&lt;p&gt;Pregnancy During COVID-19 Outbreak: The Impact of Lockdown in a Middle-Income Country on Antenatal Healthcare and Wellbeing&lt;/p&gt;

Muhaidat, Nadia; Fram, Kamil; Thekrallah, Fida; Qatawneh, Ayman; Al-Btoush, Ala'a

doi:10.2147/ijwh.s280342

Cited by 37 publications

(62 citation statements)

References 13 publications

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“…Other study showed some differences from our results, they found that diabetes and hypertension (30%) were the most affected departments, followed by the oncology department (6%), hemodialysis (2.5%) [26]. Another study showed the impact of COVID 19 on maternity and childbirth departments was shown by the total number of participants who did not receive antenatal care due to the COVID-19 pandemic (4%) [27].…”

Section: Resultscontrasting

confidence: 82%

A Comparative Study of the Impact of Coronavirus (COVID -19) on the Therapeutic Practices of Cancer Patients in the Kingdom of Saudi Arabia and Egypt

Mahmoud¹,

Alshammari²,

Alshammari³

et al. 2021

JPRI

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Cancer patients are considered one of the most vulnerable to infection with Corona virus (COVID-19), especially who are elderly, multiple comorbidities, and are often immunosuppressed by their cancer or therapy. The immune system of cancer patients is very weak compared to the healthy individuals, so, morbidity and mortality of any serious infections expected to be high among them. This research aims to study the impact of COVID-19 pandemic on cancer patients practices in Saudi Arabia (KSA) and compare with the result in Egypt. It was conducted through a well-structured questionnaire, among cancer patients either online (KSA) or paper questionnaire (Egypt). The questionnaire consists of 16 questions about Scio-demographic and changes in time and method of treatment (chemotherapy and radiotherapy), postponed of surgical operations. Our results showed significant differences between KSA and Egypt hospital practices; cancer department was affected by postponed appointment (54.8% & 63.3%), diagnosis (32.7% & 60%) and treatment of cancer patients (37.1% & 63.3%) respectively. Also, postponed of chemotherapy/radiotherapy (56.8% & 73.3%), surgical operations (45% & 43.3%), an increase in the deterioration of cancer by (35.5% & 23.3%), switching from parenteral injection to oral (27.8% & 56.7%) and changing in the drug doses (19.5% & 40%) in KSA and Egypt respectively. We can conclude that management of cancer patients during COVID-19 pandemic of great importance and so, switching from parenteral to oral, prolongation of the treatment period and postponed of some surgical operations gave a good opportunity to maintain adequate care of cancer patient with minimum exposure of patients to infection.

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Section: Resultscontrasting

confidence: 82%

A Comparative Study of the Impact of Coronavirus (COVID -19) on the Therapeutic Practices of Cancer Patients in the Kingdom of Saudi Arabia and Egypt

Mahmoud¹,

Alshammari²,

Alshammari³

et al. 2021

JPRI

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“…A study conducted in Jordan demonstrated disruption of antenatal services with significant increase in the percentage of pregnant women not receiving antenatal care from 4% to 59.53% (p< 0.001) during the lockdown period. 5 Another study demonstrated a reduction of 45.1% in institutional deliveries (P < 0.001), an increase of 7.2 in high-risk pregnancy, and 2.5-fold rise in admission to the intensive care unit of pregnant women during the pandemic. 6 The reason for this was believed to be due to fear of getting infection and lockdown by the government.…”

Section: Discussionmentioning

confidence: 96%

Impact of pandemic restrictions on antenatal complications at a tertiary care center

Baser¹,

Kumar²

2021

Int J Reprod Contracept Obstet Gynecol

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Background: The ongoing pandemic has drastically affected the heath care sector, especially the tertiary care centers taking the major burden of patients. Apart from COVID-19 positive patients there has also been an increase in Covid 19 negative patients due to other private hospitals being closed. We have conducted an analysis at a tertiary care centre comparing the patient data in 3 months that is from 23rd March 2020 to 22nd June 2020 and the same time period last year 2019. The antenatal and postnatal complications and mode of delivery were analysed.Methods: A total of 1837 cases were compared. Patients were divided into 2 groups case and controls.Control group comprised of 780 patients admitted between 23rd March 2019 to 22nd June 2019. Case group consisted of 1057 patients admitted between 23rd March 2020 to 22nd June 2020. Patient were matched for age, parity, socioeconomic and demographic dataResults: Our results showed that there was no statistically significant increase in antenatal complications despite there being an increase in the total number of patients during the same time period. There was however a significant increase in unregistered cases p<0.0001. There was also a statistically significant increase in the total number of lscs and normal deliveries (p=0.03).Conclusions: Our analysis concludes that despite there being an increase in the total number of cases compared to the previous year there was no statistically significant increase in complications.There was however a significant increase in unregistered cases which may be due to increased referrals from PHCs. The increase in work load perceived by the doctors may possible be due to stress and the added burden of managing COVID-19 positive patients.

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“…This limitation of accessibility is supported by another study conducted by UNFPA stating that because of COVID-19 crisis, around 47 million women globally may potentially lose access to contraception leading to 7 million cases of unintended pregnancies [ 27 ]. Another recent cross-sectional study found that the percentage of Jordanian women who did not have access to antenatal care during COVID-19 crisis went up from 4 to 59.5% [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Gender-based disparities on health indices during COVID-19 crisis: a nationwide cross-sectional study in Jordan

Abufaraj

Eyadat

Al-Sabbagh

et al. 2021

Int J Equity Health

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Background COVID-19 has an inevitable burden on public health, potentially widening the gender gap in healthcare and the economy. We aimed to assess gender-based desparities during COVID-19 in Jordan in terms of health indices, mental well-being and economic burden. Methods A nationally representative sample of 1300 participants ≥18 years living in Jordan were selected using stratified random sampling. Data were collected via telephone interviews in this cross-sectional study. Chi-square was used to test age and gender differences according to demographics, economic burden, and health indices (access to healthcare, health insurance, antenatal and reproductive services). A multivariable logistic regression analysis was used to estimate the beta-coefficient (β) and 95% confidence interval (CI) of factors correlated with mental well-being, assessed by patients’ health questionnaire 4 (PHQ-4). Results 656 (50.5%) men and 644 (49.5%) women completed the interview. Three-fourths of the participants had health insurance during the COVID-19 crisis. There was no significant difference in healthcare coverage or access between women and men (p > 0.05). Half of pregnant women were unable to access antenatal care. Gender was a significant predictor of higher PHQ-4 scores (women vs. men: β: 0.88, 95% CI: 0.54–1.22). Among women, age ≥ 60 years and being married were associated with significantly lower PHQ-4 scores. Only 0.38% of the overall participants lost their jobs; however, 8.3% reported a reduced payment. More women (13.89%) were not paid during the crisis as compared with men (6.92%) (P = 0.01). Conclusions Our results showed no gender differences in healthcare coverage or access during the COVID-19 crisis generally. Women in Jordan are experiencing worse outcomes in terms of mental well-being and economic burden. Policymakers should give priority to women’s mental health and antenatal and reproductive services. Financial security should be addressed in all Jordanian COVID-19 national plans because the crisis appears widening the gender gap in the economy.

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<p>Pregnancy During COVID-19 Outbreak: The Impact of Lockdown in a Middle-Income Country on Antenatal Healthcare and Wellbeing</p>

Cited by 37 publications

References 13 publications

A Comparative Study of the Impact of Coronavirus (COVID -19) on the Therapeutic Practices of Cancer Patients in the Kingdom of Saudi Arabia and Egypt

A Comparative Study of the Impact of Coronavirus (COVID -19) on the Therapeutic Practices of Cancer Patients in the Kingdom of Saudi Arabia and Egypt

Impact of pandemic restrictions on antenatal complications at a tertiary care center

Gender-based disparities on health indices during COVID-19 crisis: a nationwide cross-sectional study in Jordan

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