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Children and COVID-19 Research Library

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

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Commentaries and Think Pieces

Breastfeeding and COVID-19 vaccination: position statement of the Italian scientific societies

AUTHOR(S)
Riccardo Davanzo; Massimo Agosti; Irene Cetin (et al.)

Published: February 2021 Journal: Italian Journal of Pediatrics

The availability of a COVID-19 vaccine has raised the issue of its compatibility with breastfeeding. Consequently, the Italian Society of Neonatology (SIN), the Italian Society of Pediatrics (SIP), the Italian Society of Perinatal Medicine (SIMP), the Italian Society of Obstetrics and Gynecology (SIGO), the Italian Association of Hospital ObstetriciansGynecologists (AOGOI) and the Italian Society of Infectious and Tropical Diseases (SIMIT) have made an ad hoc consensus statement. Currently, knowledge regarding the administration of COVID-19 vaccine to the breastfeeding mother is limited. Nevertheless, as health benefits of breastfeeding are well demonstrated and since biological plausibility suggests that the health risk for the nursed infant is unlikely, Italian scientific societies conclude that COVID-19 vaccination is compatible with breastfeeding.

Journal article

Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol

AUTHOR(S)
Ann‑Beth Moller; Joanne Welsh; Mechthild M. Gross (et al.)

Published: February 2021 Journal: Reproductive Health

This study aims to assess competencies (knowledge, skills and attitudes) of midwifery care providers as well as their experiences and perceptions of in-service training in the four study countries; Benin, Malawi, Tanzania and Uganda as part of the Action Leveraging Evidence to Reduce perinatal mortality and morbidity in sub-Saharan Africa project (ALERT). While today more women in low- and middle-income countries give birth in health care facilities, reductions in maternal and neonatal mortality have been less than expected. This paradox may be explained by the standard and quality of intrapartum care provision which depends on several factors such as health workforce capacity and the readiness of the health system as well as access to care.

Policy brief

A public health approach for deciding policy on infant feeding and mother–infant contact in the context of COVID-19

AUTHOR(S)
Nigel Rollins; Nicole Minckas; Fyezah Jehan (et al.)

Published: February 2021 Journal: The Lancet Global Health

The COVID-19 pandemic has raised concern about the possibility and effects of mother–infant transmission of SARS-CoV-2 through breastfeeding and close contact. The insufficient available evidence has resulted in differing recommendations by health professional associations and national health authorities. This paper presents an approach for deciding public health policy on infant feeding and mother–infant contact in the context of COVID-19, or for future emerging viruses, that balances the risks that are associated with viral infection against child survival, lifelong health, and development, and also maternal health.

Journal article

Pregnant women’s daily patterns of well-being before and during the COVID-19 pandemic in Finland: longitudinal monitoring through smartwatch technology

AUTHOR(S)
Hannakaisa Niela-Vile´n; Jennifer Auxier; Eeva Ekholm (et al.)

Published: February 2021 Journal: Plos One

Technology enables the continuous monitoring of personal health parameter data during pregnancy regardless of the disruption of normal daily life patterns. Our research group has established a project investigating the usefulness of an Internet of Things–based system and smartwatch technology for monitoring women during pregnancy to explore variations in stress, physical activity and sleep. The aim of this study was to examine daily patterns of well-being in pregnant women before and during the national stay-at-home restrictions related to the COVID-19 pandemic in Finland.

Evidence Synthesis and other Reviews

Haemostatic and thrombo-embolic complications in pregnant women with COVID-19: a systematic review and critical analysis

AUTHOR(S)
Juliette Servante; Gill Swallow; Jim G. Thornton (et al.)

Published: February 2021 Journal: BMC Pregnancy and Childbirth

As pregnancy is a physiological prothrombotic state, pregnant women may be at increased risk of developing coagulopathic and/or thromboembolic complications associated with COVID-19. Two biomedical databases were searched between September 2019 and June 2020 for case reports and series of pregnant women with a diagnosis of COVID-19 based either on a positive swab or high clinical suspicion where no swab had been performed. Additional registry cases known to the authors were included.

Journal article

The impact of the COVID-19 pandemic on economic security and pregnancy intentions among people at risk of pregnancy

AUTHOR(S)
Tracy Kuo Lin; Rachel Law; Jessica Beaman

Published: February 2021 Journal: Contraception

This study aims to understand how the COVID-19 pandemic affected women of reproductive age, specifically their economic conditions, desire for pregnancy, and access to contraceptive services during the pandemic. A total of 554 women respondents age 18 to 49 and reside in the United States were recruited using social media between May 16, 2020 and June 16, 2020. Logistic regression models assessed predictors of reporting pandemic-related changes in economic conditions, desire for pregnancy, and contraceptive access

Research brief

Definition and categorization of the timing of mother-to-child transmission of SARS-CoV-2

Institution: World Health Organisation
Published: February 2021

This scientific brief was prepared based on results of evidence synthesis and a WHO expert consultation. The WHO COVID-19 LENS (Living Evidence Synthesis) working group consolidated available evidence, based on rapid reviews of the literature and results of a living systematic review on pregnancy and COVID-19 (up to October 7, 2020), on potential mechanisms of vertical transmission of infectious pathogens, feasibility of vertical transmission of SARS-CoV-2, data related to interpretation of positive SARS-CoV-2 virologic and serologic neonatal tests, lessons from diagnosis of other congenital infections, and existing proposed definitions to classify timing of vertical transmission of SARS-CoV-2. WHO convened a multidisciplinary, international panel of experts between October and November 2020 to review the evidence and propose a consensus initial classification system for the timing of vertical transmission of SARS-CoV-2. The panel included experts in obstetrics, neonatology, paediatrics, epidemiology, virology, infectious disease, congenital infections, and placental pathology. The selection of the panel ensured geographic representation, gender balance, and no important conflicts of interest, in accordance with WHO standard procedures.

Journal article

Psychological impact and social support in pregnant women during lockdown due to SARS‐CoV2 pandemic: a cohort study

AUTHOR(S)
Maia Brik; Miguel Angel Sandonis; Sara Fernández (et al.)

Published: February 2021 Journal: Acta Obstetricia et Gynecologica Scandinavica

Anxiety and depression during pregnancy can lead to adverse maternal and neonatal outcomes. The SARS CoV‐2 pandemic, and the complete lockdown required during the first wave in most countries are stressors for pregnant women and can lead to anxiety and depression during pregnancy. The aim of this study was to explore depression and anxiety symptoms, and social support in pregnant women during the SARS CoV‐2 lockdown, as well as to explore demographic risk factors.

Journal article

Sleep and psychological difficulties in Italian school-age children during COVID-19 lockdown

AUTHOR(S)
Nicola Cellini; Elisa Di Giorgio; Giovanna Mioni (et al.)

Published: January 2021 Journal: Journal of Pediatric Psychology

On March 10, 2020, the Italian Government ordered a national lockdown to limit the viral transmission of coronavirus disease 2019 infections. This study investigated how these restrictive measures have impacted sleep quality, timing, and psychological difficulties in school-age children and their mothers during the lockdown. In an online survey, 299 mothers reported their sleep habits, experience of time, and psychological difficulties as well as those of their children (6–10 years old) during and, retrospectively, before the lockdown.

Research brief

COVID-19 is associated with traumatic childbirth and subsequent mother-infant bonding problems

AUTHOR(S)
Gus A. Mayopoulos; Tsachi Ein-Dor; Gabriella A. Dishy (et al.)

Published: January 2021 Journal: Journal of Affective Disorders

Knowledge of women’s experience of childbirth in the outbreak of the coronavirus (COVID-19) pandemic and associated maternal health outcomes is scarce. A sample of primarily American women who gave birth around the height of COVID-19 (n =1,611) and matched controls, i.e., women who gave birth before COVID-19 (n =640), completed an anonymous Internet survey about recent childbirth, birth-related traumatic stress (peritraumatic distress inventory; PTSD-checklist), maternal bonding (maternal attachment inventory; mother-to-infant bonding scale) and breastfeeding status. Groups (n =637 in each) were matched on demographics, prior mental health/trauma and childbirth factors to determine the unique contribution of COVID-19 to the psychological experience of childbirth.

Journal article

Association between maternity harassment and depression during pregnancy amid the COVID‐19 state of emergency

AUTHOR(S)
Yuko Kachi; Takeo Fujiwara; Hisashi Eguchi (et al.)

Published: January 2021 Journal: Journal of Occupational Health

Maternity harassment, known in English as pregnancy discrimination, remains prevalent in developed countries. However, research examining the mental health effects of maternity harassment is lacking. We aimed to examine the association between maternity harassment and depression during pregnancy in Japan. A cross‐sectional Internet survey was conducted on 359 pregnant employees (including women who were working at the time their pregnancy was confirmed) from May 22 to May 31, 2020, during which time a COVID‐19 state of emergency was declared. Maternity harassment was defined as being subjected to any of the 16 adverse treatments prohibited by national guidelines.

Journal article

Newborn bloodspot screening in the time of COVID-19

AUTHOR(S)
Ronda F. Greaves; James Pitt; Candice McGregor

Published: January 2021 Journal: Genetics in Medicine

A COVID-19 pandemic business continuity plan (BCP) was rapidly developed to protect the Victorian newborn screening (NBS) program. Here, we present the outcomes of our COVID-19 BCP and its impact on the Victorian NBS laboratory service. Change management principles were used to develop a BCP that included mapping of NBS processes against staff resources, triaging priorities, technology solutions, supply chain continuity, gap analysis, and supporting maternity service providers. The effect was assessed quantitatively by review of key performance indicator data and qualitatively from staff feedback.

Evidence Synthesis and other Reviews

The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review

AUTHOR(S)
Bethany Kotlar; Emily Gerson; Sophia Petrillo (et al.)

Published: January 2021 Journal: Reproductive Health

The Covid-19 pandemic affects maternal health both directly and indirectly, and direct and indirect effects are intertwined. To provide a comprehensive overview on this broad topic in a rapid format behooving an emergent pandemic we conducted a scoping review. A scoping review was conducted to compile evidence on direct and indirect impacts of the pandemic on maternal health and provide an overview of the most significant outcomes thus far. Working papers and news articles were considered appropriate evidence along with peer-reviewed publications in order to capture rapidly evolving updates. Literature in English published from January 1st to September 11 2020 was included if it pertained to the direct or indirect effects of the COVID-19 pandemic on the physical, mental, economic, or social health and well-being of pregnant people. Narrative descriptions were written about subject areas for which the authors found the most evidence. Results: Th

Journal article

Addressing inequities in maternal health among women living in communities of social disadvantage and ethnic diversity

AUTHOR(S)
Cristina Fernandez Turienzo; Mary Newburn; Agnes Agyepong Agyepong (et al.)

Published: January 2021 Journal: BMC Public Health

The response to the coronavirus outbreak and how the disease and its societal consequences pose risks to already vulnerable groups such those who are socioeconomically disadvantaged and ethnic minority groups. Researchers and community groups analysed how the COVID-19 crisis has exacerbated persisting vulnerabilities, socio-economic and structural disadvantage and discrimination faced by many communities of social disadvantage and ethnic diversity, and discussed future strategies on how best to engage and involve local groups in research to improve outcomes for childbearing women experiencing mental illness and those living in areas of social disadvantage and ethnic diversity.

Cite this research | No. of pages: 5 | Language: English | Topics: Health, Social Protection, Well-being and Equity | Tags: disadvantaged children, disadvantaged groups, maternal and child health, social inequality, COVID-19 response | Countries: United Kingdom

Journal article

Pregnant women’s well-being and worry during the COVID-19 pandemic: a cross-sectional study

AUTHOR(S)
Forough Mortazavi; Maryam Mehrabadi ; Roya Kiaee Tabar

Published: January 2021 Journal: BMC Pregnancy and Childbirth

COVID-19 caused some worries among pregnant women. Worries during pregnancy can affect women’s well-being. We investigated worry and well-being and associated factors among pregnant women during the COVID-19 pandemic. This descriptive cross-sectional study was conducted on 484 pregnant women using an online questionnaire. Sampling was performed in a period between May 5 and Aug 5, 2020. Inclusion criteria were having a single healthy fetus and having no significant psychological disorder.

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