Management of covid-19: a practical guideline for maternal and newborn health care providers in Sub-Saharan Africa

Ezenwa, Beatrice Nkolika; Fajolu, Iretiola; Akinajo, Opeyemi; Makwe, Christian Chigozie; Oluwole, Ayodeji A.; Akase, Iorhen E.; Afolabi, Bosede Bukola; Ezeaka, Chinyere

doi:10.1080/14767058.2020.1763948

Cited by 22 publications

(28 citation statements)

References 10 publications

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“…Early on during the pandemic, the WHO produced guidelines with regular updates for managing COVID-19 and for maintaining essential health services, and these have been adopted by many countries in SSA or similar ones produced to strengthen the responsiveness of their health system. 3 , 11 , 12 The guidelines contain key recommendations to optimize health force capacity, including recruitment, repurposing within the limits of training and skills, redistributing roles among health workers while keeping health workers safe, and providing mental and psychosocial support. It is unclear to what extent these guidelines have been implemented in health facilities and how this has affected health provider perception of their facility readiness to manage COVID-19.…”

Section: Introductionmentioning

confidence: 99%

Reproductive Maternal and Newborn Health Providers’ Assessment of Facility Preparedness and Its Determinants during the COVID-19 Pandemic in Lagos, Nigeria

Ameh

Banke-Thomas

Balogun

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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The global COVID-19 pandemic is predicted to compromise the achievement of global reproductive, maternal, and newborn health (RMNH) targets. The objective of this study was to determine the health facility (HF) preparedness for RMNH service delivery during the outbreak from the perspective of RMNH providers and to determine what factors significantly predict this. An anonymous cross-sectional online survey of RMNH providers was conducted from to July 1–21, 2020 in Lagos State, Nigeria. We conducted a descriptive and ordinal regression analysis, with RMNH worker perception of HF preparedness for RMNH service delivery during the outbreak as the dependent variable. In all, 256 RMNH workers participated, 35.2% reported that RMNH services were unavailable at some time since March 2020, 87.1% felt work-related burnout, 97.7% were concerned about the availability of personal protective equipment (PPE) and related guidelines, and only 11.7% were satisfied with the preparedness of their HFs. Our final model was a statistically significant predictor of RMNH worker perception of HF preparedness explaining 54.7% of the variation observed. The most significant contribution to the model was communication by HF management (likelihood ratio chi-square [LRCS]: 87.94, P < 0.001) and the availability of PPE and COVID-19 guidelines (LRCS: 15.43, P < 0.001). A one-unit increase in the level of concern about the availability of PPE and COVID-19 guidelines would increase the odds of observing a higher category of satisfaction with HF COVID-19 preparedness. Adequate support of RMNH providers, particularly provision of PPE and guidelines, and appropriate communications about COVID-19 should be prioritized as part of HF preparedness.

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Section: Introductionmentioning

confidence: 99%

Reproductive Maternal and Newborn Health Providers’ Assessment of Facility Preparedness and Its Determinants during the COVID-19 Pandemic in Lagos, Nigeria

Ameh

Banke-Thomas

Balogun

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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“…N95s are suggested during any aerosol‐generating procedures including supplemental oxygen use, intubation, and forceful pushing 22,70 . In keeping with viral precautions, those cleaning labor and isolation wards must be provided with appropriate PPE, and all equipment and surfaces must be properly disinfected by either autoclaving or use of appropriate solutions such as 70% ethyl alcohol sanitizers for hand washing and hydrogen peroxide or sodium hypochlorite for large surfaces and disinfection of wards in between patients 9,23,24 …”

Section: Resultsmentioning

confidence: 99%

COVID‐19 guidelines for pregnant women and new mothers: A systematic evidence review

DiLorenzo

O’Connor

Ezekwesili

et al. 2021

Intl J Gynecology & Obste

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Background Nearly a year after COVID‐19 was initially detected, guidance for pregnant and new mothers remains varied. Objective The goal of this systematic review is to summarize recommendations for three areas of maternal and fetal care—breastfeeding, post‐partum social distancing, and decontamination. Search strategy We searched PubMed, Embase and Web of Science spanning from inception to November 9, 2020. Selection criteria Articles were included if they focused on COVID‐positive mothers, commented on at least one of the three areas of interest, and were published in English. Data collection and analysis Our combined database search yielded 385 articles. After removing duplicates and articles that did not cover the correct populations or subject matter, a total of 74 articles remained in our analysis. Main results Most articles recommended direct breastfeeding with enhanced precaution measures. Recommendations regarding post‐partum social distancing varied, although articles published more recently often recommended keeping the mother and newborn in the same room when possible. Decontamination recommendations emphasized mask wearing, good hand hygiene, and proper cleaning of surfaces. Conclusion In general, there was a focus on shared decision making when approaching topics such as breastfeeding and post‐partum social distancing. Guidelines for decontamination were fairly uniform.

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“…She had a successful and uncomplicated caesarean section. A successful pregnancy outcome in the management of a woman with COVID-19 infection requires a multidisciplinary team approach and facility preparedness [ 10 ]. There is, therefore, a need to allocate adequate resources for the management of pregnant women with COVID-19 and their exposed neonates.…”

Section: Discussionmentioning

confidence: 99%

Caesarean delivery of first prediagnosed COVID-19 pregnancy in Nigeria

Makwe¹,

Okunade²,

Rotimi³

et al. 2020

PAMJ

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The COVID-19 pandemic is currently causing widespread infection and deaths around the world. Since the identification of the first case in Nigeria in February 2020, the number of confirmed cases has risen to over 9,800. Although pregnant women are not necessarily more susceptible to infection by the virus, changes to their immune system in pregnancy may be associated with more severe symptoms. Adverse maternal and perinatal outcomes have been reported among pregnant women with COVID-19 infection. However, literature is scarce on the peripartum management and pregnancy outcome of a pregnant woman with COVID-19 in sub-Saharan Africa. We report the first successful and uncomplicated caesarean delivery of a pregnant woman with COVID-19 infection in Nigeria.

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Management of covid-19: a practical guideline for maternal and newborn health care providers in Sub-Saharan Africa

Cited by 22 publications

References 10 publications

Reproductive Maternal and Newborn Health Providers’ Assessment of Facility Preparedness and Its Determinants during the COVID-19 Pandemic in Lagos, Nigeria

Reproductive Maternal and Newborn Health Providers’ Assessment of Facility Preparedness and Its Determinants during the COVID-19 Pandemic in Lagos, Nigeria

COVID‐19 guidelines for pregnant women and new mothers: A systematic evidence review

Caesarean delivery of first prediagnosed COVID-19 pregnancy in Nigeria

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