Prevalence of gestational diabetes mellitus and associated factors in women visiting the maternity unit of the public health facility of the city of Gondar in northwestern Ethiopia.
Health fears and behavioural changes in pregnant women during the COVID 19 pandemic. Lack of opportunities in obstetrics to improve the health of pregnant women and newborns in the Geita district in northwestern Tanzania. A patient perspective on a new prenatal care classes model introduced in response to the pandemic in Tanzania.
Prenatal Care Classes
Pregnant women with symptoms consistent with COVID-19 should call their doctor immediately. Serious diseases in pregnant women increase the risk of premature births, preterm births and the medical need to deliver prematurely for the health of both mother and child.
A Mayo Clinic Health System provides virtual treatment options for patients who do not need routine prenatal care. Virtual care facilities allow women to maintain social distance, which helps to minimize the risk of exposure. Given the above-mentioned dilemmas and the fear of other unknowns, hospital visits and online screening for pregnant women during the pandemic are preferable.
In the midst of the COVID 19 pandemic, it is advisable for pregnant women to stay at home and receive the necessary prenatal care through online screening programs. Numerous studies report that the vast majority of pregnant women search the Internet for pregnancy-related information. Pregnant women protect themselves and their attitudes towards prenatal care outside the hospital.
Reduce Unnecessary Hospital Visit
It will reduce unnecessary hospital visits and limit the potential risk of infection for vulnerable groups during the COVID 19 pandemic. In summary, online pregnancy care is a useful alternative for pregnant women who need basic pregnancy care and mental health counseling.
Since the outbreak of the SARS-CoV-2 pandemic, many of the usual social health services have had to be adapted to provide security and prevent infection, and priority has been given to the most vulnerable groups of pregnant women.
As healthcare providers, it is essential that we understand how the COVID 19 pandemic has affected, and will continue to affect, the perception of pregnant women in terms of prenatal care and education, and create barriers to overcome.
In addition to improving online prenatal care, the popularization and use of the Internet and mobile electronic devices is vital to allow pregnant women to receive online education and care. The government must legislate to regulate and protect the privacy of pregnant women who use online care services.
In a joint letter dated March 30th 2020, ACOG, ACNM, AAFP and SMFM acknowledged the stress and uncertainty caused by the COVID 19 pandemic for pregnant women and their support for people and encouraged people to stay with the health professionals who provide care.
The letter from the American College of Obstetricians and Gynecologists 2020 ACOG / ACNM / AAFP / SMFM stresses the importance of effective communication between patient and provider during this time. As ACOG members continue to care for patients during this difficult time, we understand that we and our patients may have questions about women’s health during this pandemic.
FAQ – Expert Opinion
This FAQ is based on expert opinion and is intended to complement the guidelines of the Centers for Disease Control and Prevention (CDC) and the American College of Obstetricians and Gynecologists (ACOG) on optimizing obstetrics in the context of COVID-19.
This FAQ was developed by several working groups compiled by practicing obstetricians and gynecologists as well as ACOG members with expertise in obstetrics, maternal and fetal medicine, gynecology and gynecology, pediatric and adolescent gynecology, infectious diseases, hospital systems, telemedicine, and the ethics of front-line patient care during the pandemic.
We conducted a web-based survey of Chinese pregnant women on the Banmi (National Online Maternity School) national online platform to assess their self-protection behaviors and attitudes to prenatal care during the pandemic.
The aim of the survey was to examine how the COVID 19 pandemic has changed healthcare and influenced prenatal decision-making, access to education and education, and to understand pregnant women’s concerns about the safety and adequacy of prenatal care during the coronavirus outbreak.
Automated voice messages were sent to 2.3 million Indian women in 13 states to provide information on pregnancy screening, identify problems before they become serious, and track their children’s progress in infancy and early childhood.
In industrialized countries, we experience an average of 7-11 prenatal visits during pregnancy. Remember that prenatal visits are important not only for health reasons, but also for the psychological care of pregnant women. By reducing prenatal visits, research shows that pregnant patients are more satisfied with their care and perceive the distances between visits as longer.
Frankly, we do not know how the increase in virtual prenatal visits and fewer face-to-face prenatal visits will affect the level of support women feel during pregnancy. When pregnant women develop serious illnesses, they appear to be treated more often in intensive care units than non-pregnant women of childbearing age.
A recent report, for example, included 43 pregnant women with COVID-19 that were treated in two New York City hospitals.4 Although the case series did not include a non-pregnant control group, the proportion of pregnant women with severe disease was similar to that of non-pregnant adults with COV-19.4,19.
More information on the effects of gestational comorbidities is needed to better understand how they can affect the clinical outcomes of this pandemic. Pregnant women have been at increased risk for serious respiratory diseases (e.g. H1N1 influenza) 1 since 2009, but do not appear to have an increased risk of serious illness compared to the general population.
Pregnant women with COVID-19 are at increased risk for other adverse outcomes such as premature birth. However, the effects of the virus on pregnancy and newborns are not well understood. The experience in the US differs from that in other countries because of the higher incidence of comorbidities among pregnant women in the United States.
Pregnant Women are High Risk
Pregnant women are a high-risk group for COVID-19 infections and represent an increased risk of premature birth and serious diseases that may require admission or death compared to non-pregnant women. Researchers do not know why pregnant women are more likely to contract the virus, but pregnancy can cause changes in the immune system that can cause more serious viral diseases.
Although the COVID vaccine is approved for people aged 16 and over, the vaccine has not been tested on pregnant women and there is no clear recommendation to vaccinate pregnant women.
The Society of Maternal and Fetal Medicine and the American College of Obstetricians and Gynecologists recommend that all pregnant and nursing women have access to COVID-19 vaccine.
It is vital for pregnant women to contact an ANC provider immediately if they encounter Covid-19 symptoms or have come into contact with people with the virus, as a confirmation test for the virus that causes the virus is recommended. Pregnant women with Covids-19 positivity should be treated with fever, pain, cough and severe illness, and hospitalization is recommended.