Management of mothers and neonates in low resources setting during covid-19 pandemia

Trevisanuto, Daniele; Weiner, Gary M.; Lakshminrusimha, Satyanarayana; Azzimonti, Gaetano; Nsubuga, John Bosco; Velaphi, Sithembiso; Seni, Amir Hussein Abubacar; Tylleskär, Thorkild; Putoto, Giovanni

doi:10.1080/14767058.2020.1784873

Cited by 13 publications

(17 citation statements)

References 33 publications

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“…However, health-care institutions were not adequately prepared enough to respond to the pandemic, and this might affect the delivery of basic health-care services including maternal, reproductive, and newborn health-care services especially in countries with a scarce resource. 3,4 The WHO has developed an updated guideline to support the country's preparedness and responses to the COVID-19 pandemic to limit its impact. Giving priority and continuing the basic health-care services is highly recommended along with prevention and control of the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Coronavirus Diseases-2019 (COVID-19) on Utilization and Outcome of Reproductive, Maternal, and Newborn Health Services at Governmental Health Facilities in South West Ethiopia, 2020: Comparative Cross-Sectional Study

Kassie¹,

Wale²,

Yismaw³

2021

IJWH

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Background:In low-and middle-income countries, it is challenging to provide basic healthcare services even before the COVID-19 pandemic outbreak. The purpose of this study was to evaluate the early indirect impact of COVID-19 on the utilization of reproductive, maternal, and newborn health services at government health facilities in South West Ethiopia, and its consequences. Methods: A comparative cross-sectional study was employed. The collected data were entered into Microsoft excel 2010 and then exported to SPSS 25 and R3.5.0 software for analysis. Independent sample t-test and two-sample test of proportion were computed, and the results were presented in text, tables, and graphs. P-value <0.05 was considered statistically significant. Results: This study showed that there was a significant reduction in mean utilization of antenatal care (943.25 visits vs 694.75 visits), health facility birth (808.75 births vs 619 births), family planning (4744.5 visits vs 3991.25 visits), and newborn immunization (739.5 given vs 528.5 given) between March-June 2019 and March-June 2020. However, there were significant increases in proportion of teenage pregnancy (7.5% vs 13.1%), teenage abortion care user (21.3% vs 28.5%), institutional stillbirth (14% vs 21.8%) and neonatal death (33.1% vs 46.2%) during the same period. Conclusion and Recommendation:This study showed that utilization of reproductive, maternal, and newborn health-care services was affected by the pandemic with deterioration of maternal and perinatal outcomes. An increase in the proportion of teenage pregnancy who seeks abortion care and the rising cesarean section rate with no improvement in perinatal outcome is a great concern that needs further investigation. Further research is also needed to explore the main reason for an increase in teenage pregnancy, abortion care users, stillbirth, and neonatal death during COVID-19.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of Coronavirus Diseases-2019 (COVID-19) on Utilization and Outcome of Reproductive, Maternal, and Newborn Health Services at Governmental Health Facilities in South West Ethiopia, 2020: Comparative Cross-Sectional Study

Kassie¹,

Wale²,

Yismaw³

2021

IJWH

View full text Add to dashboard Cite

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“…For patients diagnosed with COVID-19, it is recommended that appropriate symptomatic treatment and respiratory support be given [ 8 , 9 ]. Therefore, prevention is the only way to control the outbreak of COVID-19; the best prevention strategies for the community are to minimize the incidence of exposure to the virus, including the following: use of face masks, regular handwashing with soap or hand sanitizer containing at least 60% alcohol, avoiding contact with infected people and maintaining the appropriate distance as far as possible [ 10 ]. Protection from or reduction of the transmission of SARS-CoV-2 may be achieved through the identification, isolation and follow up of infected patients.…”

Section: Introductionmentioning

confidence: 99%

The current situation of COVID-19 in Sudan

Altayb

Altayeb

Hamadalnil³

et al. 2020

New Microbes and New Infections

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The outbreak of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a global public health concern with rapid growth in the number of patients with significant mortality rates. The first case in Sudan was reported on 13 March 2020, and up to 3 July 2020 there are 9894 confirmed cases and 616 deaths. The case fatality rate was 6.23%. There is variation in case fatality rate (CFR), which in some cities (like Khartoum) was low (3.8%), but in others (like North Darfur) it was very high (31.7%). The government of Sudan has implemented preventive measures during the current coronavirus disease pandemic, such as partial lockdown, contact monitoring, risk communication, social distance, quarantine and isolation to prevent the spread of SARS-CoV-2. However, there are new community cases every day; this could be as a result of the weak application of these measures by the government, and the lack of commitment of people to these measures. The number of COVID-19 cases is currently decreasing in Sudan, but we are expected to see an increase in numbers of cases as a result of the massive demonstrations that occurred in Sudan recently, and as a result of the expected reopening and restoration of normal life. The government must increase testing facilities, and maintain social distancing and necessary precautions to limit the spread of infection after life returns to normal.

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“…21 Finally, it was recommended to collect maternal specimens for SARS-CoV-2 testing (placenta, amniotic fluid) after delivery aiming to assess possible vertical transmissions. 21,66 Management in the delivery room In case of neonatal resuscitation, abovementioned studies 8,21,29 suggested that it could be provided in an adjacent room or in the same room at least 2 m away from the mother with a physical barrier such as a curtain. All aerosol-generating procedures should be performed by using full PPE from the healthcare givers providing neonatal care (e.g., respirators, FFP2 or N95 masks, eye protection, gloves, and gowns).…”

Section: Antenatal Managementmentioning

confidence: 99%

Italian neonatologists and SARS-CoV-2: lessons learned to face coming new waves

et al. 2021

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The aim of this review was threefold: (a) to retrieve all SARS-CoV-2 evidences published by Italian neonatologists working in maternity centers and NICUs during the pandemic; (b) to summarize current evidence for the management of term and preterm infants with a SARS-CoV-2-related illness; and (c) to provide an update for dealing with the second wave of COVID-19 and discuss open questions. A review was conducted using MEDLINE/PubMed and the national COVID-19 registry of the Italian Society of Neonatology including citations from December 1, 2019 to October 28, 2020. Sixty-three articles were included. Collected data were divided into the following topics: (a) antenatal management, (b) management in delivery room, (c) postnatal management, (d) mother–baby dyad and breastfeeding management, (e) neonatal emergency transport system reorganization, (f) parents’ management and perspective during SARS-CoV-2 pandemic, and (g) future perspective. Evidences have evolved over the pandemic period and the current review can be useful in the management of the mother–neonate dyad during SARS-CoV-2 future waves. Italian neonatologists have played an active role in producing official guidelines and reporting data that have contributed to improve the care of neonates. A joint European action plan is mandatory to face COVID-19 in neonates with more awareness. Impact A joint European action plan is mandatory to face COVID-19 in neonates with more awareness. This review summarizes the available evidences from neonatal COVID-19 management in Italy analyzing all the published paper in this specific field of interest. The current review can be useful in the management of the mother–neonate dyad during the SARS-CoV-2 future waves.

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Management of mothers and neonates in low resources setting during covid-19 pandemia

Cited by 13 publications

References 33 publications

Impact of Coronavirus Diseases-2019 (COVID-19) on Utilization and Outcome of Reproductive, Maternal, and Newborn Health Services at Governmental Health Facilities in South West Ethiopia, 2020: Comparative Cross-Sectional Study

Impact of Coronavirus Diseases-2019 (COVID-19) on Utilization and Outcome of Reproductive, Maternal, and Newborn Health Services at Governmental Health Facilities in South West Ethiopia, 2020: Comparative Cross-Sectional Study

The current situation of COVID-19 in Sudan

Italian neonatologists and SARS-CoV-2: lessons learned to face coming new waves

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