports
To utilize modern tools to assess depressive and anxiety symptoms, wellbeing and life conditions in pregnant women during the first two waves of the COVID-19 pandemic in Sweden. Pregnant women (n = 1577) were recruited through the mobile application Mom2B. Symptoms of depression, anxiety and wellbeing were assessed during January 2020–February 2021. Movement data was collected using the phone’s sensor. Data on Google search volumes for “Corona” and Covid-related deaths were obtained. Qualitative analysis of free text responses regarding maternity care was performed. Two peaks were seen for depressive symptoms, corresponding to the two waves. Higher prevalence of anxiety was only noted during the first wave. A moderating effect of the two waves in the association of depression, anxiety, and well-being with Covid deaths was noted; positive associations during the first wave and attenuated or became negative during the second wave. Throughout, women reported on cancelled healthcare appointments and worry about partners not being allowed in hospital. The association of mental health outcomes with relevant covariates may vary during the different phases in a pandemic, possibly due to adaptation strategies on a personal and societal/healthcare level. Digital phenotyping can help healthcare providers and governmental bodies to in real time monitor high-risk groups during crises, and to adjust the support offered.
Anxiety and depressive symptoms, and positive and negative couple interactions among postpartum mothers and fathers before and during the COVID-19 pandemic

Tiago Miguel Pinto; Bárbara Figueiredo

Published: November 2022   Journal: Families, Systems, & Health. Advance
The negative impact of the COVID-19 pandemic on mental health and couples’ relationships may be particularly higher in vulnerable groups, including mothers and fathers during the transition to parenthood. This study compared mental health symptoms and couples’ relationship quality among parents who were at 6 months postpartum before or during the COVID-19 pandemic. A sample of 109 primiparous mothers and fathers recruited before the COVID-19 pandemic were assessed at 6 months postpartum, before (n = 69) or during the COVID-19 pandemic (n = 40). Participants completed self-reported measures of anxiety and depressive symptoms, and couples’ positive and negative interactions
The impact of COVID-19 on the monitoring of pregnancy and delivery of pregnant women in the Dominican Republic

Mar Requena-Mullor; Jessica García-González; Ruqiong Wei (et al.)

Published: November 2022   Journal: Healthcare
Pregnancy monitoring is vital to guaranteeing that both the foetus and the mother are in optimal health conditions. WHO protocols recommend at least eight medical examinations during the pregnancy period. While the cancellation or reduction of appointments during pregnancy due to the pandemic may help reduce the risk of infection, it could also negatively influence perinatal outcomes and the birthing process. The aim of this research was to analyse the differences in perinatal outcomes and birth characteristics in two groups of pregnant women: women who gave birth before and during the pandemic, and whether these differences are due to changes in pregnancy monitoring because of the COVID-19 situation. A retrospective study was carried out from July 2018 to December 2021, at the Santo Domingo Hospital (Dominican Republic). A total of 1109 primiparous pregnant women were recruited for this study during the birthing process and perinatal visits.
Impact of COVID-19 on pregnancy and maternal-neonatal outcomes: a narrative review

Sweta Sahu; Guddi Laishram; Asmita Rannaware (et al.)

Published: November 2022   Journal: Medical Journeys
The pandemic coronavirus disease (COVID-19) has caused an unprecedented worldwide health emergency. The pandemic increased the susceptibility of pregnant women to maternal and fetal complications. Elderly and patients with comorbidities were also at high risk during the pandemic times. Further evidence supports that COVID-19 is not only a respiratory infection but possibly affects other organ systems, including the placenta. The key objective of this review is to explore the literature on COVID-19-affected pregnancies and study the pandemic's impacts on maternal, perinatal, and neonatal outcomes. Google Scholar and PubMed (Medline) were used for relevant literature searches. The clinical manifestations in pregnant women, fetus outcome, vertical transmission, and early and late pregnancy impacts are combined in database studies. Women should receive special attention for COVID even though most of the COVID-19-positive pregnant women had no symptoms or had minor ones. It was found that most pregnant women with COVID-19 had mild and few symptoms and that the effect on the fetus was insignificant. However, in some women, miscarriage and fetal growth retardation were seen as a consequence of the infection.
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.
The impact of Coronavirus disease 2019 on maternal and fetal wellbeing in New Mexico

Tiffany Emery; Kati Baillie; Orrin Myers (et al.)

Published: November 2022   Journal: Diagnostics
Coronavirus disease 2019 (COVID-19) has been shown to affect the vasculature, including placental changes. Insults to the placenta, especially in the first and second trimester, can affect placental functionality with a resultant impact on fetal growth and wellbeing. Thus, we explored the relationship between antenatally acquired maternal COVID-19 infection and neonatal birth characteristics. A retrospective chart review was completed using the University of New Mexico electronic medical record system. ICD-10 codes were used to identify individuals that had a positive pregnancy test and positive COVID-19 screening test between 1 March 2020 to 24 March 2021. Chi-square and nonparametric Wilcox on analyses were used, with p < 0.05 considered significant. A total of 487 dyad charts was analyzed, with 76 (16%) individuals identified as being COVID-19-positive (CovPos) during pregnancy. CovPos mothers were significantly more likely to deliver via a cesarean section compared to CovNeg mothers (33% vs. 20%, p < 0.01).
Cite this research | Open access | Vol.: 12 | Issue: 11 | No. of pages: 12 | Language: English | Topics: Health | Tags: COVID-19 response, lockdown, maternal and child health, pregnancy, pregnant women, social distance | Countries: United States
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.

Prenatal behavior of pregnant women under the impact of the COVID 19 pandemic on Central West regionof Sao Paulo (SP)
Published: November 2022   Journal: International Journal of Health Science

Prenatal care reduces many of the negative effects of pregnancy, such as prematurity, low birth weight and detection of abnormalities with the mother and child, serving as a learning moment for the woman and her family. However, the Covid-19 scenario brought an adaptation in this monitoring, bringing a more suitable prenatal care for the moment with fewer face-to-face visits. This work was a cross-sectional retrospective study with a quantitative approach, with the purpose of evaluating the behavior of pregnant women in the face of the impact of the COVID19 pandemic on adherence to prenatal consultations, in the period 2019-2020 through a search carried out in the secondary database available on the Department of Informatics of the Unified Health System (DATASUS). The databases included in this study were obtained from the DATASUS electronic portal, TABNET table of all monthly prenatal consultations in the 2019-2020 period of the Regional Health Care Networks (RRAS 10). It is important to highlight the work of health professionals who are directly involved in facing this pandemic as they had to deal with the risk group, their fears and insecurities in the context of COVID19. It is concluded that there was no significant impact on the number of prenatal consultations in the central west region of são paulo (SP) during the pandemic period, and it may have been favored by the high HDI (0.05) of the region as well as the efficiency of the strategies adopted by the Health units facing the challenge.

Cite this research | Open access | Vol.: 2 | Issue: 73 | No. of pages: 9 | Language: English | Topics: Health | Tags: COVID-19 response, lockdown, maternal and child health, pregnancy, pregnant women, prenatal care, social distance | Countries: Brazil
Impact of Isolation measures on pregnancy outcome during the COVID-19 pandemic

Yu Tao; Yang Xiao; Fangyi Wang (et al.)

Published: November 2022   Journal: Economics & Human Biology
This study aims to explore the impact of isolation measures implemented during the COVID-19 pandemic on childbirth outcomes in pregnant women. The design was a retrospective cohort study. The pregnant women during the outbreak lockdown and isolation from February 1 to April 30, 2020, were defined as the exposed population, and the pregnant women in the same time frame in 2019 as the non-exposed population. All data for the study were obtained from the National Health Care Data Platform of Shandong University. Generalized linear regression models were used to analyze the differences in pregnancy outcomes between the two study groups.
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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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