The impact of COVID‐19 lockdown on admission to gynecological emergency departments: Results from a multicenter Italian study

Grandi, Giovanni; Savio, Maria Chiara Del; Caroli, Martina; Capobianco, Giampiero; Dessole, Francesco; Tupponi, Giulio; Petrillo, Marco; Succu, Claudia; Paoletti, Anna Maria; Facchinetti, Fabio

doi:10.1002/ijgo.13289

Cited by 29 publications

(28 citation statements)

References 9 publications

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“…Focusing on hygiene, decreased social interaction, and working remotely are all behavioral modifications followed by pregnant women during the lockdown period as declared by Philip et al 10 We found a drastic decrease in the emergency department visits during the pandemic where no restrictions were imposed on the patient's basic right to seek medical attention in the emergency department for urgent health problems. Similar findings were reported in Italy by Grandi et al 11 Moreover, there was a decrease in hospitalization rate compared to pre-lockdown period. This was also seen in India where Kumari et al mentioned a reduction in hospitalization by 43% in their country during the lockdown.…”

Section: Discussionsupporting

confidence: 90%

“…On the other hand, many patients might be avoiding hospital visits and admissions and prefer treatment on an outpatient setting, minimizing by that the risk of COVID-19 infection. 11 Surprisingly, in our study, fetal complications and NICU admission were found to be significantly higher before the lockdown. We also did not note any significant change in the cesarean rate.…”

Section: Discussioncontrasting

confidence: 71%

“…It was reported that the pandemic and lockdown resulted in decreased preterm birth and admission to emergency departments, in addition to increased fetal weight. 1,10,11 They also negatively affected women's medical counseling and social support as well as increased depression and anxiety. [2][3][4]8,12 All these consequences might have detrimental effect on the women and the newborn.…”

Section: Introductionmentioning

confidence: 99%

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The impact of COVID-19 outbreak and lockdown on maternal complications during pregnancy

Ghazal¹,

Hasan

Hijasi³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: The COVID-19 outbreak has affected pregnant women. The aim of this study was to examine the effect of COVID-19 outbreak and lockdown on maternal complications in pregnant women.Methods: A retrospective review of pregnant patients who presented for antenatal care to the private clinic in Beirut, Lebanon before or during the COVID-19 lockdown which started in March 2020. The first group consisted of women before the lockdown between September 1, 2019 and February 29, 2020. The second group included women during or after the lockdown between March 1, 2020 and August 31, 2020.Results: A total of 97 women were included, 48 in the before lockdown group and 49 during or after lockdown group. The percentage of epigastric pain was significantly lower in the first group (12.5% vs. 71.4% respectively, p-value<0.0001). Anemia was significantly lower in the before group (60.4% vs. 83.7%, respectively p-value=0.01). Vomiting and hypotension were significantly higher in the after group. Around 87% of women in the before group had flu-like symptoms such as muscle ache and dizziness compared to 44.9% and 46.9% in the after group (p-value<0.0001). None of the patients in the after group visited the emergency department or were hospitalized during pregnancy. Almost 43% of patients in the after group had severe anxiety compared to 14.6% in the before group (p-value=0.001).Conclusions: Lockdown influenced maternal complications during pregnancy and resulted in anxiety for many women. Management practices regarding pregnancy and childbirth after lockdown are necessary to minimize the associated negative consequences.

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Section: Discussionsupporting

confidence: 90%

Section: Discussioncontrasting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

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The impact of COVID-19 outbreak and lockdown on maternal complications during pregnancy

Ghazal¹,

Hasan

Hijasi³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

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“…Several studies have been conducted to address non-COVID disease referrals during the COVID-19 era. However, few studies have examined only gynecology admissions [ 10 – 14 ]. The number of admissions in three Italian hospitals for gynecological emergencies has decreased significantly due to the COVID-19 lockdown [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, few studies have examined only gynecology admissions [ 10 – 14 ]. The number of admissions in three Italian hospitals for gynecological emergencies has decreased significantly due to the COVID-19 lockdown [ 10 ]. Furthermore, Frey et al reported that about 38% of women experienced cancellation, postponing, or modification in their scheduled gynecologic oncology care due to COVID-19 [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran

Khazaeipour

Razavi

Pahlevan-Fallahy

2021

Arch Gynecol Obstet

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Purpose COVID-19 has captured the world. We hypothesized that this pandemic reduced referral of other non-COVID-19 patients to the hospitals or clinics, including gynecological and perinatological referrals. Women can be at risk in limited use of health services. Methods In this retrospective study, referrals from gynecologic oncology, perinatology, and gynecology clinics in a large teaching hospital of Tehran University of Medical Sciences (TUMS) were compared from February 20 to May 20, 2020, with the same period in 2019. Finally, referral trends in 2020 were compared with the COVID-19 admission pattern. Results Total admissions to all three clinics declined 63% in 2020 compared to 2019. There was a significant relationship between the number of visits to three clinics during these2 years ( p < 0.001). The reduction in referrals to the gynecology clinic was more than gynecologic oncology and perinatology. The COVID-19 referral pattern was conversely linked to gynecology-related admissions. Conclusion As the pandemic situation makes patients hesitant to go to the hospitals or not, health policymakers should consider other non-COVID issues, including maternal and fetal concerns. Providing safe places for other patients to visit is a goal that can be achieved through developing guidelines for nosocomial hygiene and training informed healthcare staff. Moreover, non-urgent visits should be avoided or postponed. This issue calls for new strategies, including telemedicine in situations similar to the current pandemic to both identify and manage such conditions.

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Obstetric A&E unit admission and hospitalization for obstetrical management during COVID-19 pandemic in a third-level hospital of southern Italy

Carbone

Raffone

Travaglino

et al. 2021

Arch Gynecol Obstet

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Background The COronaVIrus Disease 2019 (COVID-19) has spread in Italy since February 2020, inducing the government to call for lockdown of any activity, apart primary needs, during the months March–May 2020. During the lockdown, a reduction of admissions and hospitalizations for ischemic diseases was noticed. Purpose of this study was to observe if there has been the same reduction trend in Accident & Emergency (A&E) unit admissions also for obstetric-gynecological conditions. Methods Medical records and electronic clinical databases were searched for all patients who were admitted to the obstetric A&E department or hospitalized at the Gynecology and Obstetrics Unit of University hospital of Naples Federico II, during the quarter March–May in the years 2019 and 2020. The mean ± standard deviation (SD) of monthly admission to the obstetric A&E department and hospitalization of the year 2020 was compared with that of the year 2019, using the unpaired T test with α error set to 0.05 and 95% confidence intervals (95% CI). Results Admissions were 1483 in the year 2020 and 1786 in 2019. Of total, 1225 (37.5%) women were hospitalized: 583 in the year 2020, 642 in 2019. Mean ± SD of patients monthly admitted to our obstetric A&E department was 494 ± 33.7 in the year 2020, and 595.3 ± 30.9 in 2019, with a mean difference of − 101.3 (95% CI − 103.5 to − 99.1; p < 0.0001). Mean ± SD of patients monthly hospitalized to our department was 194 ± 19.1 in the year 2020, 213.7 ± 4.7 in 2019, with a mean difference of − 19.7 (95% CI − 23.8 to − 15.6; p < 0.0001). Conclusion A significant decrease in the mean of monthly admissions and hospitalizations during the COVID-19 pandemic when compared to the previous year was found also for obstetric–gynecological conditions. Further studies are necessary to assess COVID-19 impact and to take the most appropriate countermeasures.

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The impact of COVID‐19 lockdown on admission to gynecological emergency departments: Results from a multicenter Italian study

Cited by 29 publications

References 9 publications

The impact of COVID-19 outbreak and lockdown on maternal complications during pregnancy

The impact of COVID-19 outbreak and lockdown on maternal complications during pregnancy

Indirect effects of COVID-19 in referring women to gynecologic oncology, perinatology and gynecology clinics in Iran

Obstetric A&E unit admission and hospitalization for obstetrical management during COVID-19 pandemic in a third-level hospital of southern Italy

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