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Children and COVID-19 Research Library

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

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1 - 15 of 216
Effects of maternal psychological distress and perception of COVID-19 on prenatal attachment in a large sample of Italian pregnant women

AUTHOR(S)
Francesco Craig; Maria Cecilia Gioia; Vito Muggeo (et al.)

Published: September 2021   Journal: Journal of Affective Disorders

Evidence concerning the impact of COVID-19-related stress exposure on prenatal attachment in pregnant women is unknown. This study  sought to assess the effect of psychological distress and risk perception of COVID-19 on prenatal attachment in a Italian sample of pregnant women. 1179 pregnant women completed an anonymous online survey and self-report questionnaires measuring socio-demographic and obstetric characteristics, psychological distress (STAI Form Y-1-2 and BDI-II), prenatal attachment (PAI) and risk perception of COVID-19. Data were collected from March 2020 to April 2020 referring to the national lockdown period.

Prenatal maternal COVID-19 vaccination and pregnancy outcomes

AUTHOR(S)
Tamar Wainstock; Israel Yoles; Ruslan Sergienko (et al.)

Published: September 2021   Journal: Vaccine

Prenatal maternal physiological changes may cause severe COVID-19 among pregnant women. The Pfizer-BioNTech COVID-19 vaccine (BNT162b2 mRNA) has been shown to be highly effective and it is recommended for individuals aged ≥16 years, including pregnant women, although the vaccine has not been tested on the latter. This study aims to analyze the association between prenatal Pfizer-BioNTech COVID-19 vaccination, pregnancy course and outcomes. A retrospective cohort study was performed, including all women who delivered between January and June 2021 at Soroka University Medical Center, the largest birth center in Israel. Excluded were women diagnosed with COVID-19 in the past, multiple gestations or unknown vaccination status. Pregnancy, delivery and newborn complications were compared between women who received 1 or 2-dose vaccines during pregnancy and unvaccinated women. Multivariable models were used to adjust for background characteristics.

Childbearing women’s experiences of the maternity care system in Australia during the first wave of the COVID-19 pandemic

AUTHOR(S)
Linda Sweet; Alyce N. Wilson; Zoe Bradfield (et al.)

Published: September 2021   Journal: Women and Birth

Substantial changes occurred in Australian healthcare provision during the COVID-19 pandemic to reduce the risk of infection transmission. Little is known about the impact of these changes on childbearing women. This study aims to explore and describe childbearing women’s experiences of receiving maternity care during the COVID-19 pandemic in Australia. A qualitative exploratory design using semi-structured interviews was used. Women were recruited through social media and self-nominated to participate in an interview. Maximum variation sampling was used. Twenty-seven interviews were conducted with women from across Australia. Data was analysed thematically.

Factors associated with changes in pregnancy intention among women who were mothers of young children in New York City following the COVID-19 outbreak

AUTHOR(S)
Linda G. Kahn; Leonardo Trasande; Mengling Liu (et al.)

Published: September 2021   Journal: JAMA Network Open

Early evidence shows a decrease in the number of US births during the COVID-19 pandemic, yet few studies have examined individual-level factors associated with pregnancy intention changes, especially among diverse study populations or in areas highly affected by COVID-19 in the US. This research aims to study changes in pregnancy intention following the outbreak of the COVID-19 pandemic and identify factors possibly associated with these changes.

Becoming a mother during the COVID-19 national lockdown in Italy: Issues linked to the wellbeing of pregnant women

AUTHOR(S)
Martina Smorti; Lucia Ponti; Chiara Ionio (et al.)

Published: September 2021   Journal: International Journal of Psychology
The COVID-19 pandemic and consequent lockdown represent risk factors for the mental health of pregnant women. This study explored the impact of COVID-19 restriction policies on psychological health, analysing the predictive role of social support on maternal wellbeing. A total of 212 pregnant women recruited from two public hospitals in Italy were divided into two groups: (a) a pre-COVID-19 group composed of 141 expectant women (mean age = 34.6; SD = 4.3) at their third trimester before the national lockdown period; (b) a COVID-19 group composed of 71 pregnant women (mean age = 33.3; SD = 4.5) at their third trimester during the COVID-19 national lockdown.
Relationship between coronavirus disease 2019 in pregnancy and maternal and fetal outcomes: Retrospective analytical cohort study

AUTHOR(S)
Zahra Alipoura; Parisa Samadib; Narges Eskandari (et al.)

Published: September 2021   Journal: Midwifery

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has caused many deaths and complications worldwide. However, limited data are available about COVID-19 during pregnancy. This study aimed to assess the epidemiological and clinical features of COVID-19, and the adverse maternal and fetal outcomes. This retrospective analytical cohort study was conducted on all pregnant women with confirmed COVID-19 at Nekouei-Hedayati-Forghani Hospital in Qom, Iran from 15 March 2020 to 15 November 2020. For the same period, 165 pregnant women who did not have COVID-19 were selected at random and included in this study. All epidemiological and clinical features were collected from the medical records of the participants. A logistic regression model was used to determine associations between COVID-19 in pregnancy and maternal and fetal outcomes.

COVID-19 and pregnancy: lessons from 2020

AUTHOR(S)
Serena Girardelli; Edward Mullins; Christoph C. Lees

Published: September 2021   Journal: Early Human Development
The outbreak and spread of the coronavirus disease 2019 pandemic has led to an unprecedented wealth of literature on the impact of human coronaviruses on pregnancy. The number of case studies and publications alone are several orders of magnitude larger than those published in all previous human coronavirus outbreaks combined, enabling robust conclusions to be drawn from observations for the first time. However, the importance of learning from previous human coronavirus outbreaks cannot be understated. This narrative review, describes what is considered to be the major learning points arising from the SARS-CoV-2 pandemic in relation to pregnancy, and where these confound what might have been expected from previous coronavirus outbreaks.
The role of mothers’ self-compassion on mother–infant bonding during the COVID-19 pandemic: A longitudinal study exploring the mediating role of mindful parenting and parenting stress in the postpartum period

AUTHOR(S)
Daniela V. Fernandes; Maria C. Canavarro; Helena Moreira

Published: August 2021   Journal: Infant Mental Health Journal
The current COVID-19 pandemic is a challenging time for postpartum mothers, and associated challenges may have a negative impact on their parenting and, consequently, on mother–infant bonding. This study aimed to longitudinally explore whether mothers’ self-compassion was associated with mother–infant bonding and whether this relationship was mediated by mindful parenting and parenting stress. A total of 125 Portuguese mothers of infants aged between 0 and 12 months completed an online survey at two assessment points during the first wave of the COVID-19 pandemic (T1: April–May 2020; T2: June–July 2020). The survey included several questionnaires assessing sociodemographic, clinical, and COVID-19 information; self-compassion; mindful parenting; parenting stress; and mother–infant bonding.
Parental and staff experiences of restricted parental presence on a Neonatal Intensive Care Unit during COVID-19

AUTHOR(S)
Harriet Garfield; Briony Westgate; Rajiv Chaudhary (et al.)

Published: August 2021   Journal: Acta Paediatrica

The COVID-19 pandemic had a significant impact on parental presence in the Neonatal Intensive Care Unit (NICU) during the first wave. The NICU team at the Rosie Hospital, Cambridge, endeavoured to explore the impact on parent and staff experiences of supporting parents throughout the period when visiting was restricted, between 13th August and 11th September 2020. Bespoke surveys were designed following the first lockdown to gather information on the impact on staff and parents. The questions were developed in the context of initial observations and conversations with staff and parents.

Factors affecting breastfeeding practices under lockdown during the COVID-19 pandemic in Thailand: a cross-sectional survey

AUTHOR(S)
Chanodom Piankusol; Wachiranun Sirikul; Krongporn Ongprasert (et al.)

Published: August 2021   Journal: International Journal of Environmental Research and Public Health
A COVID-19 lockdown and restrictive order has had a large impact on the lives of people. This cross-sectional study was conducted to identify factors affecting breastfeeding among mothers living in Thailand during the lockdown. Data were collected from 903 mothers with infants ages 0–12 months from 17 July 2020 to 17 October 2020 after the first nationwide COVID-19 lockdown period by an online platform and interview questionnaire survey. Multivariable logistic regression analysis was used to investigate the association between the effect of lockdown and breastfeeding practices with potential confounder adjustment including maternal age, ethnicity, newborn age <6 months, family income below $16,130 per annum, education below undergraduate level, and working status.
Predictors of pregnant women’s intention to vaccinate against coronavirus disease 2019: a facility-based cross-sectional study in southwest Ethiopia

AUTHOR(S)
Shewangizaw Hailemariam; Besufekad Mekonnen; Nigusie Shifera (et al.)

Published: August 2021   Journal: SAGE Open Medicine
Ethiopia is planning to vaccinate 20% of its population against the coronavirus disease 2019 pandemic by the end of 2021—however, there is no single piece of evidence regarding pregnant women’s intention to be vaccinated against coronavirus disease 2019; hence, the objective of this study was to investigate predicting factors of intention to be vaccinated against coronavirus disease 2019 among pregnant women in Bench-Sheko Zone, southwest Ethiopia. Methods: Facility-based cross-sectional study was undertaken from 1 February to 1 March 2021 in southwest Ethiopia. The study was carried out among pregnant women who came for antenatal care service in the selected public health facilities. Interviewer-administered structured tool was used to collect the data. Data were entered into EpiData (version 3.1) and then analyzed using SPSS (version 20).
Relationship of depression, anxiety and stress levels with religious coping strategies among Turkish pregnant women during the COVID-19 pandemic

AUTHOR(S)
Nazife Bakır; Pınar Irmak Vural; Cuma Demir

Published: August 2021   Journal: Journal of Religion and Health
The aim of this study was to investigate the depression, anxiety, stress levels, and religious coping strategies of Turkish pregnant women during the COVID-19 pandemic. Of the pregnant women involved in this study (N = 327), 74.6% were concerned about their health, whereas 85.9% had concerns about the health of the fetus during the COVID-19 pandemic. It was found that 19.9% had extremely severe depression, 97.9% had extremely severe anxiety, and 52.3% had severe stress symptoms. Religious coping scores of the pregnant women included in the study were found to be high. There was a weak positive correlation between positive religious coping and depression and a very weak negative correlation between negative religious coping and depression.
Pregnancy and birth outcomes after SARS-CoV-2 vaccination in pregnancy

AUTHOR(S)
Regan N. Theiler; Myra Wick; Ramila Mehta (et al.)

Published: August 2021   Journal: American Journal of Obstetrics & Gynecology
 SARS-CoV-2 infection during pregnancy is associated with significant maternal morbidity and increased rates of preterm birth. For this reason, COVID-19 vaccine administration in pregnancy has been endorsed by multiple professional societies including ACOG and SMFM despite exclusion of pregnant women from initial clinical trials of vaccine safety and efficacy. However, to date little data exists regarding outcomes after COVID-19 vaccination of pregnant patients. A comprehensive vaccine registry was combined with a delivery database for an integrated healthcare system to create a delivery cohort including vaccinated patients. Maternal sociodemographic data were examined to identify factors associated with COVID-19 vaccination. Pregnancy and birth outcomes were analyzed, including a composite measure of maternal and neonatal pregnancy complications, the Adverse Outcome Index.
Changes in pregnancy outcomes during the COVID-19 lockdown in Iran

AUTHOR(S)
Fahimeh Ranjbar; Leila Allahqoli; Soheila Ahmadi (et al.)

Published: August 2021   Journal: BMC Pregnancy and Childbirth

The Covid-19 pandemic response is influencing maternal and neonatal health care services especially in developing countries. However, the indirect effects of Covid-19 on pregnancy outcomes remain unknown. The aim of the present study was to compare pregnancy outcomes before and after the beginning of the Covid-19 pandemic in Iran. We performed a retrospective analysis of the medical records of 2,503 pregnant women with singleton pregnancies, admitted to the maternity department of a women’s hospital in Tehran, Iran, during the pre-Covid-19 pandemic (February 19 to April 19, 2019) and the intra-Covid- 19 pandemic (February 19 to April 19, 2020) period.

COVID-19 related psychological distress and fears among mothers and pregnant women in Saudi Arabia

AUTHOR(S)
Abdulkarim M. Meraya; Mamoon H. Syed; Ayesha Yasmeen (et al.)

Published: August 2021   Journal: Plos One

This study objectives were to investigate maternal psychological distress, mothers’ fear of their children contracting COVID-19, mothers’ perceptions of the information available regarding children and COVID-19, changes in children’s behavior during lockdown, and concerns of pregnant women in Saudi Arabia. This cross-sectional study surveyed women aged 18 years and older who either had children under 10 years of age or were pregnant at the time of the survey. The outcomes included psychological distress, mothers’ fear of their children contracting COVID-19, change in children’s behaviors during COVID-19 lockdown and pregnant women’s concerns. Multivariable ordinary least squares regression models were employed to examine the adjusted associations between sociodemographic factors and psychological distress, as well as fear of COVID-19.

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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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COVID-19 & Children: Rapid Research Response

UNICEF Innocenti is mobilizing a rapid research response in line with UNICEF’s global response to the COVID-19 crisis. The initiatives we’ve begun will provide the broad range of evidence needed to inform our work to scale up rapid assessment, develop urgent mitigating strategies in programming and advocacy, and preparation of interventions to respond to the medium and longer-term consequences of the COVID-19 crisis. The research projects cover a rapid review of evidence, education analysis, and social and economic policies.