Impact of COVID-19 on Antenatal, Natal, and Postnatal Care of pregnant females at Akbar Niazi Teaching Hospital
Objective: To determine the perception of pregnant patients regarding the COVID pandemic, preventive measures taken by the patients during the pandemic, and the impact of COVID on their Natal, Intrapartum, and Postpartum Care.
Materials and Methods: This study included 850 patients presenting in the Obstetrics and Gynaecology department for antenatal care, inpatient care (delivery and caesarean section), and postpartum complications. Percentages were calculated for descriptive variables like demographic factors, source of information, and opinion of patients about COVID-19, preventive measures are taken by the patients, their Antenatal, Natal, and Postnatal fears. An independent t-test was applied and a p-value of ˂0.05 was taken as statistically significant.
Results: We enrolled 850 patients in this study with a mean age of +28 years,mean gravidity of +3, 50% were matriculated and 75% of our patients belonged to middle-class families.. Among our patients, 96% were in fear of getting infected along with their fetus, if they visited the hospital for antenatal care, which is why a majority of them did not visit the hospital for antenatal care and a statistically significant percentage (80%) of them missed antenatal care for 5 months. While the same number of patients (96%, p-value ˂0.05) shared their fear regarding contracting the infection from the hospital during delivery and postnatal care in the hospital, and the same percentage were of the opinion that the baby would get infected during and after delivery in a hospital.
Conclusion: Antenatal care is a basic right of every pregnant female. During emergencies like pandemics ways and means should be devised, not only to provide care but, also, to address the fears of pregnant females to prevent complications during this important phase of life.
2. Mirza TM, Ali R, Khan HM. The knowledge and perception of COVID-19 and its preventive measures, in public of Pakistan. Pakistan Armed Forces Medical Journal. 2020 Apr 30;70(2):338-45.
3. Moreno C, Wykes T, Galderisi S, Nordentoft M, Crossley N, Jones N, et al. How mental health care should change as a consequence of the COVID-19 pandemic. The Lancet Psychiatry. 2020 Jul 16. doi.org/10.1016/S2215-0366(20)30307-2
4. Vickers NJ. Animal communication: when i’m calling you, will you answer too?. Current biology. 2017 Jul 24;27(14):R713-5. doi.org/10.1016/j.cub.2017.05.064
5. Saccone G, Florio A, Aiello F, Venturella R, De Angelis MC, Locci M, et al. Psychological impact of coronavirus disease 2019 in pregnant women. American Journal of Obstetrics & Gynecology. 2020 Aug 1;223(2):293-5. doi.org/10.1016/j.ajog.2020.05.003
6. Fakari FR, Simbar M. Coronavirus pandemic and worries during pregnancy; a letter to editor. Archives of academic emergency medicine. 2020 Mar 16;8(1):e21
7. Dowswell T, Carroli G, Duley L, Gates S, Gülmezoglu AM, Khan‐Neelofur D, et al. Alternative versus standard packages of antenatal care for low‐risk pregnancy. Cochrane Database of Systematic Reviews. 2015(7). doi.org/10.1002/14651858.CD000934.pub3
8. Ortiz EI, Herrera E, De La Torre A. Coronavirus (COVID 19) Infection in Pregnancy. Colombia Médica. 2020 Jun;51(2). .doi.org/10.25100/cm.v51i2.4271
9. Knight M. The findings of the MBRRACE-UK confidential enquiry into maternal deaths and morbidity. Obstetrics, Gynaecology & Reproductive Medicine. 2019 Jan 1;29(1):21-3. doi.org/10.1016/j.ogrm.2018.12.003
10. Hall KS, Samari G, Garbers S, Casey SE, Diallo DD, Orcutt M, et al. Centring sexual and reproductive health and justice in the global COVID-19 response. The lancet. 2020 Apr 11;395(10231):1175-7. doi.org/10.1016/S0140-6736(20)30801-1
11. Sandman CA, Davis EP, Buss C, Glynn LM. Exposure to prenatal psychobiological stress exerts programming influences on the mother and her fetus. Neuroendocrinology. 2012;95(1):8-21. doi.org/10.1159/000327017
12. Woody CA, Ferrari AJ, Siskind DJ, Whiteford HA, Harris MG. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. Journal of affective disorders. 2017 Sep 1;219:86-92. doi.org/10.1016/j.jad.2017.05.003
13. Farewell CV, Jewell J, Walls J, Leiferman JA. A mixed-methods pilot study of perinatal risk and resilience during COVID-19. Journal of Primary Care & Community Health. 2020 Jul;11:2150132720944074. doi.org/10.1177/2150132720944074
14. Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian journal of psychiatry. 2020 Jun 1;51:102083. doi.org/10.1016/j.ajp.2020.102083
15. Kim JS, Choi JS. Middle East respiratory syndrome–related knowledge, preventive behaviours and risk perception among nursing students during outbreak. Journal of clinical nursing. 2016 Sep;25(17-18):2542-9. doi.org/10.1111/jocn.13295
16. Nour MO, Babilghith AO, Natto HA, Al-Amin FO, Alawneh SM. Knowledge, attitude and practices of healthcare providers towards MERS-CoV infection at Makkah hospitals, KSA. Int Res J Med Med Sci. 2015 Oct 1;3(4):103-2.
17. Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Archives of Iranian medicine. 2020 Apr 1;23(4):249-54. DOI: 10.34172/aim.2020.06
18. Gralinski LE, Menachery VD. Return of the Coronavirus: 2019-nCoV. Viruses. 2020 Feb;12(2):135. doi.org/10.3390/v12020135
19. Karasneh R, Al-Azzam S, Muflih S, Soudah O, Hawamdeh S, Khader Y. Media's effect on shaping knowledge, awareness risk perceptions and communication practices of pandemic COVID-19 among pharmacists. Research in Social and Administrative Pharmacy. 2021 Jan 1;17(1):1897-902. doi.org/10.1016/j.sapharm.2020.04.027
20. Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J,et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. The lancet. 2020 Feb 15;395(10223):514-23. doi.org/10.1016/S0140-6736(20)30154-9
21. Bastola A, Sah R, Rodriguez-Morales AJ, Lal BK, Jha R, Ojha HC,et al. The first 2019 novel coronavirus case in Nepal. The Lancet Infectious Diseases. 2020 Mar 1;20(3):279-80. doi.org/10.1016/S1473-3099(20)30067-0
22. Poon LC, Abramowicz JS, Dall'Asta A, Sande R, Ter Haar G, Maršal K, et al.ISUOG Safety Committee Position Statement on safe performance of obstetric and gynecological scans and equipment cleaning in context of COVID‐19. Ultrasound in Obstetrics & Gynecology. 2020 May;55(5):709-12. doi.org/10.1002/uog.22027
23. Simó S, Zúñiga L, Izquierdo MT, Rodrigo MF. Effects of ultrasound on anxiety and psychosocial adaptation to pregnancy. Archives of women's mental health. 2019 Aug;22(4):511-8. doi.org/10.14740/jocmr2275w
24. Kajdy A, Feduniw S, Ajdacka U, Modzelewski J, Baranowska B, Sys D, et al Risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic: A web-based cross-sectional survey. Medicine. 2020 Jul 24;99(30). DOI: 10.1097/MD.0000000000021279
25. Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al.Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. The lancet. 2020 Mar 7;395(10226):809-15. doi.org/10.1016/S0140-6736(20)30360-3.
Copyright (c) 2021 Nadia Jabeen, Fareeha Zaheer, Kinza Ali, Amna Faruqi, Irfan Afzal Mughal, Asma Irfan
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
All research articles published in the Journal of Rawalpindi Medical College (JRMC) are fully open access: immediately freely available to read, download, and share. Copyrights of all articles published in JRMC are retained by the authors. First publication rights are granted to JRMC. The journal/publisher is not responsible for subsequent uses of the work.
All articles are published under the Creative Commons Attribution (CC BY-SA 4.0) license.